title: [Laparoscopic colectomy: a 120 cases retrospective review].
abstract: 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.
authors.affiliation: Departamento de Cirurgia do Hospital Nossa Senhora das Graças, Curitiba, Paraná, Brasil. coelhojcu@yahoo.com.br
authors.forename: Júlio Cezar Uili
authors.initials: JC
authors.lastname: Coelho
authors.forename: Renato Valmassoni
authors.initials: RV
authors.lastname: Pinho
authors.forename: Júlio Japiassú Marinho de
authors.initials: JJ
authors.lastname: Macedo
authors.forename: Paulo César
authors.initials: PC
authors.lastname: Andriguetto
authors.forename: Antônio Carlos Ligocki
authors.initials: AC
authors.lastname: Campos
mesh_terms: D003082:Colectomy / Q000379:methods*; D003108:Colonic Diseases / Q000601:surgery*; D006801:Humans; D010535:Laparoscopy; D012189:Retrospective Studies