中国普通外科杂志2012，Vol.21Issue(2)：149-152,4.
不同气腹压力对腹腔镜胆囊切除术后短期并发症的影响
Impact of different pneumoperitioneum pressures on the short-term complications following laparoscopic cholecystectomy
申海军 1陈广瑜 1詹建兴 1胡博 1成广海 1付振刚 1王斌 1高辉 1石景森2
作者信息
- 1. 西安航天总医院肝胆外科,陕西西安710100
- 2. 西安交通大学第一附属医院普通外科,陕西西安710061
- 折叠
摘要
Abstract
Objective: To investigate the influences of different pressures of CO2 pneumoperitioneum on liver function, arterial blood gas, and neck or shoulder pain following laparoscopic cholecystectomy (LC). Methods: One hundred and twenty patients scheduled for elective LC were randomly assigned to group A, B and C, with 40 cases in each group. The CO2 pneumoperitoneum pressure was maintained at 10 mmHg in group A, 12 mmHg in group B and 14 mmHg in the group C. The liver function and blood gas parameters before and after operation, and the incidences of nausea, vomiting, and neck or shoulder pain on the first to third postoperative day of the three groups were compared and analyzed.Results: The preoperative data among the three groups had no statistical differences (all P>0.05), but the parameters of liver function and arterial blood gas as well as the incidence of nausea, vomiting, and neck or shoulder pain after operation were all significantly different among them (all P<0.05). The results showed that the higher the pneumoperitioneum pressure was increased, the more significantly did the parameters of liver function (increase of AST, ALT and TBIL) and arterial blood gas (increases of PO2 and decrease of pH and PCO2 ) change, and the higher was the incidence of nausea, vomiting, and neck or shoulder pain. Conclusion: The CO2 pneumoperitioneum pressure has significant impact on incidence of liver function abnormalities, arterial blood gas derangements, and neck or shoulder pain following LC. Therefore, the pneumoperitioneum pressure should be decreased as low as possible during operation.关键词
胆囊切除术,腹腔镜/气腹,人工/肝功能试验/血气分析/手术后并发症Key words
Cholecystectomy, Laparoscopic/ Pneumoperitoneum, Artificial/ Liver Function Tests/ Blood Gas Analysis/ Postoperative Complications分类
医药卫生引用本文复制引用
申海军,陈广瑜,詹建兴,胡博,成广海,付振刚,王斌,高辉,石景森..不同气腹压力对腹腔镜胆囊切除术后短期并发症的影响[J].中国普通外科杂志,2012,21(2):149-152,4.
