The effects of different abdominal pressures on pulmonary function test results in laparoscopic cholecystectomy.
This study aimed to examine the effects of differing intra-abdominal pressures on pulmonary function test results in laparoscopic cholecystectomy. Forty-five patients were operated on under 3 different intra-abdominal pressures: group A (8 mm Hg), group B (12 mm Hg), and group C (15 mm Hg). On the first day before and after the operation, forced vital capacity (FVC), forced expiratory volume in the first second (FEV1), FEV1/FVC rate, peak expiratory flow speed (PEF), and maximal middle expiration speed (FEF25-75) values were measured using Vmax 229 spirometry. No significant differences were observed among the 3 groups regarding preoperative and postoperative FVC, FEV1, FEV1/FVC, PEF, and FEF25-75 values (P=0.96, P=0.73, P=0.48, P=0.34, and P=0.33, respectively). When the groups' preoperative and postoperative values were compared, FVC, FEV1, and PEF values significantly decreased in each group. The FEF25-75 values statistically significantly decreased in groups B and C when compared with their preoperative values; however, the decrease in group A was not significant. In conclusion, different intra-abdominal pressures during laparoscopic cholecystectomy had similar effects on pulmonary function test results. However, lower intra-abdominal pressures were associated with slightly more negative effects on FEF25-75 values.
Karagulle
Erdal
E
Department of General Surgery, Baskent University, Ankara, Turkey. erdalk@mail.baskent-kon.edu.tr
Turk
Emin
E
Dogan
Rusina
R
Ekici
Zuhal
Z
Dogan
Rafi
R
Moray
Gokhan
G
D000328:Adult; D017081:Cholecystectomy, Laparoscopic / Q000379:methods*; D002769:Cholelithiasis / Q000503:physiopathology* / Q000601:surgery*; D005260:Female; D005541:Forced Expiratory Volume / Q000502:physiology; D006801:Humans; D008297:Male; D008450:Maximal Midexpiratory Flow Rate / Q000502:physiology; D008875:Middle Aged; D010366:Peak Expiratory Flow Rate / Q000502:physiology; D011028:Pneumoperitoneum, Artificial / Q000379:methods*; D011312:Pressure; D013147:Spirometry; D016896:Treatment Outcome