title: [Effects on ventilation secondary to laparoscopic and laparotomic cholecystectomy].
abstract: OBJECTIVE
  Evaluation of respiratory function after 24 hours from intervention related to two different surgical techniques of cholecistectomy.
  
  
  METHODS
  Thirty patients submitted to cholecystectomy, nine by laparotomy and twenty-one by video-laparoscopy. The ventilatory parameters considered are as follows: CV, FCV, VEF1, FEF25-75%; and moreover also some variables of acid-base balance: pH, paCO2 e paO.
  
  
  RESULTS
  In all cases was evidenced a decrease of respiratory activity. This phenomenon was more evident in the laparotomy group (CV = 37, 35, FCV = 41, 47, VEF1 = 40, FEF25-75% = 36.62% related to preoperative values versus 71.20, 80.88, 79.29, 77.91% in the videolaparoscopic group. No significative differences were registered between the two groups as to postoperative paO2, which was moderately lower in all patients, while no variation was observed for pH and paCO2.
  
  
  CONCLUSIONS
  Data collected confirm that after laparoscopic cholecystectomy the ventilatory respiratory capacity is better conserved, that clinically means lower incidence of postoperatory pulmonary complications.
authors.affiliation: Istituto di Anestesia e Rianimazione, Università degli Studi di Roma La Sapienza.
authors.forename: G
authors.initials: G
authors.lastname: Delogu
authors.forename: C
authors.initials: C
authors.lastname: Tomasello
authors.forename: L
authors.initials: L
authors.lastname: Vellante
authors.forename: F G
authors.initials: FG
authors.lastname: Ruberto
authors.forename: V
authors.initials: V
authors.lastname: Urbano
authors.forename: D
authors.initials: D
authors.lastname: Costantini
authors.forename: L
authors.initials: L
authors.lastname: Signore
mesh_terms: D000328:Adult; D000368:Aged; D002763:Cholecystectomy / Q000009:adverse effects*; D017081:Cholecystectomy, Laparoscopic / Q000009:adverse effects; D005260:Female; D006801:Humans; D007813:Laparotomy; D008171:Lung Diseases / Q000209:etiology*; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000209:etiology*; D011184:Postoperative Period; D012119:Respiration; D012129:Respiratory Function Tests; D014741:Video Recording
vernacular_title: Effetti sulla ventilazione secondari a colecistectomia laparoscopica e laparotomica.