Postoperative Pain Differences between Different Insufflation Pressures on Laparoscopic Cholecystectomy
Journal of the Korean Surgical Society
;
: 307-311, 2006.
Artigo
em Coreano
| WPRIM
| ID: wpr-226662
ABSTRACT
PURPOSE:
There were many studies for adverse effects of carbon dioxide insufflation for laparoscopic cholecystectectomy, mainly focused on cardiovascular and respiratory system. The use of low pressure pneumoperitoneum has been shown to reduce adverse hemodynamic effects. However, its effect on tissue trauma & postoperative pain remains controversial. The aim of this study was to compare postoperative pain intensity between different insufflation pressures in laparoscopic cholecystecetomy.METHODS:
We randomly allocated fifty four patients to 7 mmHg (LC7), 9 mmHg (LC9) and 12 mmHg (LC12) pneumoperitoneum group and examined operation time, postoperative pain intensity using visual analogue scale, amount of administered analgesics and complications prospectively.RESULTS:
The characteristics of the patients were similar among groups. The procedure was successfully completed in all patients in the LC12 gruop, but in five patients of LC7 group and one patient of LC9 group the insufflation pressure was increased to 12 mmHg to complete the operation. There were no significant difference in postoperative pain scores, analgesic comsumptions among groups. There were difficulties to get a safe hemostasis and to create a adequate working space at acute cholecystitis in LC7 group.CONCLUSION:
In our study, there was no superior advantage for postoperative pain when low pressure pneumoperitoneum was applied.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Dor Pós-Operatória
/
Pneumoperitônio
/
Sistema Respiratório
/
Dióxido de Carbono
/
Insuflação
/
Estudos Prospectivos
/
Colecistectomia Laparoscópica
/
Colecistite Aguda
/
Hemodinâmica
/
Hemostasia
Tipo de estudo:
Estudo observacional
Limite:
Humanos
Idioma:
Coreano
Revista:
Journal of the Korean Surgical Society
Ano de publicação:
2006
Tipo de documento:
Artigo
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