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Related Experiment Video

Updated: Apr 17, 2026

Subcostal Specimen Removal in Completely Portal Robotic Lobectomy
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Comparative changes in tissue oxygenation between laparoscopic and open cholecystectomy.

George D Bablekos1, Stylianos A Michaelides2, Antonis Analitis3

  • 1Department of Experimental Physiology, Medical School, Democritous University of Thrace, 68100 Dragana, Alexandroupolis, Greece ; Technological Educational Institute (T.E.I.) of Athens, Agiou Spyridonos 28 Street, 12243 Egaleo, Athens, Greece.

Journal of Clinical Medicine Research
|February 21, 2015
PubMed
Summary
This summary is machine-generated.

Laparoscopic cholecystectomy (LC) may pose a lower risk for impaired tissue oxygenation compared to open cholecystectomy (OC). Postoperative gas exchange, including alveolar-arterial difference in PO2, shows better outcomes with LC.

Keywords:
Arterial oxygenationCholecystectomyLaparoscopicOpen

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Area of Science:

  • Surgical outcomes
  • Respiratory physiology
  • Gas exchange

Background:

  • Previous research has explored the respiratory effects of laparoscopic cholecystectomy (LC) versus open cholecystectomy (OC).
  • This study specifically compares arterial blood gas parameters between LC and OC to evaluate their impact on gas exchange.

Purpose of the Study:

  • To compare changes in arterial blood gases and related parameters between LC and OC.
  • To assess the comparative influence of LC and OC on postoperative gas exchange.

Main Methods:

  • A study of 28 patients (18 LC, 10 OC) under identical anesthesia.
  • Measurements of alveolar-arterial difference in PO2 ((A-a)DO2) and oxygen content (Oct in vol%) were taken before surgery (BS), on postoperative day 2 (AS2), and day 8 (AS8).

Main Results:

  • On AS2, OC showed a greater increase in (A-a)DO2 compared to LC.
  • Oxygen content (Oct) decreased from BS to AS2 in both groups, with a further reduction in OC between AS2 and AS8.
  • On AS2, the decrease in oxygen saturation (SaO2%) was more pronounced in the OC group.

Conclusions:

  • The increased (A-a)DO2, reduced Oct, and decreased SaO2% observed in the OC group on AS2 suggest potential for impaired tissue oxygenation.
  • Laparoscopic cholecystectomy (LC) may be associated with a lower risk of impaired tissue oxygenation compared to open cholecystectomy (OC).