title: [Effect of prolonged epidupal analgesia on respiratory function after major laparoscopic surgery].
abstract: The article deals with a study of role of epidural analgesia, used as a part of intra- and postoperative analgesia in patients underwent major laparoscopic surgery (gastric resections, pancreas and duodenal resections, hemicolectomy, resections of colon).
  
  
  METHODS
  The study included 127 patients aged 65 ± 13 years. Main group--patients who had undergone extensive and prolonged laparoscopic surgery; comparison group--patients after traditional open surgery. Terms of laparoscopic and open surgeries was similar Postoperatively we assessed dynamics ofpostoperative pain and physical activity (using appropriate scales), dynamics of respiratory function (spirometry) in with and without use of epidural analgesia.
  
  
  CONCLUSIONS
  major laparoscopic surgery accompanied with lower decreasing of speed and volume figures of spirometry if epidural analgesia is used as a part of intra- and postoperative analgesia.
authors.forename: A A
authors.initials: AA
authors.lastname: Malyshev
authors.forename: S V
authors.initials: SV
authors.lastname: Sviridov
authors.forename: I V
authors.initials: IV
authors.lastname: Vedenina
mesh_terms: D000368:Aged; D015360:Analgesia, Epidural / Q000379:methods*; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D009043:Motor Activity / Q000187:drug effects / Q000502:physiology; D010149:Postoperative Pain / Q000517:prevention & control; D011446:Prospective Studies; D012143:Respiratory Physiological Phenomena; D013147:Spirometry; D013997:Time Factors