[Laparoscopic colectomy: a 120 cases retrospective review].
OBJECTIVE
To evaluate pulmonary function after open subcostal cholecystectomy under action of morphine in the immediate postoperative period.


METHODS
This was a prospective study in which the postoperative spirometric studies of fifteen patients who underwent open subcostal cholecystectomies received peridural morphine anesthesia. Preoperative and postoperative data were compared using a paired student-t test. Values of p < 0.05 were considered statistically significant.


RESULTS
Significant differences were shown for the Forced Vital Capacity variable (p = 0.007) and Forced Expiratory Volume in the first second (p = 0.008) comparing the preoperative and immediate postoperative period, indicating restrictive ventilatory disturbances. All patients presented normal spirometric studies in the third postoperative day.


CONCLUSIONS
Even under action of morphine peridural analgesia, in the immediate postoperative period, light restrictive post-cholecystectomy ventilatory disturbances were observed. However, it was observed a fast recovery after morphine peridural analgesia for pulmonary function, which may lower postoperative pulmonary morbidity.
Coelho
Júlio Cezar Uili
JC
Departamento de Cirurgia do Hospital Nossa Senhora das Graças, Curitiba, Paraná, Brasil. coelhojcu@yahoo.com.br
Pinho
Renato Valmassoni
RV
Macedo
Júlio Japiassú Marinho de
JJ
Andriguetto
Paulo César
PC
Campos
Antônio Carlos Ligocki
AC
D003082:Colectomy / Q000379:methods*; D003108:Colonic Diseases / Q000601:surgery*; D006801:Humans; D010535:Laparoscopy; D012189:Retrospective Studies