[Abdominal compartment syndrome in video laparoscopic surgery. Etiopathogenetic aspects, physiopathology and personal experience].
The abdominal compartment syndrome (ACS) is a very seven pathology, consequence oh abdominal injuries and traumatism, acute pancreatitis, aortic aneurism rupture, acute peritonitis. The etiopatogenesis is the increase of intra-abdominal pressure with systemic consequences for cardiorespiratory and renal failure. The authors after careful physiopathologic consideration, describe, a case report of ACS in the laparoscopic cholecystectomy for acute cholecystitis. To conclusion, we report very important the accurate intraoperative monitoring of vital parameters (PCO2, PO2, Pa, Fc, PVC, Ph, Diuresis) and immediate decision at laparotomic conversion for abdominal decompression.
Alberti
A
A
1a Clinica Chirurgica Generale e Terapia Chirurgica, Università degli Studi di Messina, Policlinico Universitario G. Martino, Gazzi, Messina.
Giannetto
G
G
Littori
F
F
Di Marco
D
D
Dattola
P
P
Dattola
A
A
Basile
M
M
D000005:Abdomen; D000208:Acute Disease; D017081:Cholecystectomy, Laparoscopic / Q000009:adverse effects*; D002764:Cholecystitis / Q000601:surgery; D003161:Compartment Syndromes / Q000209:etiology / Q000503:physiopathology; D004630:Emergencies; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007813:Laparotomy; D009102:Multiple Organ Failure / Q000150:complications; D013997:Time Factors; D020535:Video-Assisted Surgery
La sindrome addominale compartimentale in chirurgia videolaparoscopica. Considerazioni etiopatogenetiche, fisiopatologia ed esperienza personale.