Anesthesia experiences on laparoscopic nephrectomy with da Vinci S robotics / 中南大学学报(医学版)
Journal of Central South University(Medical Sciences)
; (12): 1012-1015, 2015.
Article
de Zh
| WPRIM
| ID: wpr-815234
Bibliothèque responsable:
WPRO
ABSTRACT
OBJECTIVE@#To summarize the clinical anesthesia experiences in 20 patients who underwent laparoscopic nephrectomy with da Vinci S robotics.
@*METHODS@#Anesthesia data of 20 patients from Sichuan Provincial People's Hospital, who underwent laparoscopic nephrectomy with da Vinci S robotics from August 2014 to November 2014, were analyzed and summarized. The anesthesia time, operation time, CO(2) pneumoperitoneum time, PaCO(2) and PETCO(2) were recorded.
@*RESULTS@#All patients were anesthetized and underwent surgery with da Vinci S robotics. The anesthesia time was (220±14) min, the operation time was (187±11) min, and the CO(2) pneumoperitoneum time was (180±13) min. The PaCO(2) and PETCO(2) were significantly elevated at 1.5 h after operation compared with those at the baseline (before pneumoperitoneum) (P<0.05). The pH value was significantly decreased at 2.5 h after operation compared to that at the baseline (P<0.05). The peak airway pressure of inspiration was significantly elevated at 0.5 h after the beginning of pneumoperitoneum compared to that at the baseline (P<0.05).
@*CONCLUSION@#The hemodynamics is stable during the laparoscopic nephrectomy with da vinci S robotics. However, the duration of CO(2) pneumoperitoneum is significantly increased compared to that of other surgical procedures, resulting in high airway resistance and acid-base disturbance.
Texte intégral:
1
Indice:
WPRIM
Sujet Principal:
Pneumopéritoine artificiel
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Chirurgie générale
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Équilibre acido-basique
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Résistance des voies aériennes
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Laparoscopie
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Durée opératoire
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Interventions chirurgicales robotisées
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Hémodynamique
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Anesthésie
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Rein
Limites du sujet:
Humans
langue:
Zh
Texte intégral:
Journal of Central South University(Medical Sciences)
Année:
2015
Type:
Article