title: Effect of laparoscopic abdominal surgery on splanchnic circulation: historical developments.
abstract: With the developments in medical technology and increased surgical experience, advanced laparoscopic surgical procedures are performed successfully. Laparoscopic abdominal surgery is one of the best examples of advanced laparoscopic surgery (LS). Today, laparoscopic abdominal surgery in general surgery clinics is the basis of all abdominal surgical interventions. Laparoscopic abdominal surgery is associated with systemic and splanchnic hemodynamic alterations. Inadequate splanchnic perfusion in critically ill patients is associated with increased morbidity and mortality. The underlying pathophysiological mechanisms are still not well understood. With experience and with an increase in the number and diversity of the resulting data, the pathophysiology of laparoscopic abdominal surgery is now better understood. The normal physiology and pathophysiology of local and systemic effects of laparoscopic abdominal surgery is extremely important for safe and effective LS. Future research projects should focus on the interplay between the physiological regulatory mechanisms in the splanchnic circulation (SC), organs, and diseases. In this review, we discuss the effects of laparoscopic abdominal surgery on the SC.
authors.affiliation: Sinan Hatipoglu, Department of Surgery, Adiyaman University Faculty of Medicine, 02040 Adiyaman, Turkey.
authors.forename: Sinan
authors.initials: S
authors.lastname: Hatipoglu
authors.affiliation: Sinan Hatipoglu, Department of Surgery, Adiyaman University Faculty of Medicine, 02040 Adiyaman, Turkey.
authors.forename: Sami
authors.initials: S
authors.lastname: Akbulut
authors.affiliation: Sinan Hatipoglu, Department of Surgery, Adiyaman University Faculty of Medicine, 02040 Adiyaman, Turkey.
authors.forename: Filiz
authors.initials: F
authors.lastname: Hatipoglu
authors.affiliation: Sinan Hatipoglu, Department of Surgery, Adiyaman University Faculty of Medicine, 02040 Adiyaman, Turkey.
authors.forename: Ruslan
authors.initials: R
authors.lastname: Abdullayev
mesh_terms: D000005:Abdomen / Q000098:blood supply* / Q000601:surgery*; D000367:Age Factors; D000818:Animals; D006439:Hemodynamics; D049673:History, 20th Century; D049674:History, 21st Century; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects / Q000266:history / Q000379:methods* / Q000401:mortality; D009765:Obesity / Q000150:complications; D056888:Patient Positioning; D011183:Postoperative Complications / Q000503:physiopathology / Q000517:prevention & control; D012307:Risk Factors; D013152:Splanchnic Circulation; D016896:Treatment Outcome
keywords: Abdominal compartment syndrome; Intra-abdominal pressure; Laparoscopic abdominal surgery; Safe laparoscopic surgery; Splanchnic circulation