6533b7d0fe1ef96bd125b86e

RESEARCH PRODUCT

Pulmonary function and complications after laparoscopic cholecystectomy

Vicente VicianoMª. Soledad ChumillasJosé L. PonceFernando Delgado

subject

MaleSpirometrymedicine.medical_specialtyPartial Pressuremedicine.medical_treatmentVital CapacityPulmonary function testingFEV1/FVC ratioPostoperative ComplicationsForced Expiratory VolumemedicineHumansCholecystectomyProspective StudiesLaparoscopyLungmedicine.diagnostic_testbusiness.industryGallbladderRespiratory diseaseMiddle Agedmedicine.diseaseSurgeryOxygenmedicine.anatomical_structureCholecystectomy LaparoscopicFemaleSurgeryCholecystectomyComplicationbusiness

description

Objective: To investigate the impairment of pulmonary function and complications after laparoscopic compared with open cholecystectomy through an upper midline incision.Design: Prospective randomised trial.Setting: Teaching hospital, Spain.Subjects: 40 patients, 20 in each group.Interventions: Clinical examination, spirometry, arterial blood gas analysis, and chest radiographs before and after operation.Results: 48 hours postoperatively FVC and FEV had decreased to 56.7% and 53%, respectively, in the patients who had had open cholecystectomy, compared with 85.3% and 84.8% in the laparoscopic group (p < 0.0001). The mean (SD) postoperative percentage reductions in both Pa02 (86.1 (11.1) compared with 98.3 (11.3)) and Sat02 (98.6 (1.3) compared with 100 (1.5)) were also greater in the open group (p < 0.005 in both cases).Conclusions: Laparoscopic cholecystectomy causes less impairment of lung function than cholecystectomy through an upper midline incision.

yearjournalcountryeditionlanguage
1998-08-08European Journal of Surgery
https://doi.org/10.1080/110241598750004247