ABSTRACT
One hundred and fifty laparoscopic cholecystectomies without pneumoperitoneum (LCWP) cases were reviewed. Age, sex, duration of surgical procedures, postoperative pain, complications and length of hospital stay data were also analyzed. We concluded that LCWP avoids complication related to its use and has become a sound option particularly for those patients with a history of cardiorespiratory failure where pneumoperitoneum approach is hindered. Hence, laparoscopic cholecystectomy prescription is widened.
Subject(s)
Cholecystectomy, Laparoscopic/methods , Pneumoperitoneum, Artificial , Adult , Aged , Aged, 80 and over , Cholecystectomy, Laparoscopic/adverse effects , Female , Humans , Male , Middle Aged , Pain, PostoperativeABSTRACT
Introducción. La cirugía laparoscópica conlleva la realización de un neumoperitoneo con CO2 que puede ser causa de complicaciones. Objetivo. Valorar los resultados de un sistema de tracción parietal que evita la necesidad del neumoperitoneo. Material y métodos. Análisis prospectivo de 150 colecistectomías laparoscópicas en las que no se utilizó neumoperitoneo con CO2. Resultados. Los resultados no difieren de la colecistectomía laparoscópica convencional en los parámetros analizados, salvo un mayor dolor en cirugías prolongadas y las que requirieron mayor tracción. Conclusiones. Se trata de una alternativa válida y que podría ampliar las indicaciones de esta cirugía en determinados pacientes con trastornos cardiorrespiratorios (AU)
Subject(s)
Adult , Aged , Female , Male , Middle Aged , Humans , Pneumoperitoneum/surgery , Pneumoperitoneum/complications , Pneumoperitoneum/diagnosis , Pneumoperitoneum/etiology , Carbon Dioxide/classification , Carbon Dioxide/pharmacokinetics , Carbon Dioxide/standards , Pain, Postoperative/complications , Pain, Postoperative/diagnosis , Pain, Postoperative/etiology , Cholecystectomy, Laparoscopic/classification , Cholecystectomy, Laparoscopic/methods , Cholecystectomy, Laparoscopic/instrumentation , Prospective Studies , Cholecystitis/surgery , Cholecystitis/complications , Cholecystitis/diagnosis , Cholecystitis/etiology , Analgesia/methods , Analgesia , Risk Factors , Abdominal Muscles/surgery , Cholelithiasis/surgery , Surgical InstrumentsABSTRACT
One hundred and fifty laparoscopic cholecystectomies without pneumoperitoneum (LCWP) cases were reviewed. Age, sex, duration of surgical procedures, postoperative pain, complications and length of hospital stay data were also analyzed. We concluded that LCWP avoids complication related to its use and has become a sound option particulary for those patients with a history of cardiorespiratory failure where pneumoperitoneum approach is hindered. Hence, laparoscopic cholecystectomy prescription is widened.
Subject(s)
Humans , Female , Middle Aged , Cholecystectomy, Laparoscopic/methods , Pneumoperitoneum, Artificial , Aged, 80 and over , Cholecystectomy, Laparoscopic/adverse effects , Pain, Postoperative , Pneumoperitoneum, ArtificialABSTRACT
One hundred and fifty laparoscopic cholecystectomies without pneumoperitoneum (LCWP) cases were reviewed. Age, sex, duration of surgical procedures, postoperative pain, complications and length of hospital stay data were also analyzed. We concluded that LCWP avoids complication related to its use and has become a sound option particularly for those patients with a history of cardiorespiratory failure where pneumoperitoneum approach is hindered. Hence, laparoscopic cholecystectomy prescription is widened.
ABSTRACT
One hundred and fifty laparoscopic cholecystectomies without pneumoperitoneum (LCWP) cases were reviewed. Age, sex, duration of surgical procedures, postoperative pain, complications and length of hospital stay data were also analyzed. We concluded that LCWP avoids complication related to its use and has become a sound option particulary for those patients with a history of cardiorespiratory failure where pneumoperitoneum approach is hindered. Hence, laparoscopic cholecystectomy prescription is widened. (Au)
