Lung volumes 24 h after laparoscopic cholecystectomy--justification for early discharge.
OBJECTIVE
To compare lung volumes after laparoscopic cholecystectomy (LC) and open cholecystectomy (OC).


METHODS
Prospective study with matched historical controls.


METHODS
Referral teaching hospital.


METHODS
Twenty-six healthy female subjects (age 20 to 40 years), 13 of whom had LC.


METHODS
Vital capacity (VC, % predicted), functional residual capacity (FRC, % predicted) and analgesic frequency (mean +/- SD) over the first 24 h.


RESULTS
Immediately after operation, FRC was similarly depressed to 80.4 +/- 1.8% in the OC group and 80.8 +/- 2.3% in the LC group. After 24 h FRC fell to 70.5 +/- 1.9% in the OC group and increased to 91.3 +/- 2.4% in the LC group. VC fell immediately postoperation to 41.4 +/- 4.8% in the OC group but to only 62.2 +/- 1.9% in the LC group. By 24 h, VC improved slightly to 52.5 +/- 2.7% in the OC group but returned to normal, 99.0 +/- 3.2%, in the LC group. Postoperative analgesic frequency over 24 h was less in the LC group, 3.3 +/- 0.8 versus 5.0 +/- 0.8.


CONCLUSIONS
Depression in lung volume is less with LC. A VC that returned to normal and a FRC level not usually associated with pulmonary complications support the practice of discharging LC patients by 24 h postoperation.
Ali
J
J
University of Toronto, Toronto, Canada. alij@smh.toronto.on.ca
Gana
T J
TJ
D000328:Adult; D002763:Cholecystectomy; D017081:Cholecystectomy, Laparoscopic; D005260:Female; D005652:Functional Residual Capacity; D006801:Humans; D007902:Length of Stay; D008176:Lung Volume Measurements; D010149:Postoperative Pain / Q000188:drug therapy; D011183:Postoperative Complications; D011446:Prospective Studies; D014797:Vital Capacity