[Effects of pneumoperitoneumon liver function].
Effects of pneumoperitoneum on liver function during laparoscopic procedures in most patients have no clinical relevance. However, with increasing number and types of surgical procedures the laparoscopic operation is now performed in high-risk patients, including patients with pre-existing liver disease. In these patients laparoscopic procedures may lead to serious complication, including acute liver failure. Because postoperative liver damage induced by pneumoperitoneum has been underestimated, the aim of this article is to review the numerous factors influencing liver damage during laparoscopy and review of therapeutic options for their reduction.
Zavod za anesteziologiju, reanimatologiju i intenzivno lijecenje OB Sveti Duh, Zagreb. tihomir.adam@zg.htnet.hr
Visnja Nesek
VN
Adam
Zarko
Z
Rasić
Viviana
V
Mrsić
Elvira Grizelj
EG
Stojcić
Zoran
Z
Cala
D006801:Humans; D010535:Laparoscopy; D008107:Liver Diseases / Q000209:etiology* / Q000628:therapy; D011028:Pneumoperitoneum, Artificial / Q000009:adverse effects*; D011312:Pressure