Haemodynamic and Pulmonary Changes During Laproscopic Versus Open Cholecystectomy
Iraqi Postgraduate Medical Journal,
2015, Volume 14, Issue 4, Pages 474-479
Laproscopy is a minimally invasive procedure allowing endoscopic access the peritoneal cavity after insufflation of a gas (CO2)to create space between the anterior abdominal wall and the viscera for safe manipulation.
Is to note the haemodynamic and pulmonary changes during laparoscopy in the early postoperative period in comparison with open cholecystectomy.
PATIENTS AND METHODS:
30 adult patients of ASA class I and II studied in each group according to surgical procedure used ,monitoring used pulse oximetry ,non invasive automatic blood pressure measurement ,peak inspiratory pressure and capnography.
There is slight reduction of mean arterial pressure(MAP) and heart rate(HR) following induction of anesthesiain both groups.Howevere,these effects tended to normalize in open cholecystectomy over time while in laproscopy tend to normalize after desufflation.Postoperatively both groups sustain significant reduction in oxygen saturation(SPO2) but in laproscopy was transient and clinically not significant.
This study show that laproscopy give better recovery and may decrease the need for postoperative oxygen therapy.
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