Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Laparoscopic surgery--anesthetic implications

A J Cunningham1

  • 1Department of Anaesthesia, Royal College of Surgeons in Ireland, Dublin.

Surgical Endoscopy
|November 1, 1994
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Low birth weight and intelligence in adolescence and early adulthood: a meta-analysis.

Journal of public health (Oxford, England)·2013
Same author

Preoperative tests: an Irish perspective.

Irish journal of medical science·2011
Same author

Physicians and Contraception.

Canadian Medical Association journal·2010
Same author

The healing journey: incorporating psychological and spiritual dimensions into the care of cancer patients.

Current oncology (Toronto, Ont.)·2008
Same author

High-fidelity simulation in post-graduate training and assessment: an Irish perspective.

Irish journal of medical science·2007
Same author

Guidelines for anaesthesiologist specialist training in pain medicine.

European journal of anaesthesiology·2007
Same journal

Efficacy and safety of transoral incisionless fundoplication in non-obese and obese adults: a population-based cohort study from the United States.

Surgical endoscopy·2026
Same journal

Minimally invasive versus open surgery for adhesive small bowel obstruction: a systematic review and meta-analysis.

Surgical endoscopy·2026
Same journal

Enhanced view/extended totally extraperitoneal plasty (eTEP) Rives-Stoppa repair versus open Rives-Stoppa repair: a single-center retrospective propensity score-matched cohort study.

Surgical endoscopy·2026
Same journal

Robotic-assisted endoscopic submucosal dissection: a scoping review of preclinical and early clinical evidence.

Surgical endoscopy·2026
Same journal

Conversion of endoscopic sleeve gastroplasty to bariatric surgery.

Surgical endoscopy·2026
Same journal

Artificial intelligence and chatbots in general surgery: a survey among surgeons in Germany, Austria and Switzerland.

Surgical endoscopy·2026
See all related articles

Laparoscopic surgery offers benefits like faster recovery but presents anesthetic challenges. Anesthesiologists must monitor for complications and be prepared for conversions during laparoscopic procedures.

Area of Science:

  • Minimally Invasive Surgery
  • Anesthesiology
  • Surgical Complications

Background:

  • Laparoscopic surgery, including cholecystectomy, is increasingly popular due to patient benefits like shorter hospital stays and reduced pain.
  • However, laparoscopic techniques introduce unique anesthetic challenges and physiological concerns, such as prolonged pneumoperitoneum and potential complications.
  • While efficacy is evaluated for some procedures, prospective randomized studies comparing laparoscopic and traditional open techniques are lacking.

Purpose of the Study:

  • To highlight the anesthetic challenges and potential complications associated with laparoscopic surgical procedures.
  • To emphasize the need for anesthesiologists to be vigilant and prepared for adverse events during laparoscopy.
  • To discuss specific concerns related to laparoscopic cholecystectomy, hernia repair, and diaphragmatic/hiatus hernia repair.

Related Experiment Videos

Main Methods:

  • Review of existing literature and case reports on laparoscopic surgery and associated anesthesia.
  • Discussion of physiological effects of pneumoperitoneum and patient positioning.
  • Analysis of intraoperative complications, including trocar injuries and physiological changes.
  • Evaluation of anesthetic techniques for laparoscopic procedures, including ventilation and pharmacotherapy.

Main Results:

  • Laparoscopic surgery offers advantages but requires general anesthesia for some procedures, with concerns about duration and recurrence.
  • Complications like surgical emphysema, pneumothorax, and pneumomediastinum can occur, particularly with diaphragmatic procedures.
  • Intraoperative issues often stem from blind trocar insertion and physiological responses to pneumoperitoneum.
  • Controlled ventilation and specific anesthetic regimens can mitigate issues like hypercarbia and postoperative nausea/vomiting.

Conclusions:

  • Anesthesiologists must maintain a high index of suspicion for potential complications during laparoscopic surgery and implement appropriate monitoring.
  • Immediate intervention, such as chest tube decompression for tension pneumothorax, is crucial.
  • Anesthetic management should include preparation for potential conversion to open surgery if difficulties arise, especially in high-risk patients.
  • While laparoscopic cholecystectomy is a significant advancement, careful preoperative evaluation and intraoperative vigilance are essential.