The effects of pneumoperitoneum on respiratory mechanics during bariatric surgery.
BACKGROUND
The aim of this study was to investigate the influence of laparoscopic and conventional open surgery on respiratory mechanics, and blood gases, and to determine convenient techniques from the point of view of intraoperative respiratory mechanics, for bariatric surgery.


METHODS
40 morbidly obese patients were divided into 2 groups, patients undergoing laparoscopy Group 1, and patients undergoing conventional open surgery Group 2. Resistance of airway, dynamic compliance, and peak inspiratory pressure were measured. Measurement was performed in 4 periods: a) after anesthesia induction, b) after pneumoperitoneum in the Group 1 and after incision in the Group 2, c) after gastric band placement, d) and 5 min before extubation. Blood gases were recorded concomitantly.


RESULTS
There was no significant difference between the 2 groups in values of blood gases and respiratory mechanics.


CONCLUSIONS
In the morbidly obese, laparoscopic and open surgery did not cause a significant difference for respiratory mechanics when compared with each other.
Demiroluk
Sener
S
University of Istanbul, Cerrahpasa Medical School, Department of Anaesthesiology, Istanbul, Turkey.
Salihoglu
Ziya
Z
Zengin
Kagan
K
Kose
Yildiz
Y
Taskin
Mustafa
M
D000328:Adult; D001784:Blood Gas Analysis; D005260:Female; D015391:Gastroplasty / Q000009:adverse effects*; D006439:Hemodynamics / Q000502:physiology; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects*; D008297:Male; D008875:Middle Aged; D016343:Monitoring, Intraoperative; D009767:Obesity, Morbid / Q000097:blood / Q000503:physiopathology* / Q000601:surgery*; D011028:Pneumoperitoneum, Artificial / Q000009:adverse effects*; D012120:Respiration Disorders / Q000097:blood / Q000209:etiology* / Q000503:physiopathology*; D015656:Respiratory Mechanics / Q000502:physiology*