PubMed Health⌕ Search
Home/Archive/PubMed

PubMed · 11769049

Postoperative pulmonary changes after laparoscopic cholecystectomy.

S Hasukić·D Mesić
View original source ↗Export metadata ↓

Abstract

BACKGROUND: Pulmonary function tests on the day after open upper abdominal surgery and cholecystectomy show decreases of 40% to 60% compared with preoperative determinations. In this prospective, study, we evaluated the pulmonary function during and after laparoscopic cholecystectomy (LC). PATIENTS AND METHODS: Thirty patients were evaluated with preoperative and postoperative spirometry, arterial blood gas determinations and chast radiographs to quantitate the magnitude of postoperative pulmonary changes after LC. Spirometry and chast radiographs were made before and 24 h after operation. Blood gas analye were performed preoperative, and 24 h after operation. RESULTS: Forced expiratory volume in 1 s (FEV: mean +/- SD values; preoperative: 3.12 +/- 0.78; postoperative: 2.33 +/- 0.80; P < 0.05), forced vital capacity (FVC; preoperative: 3.58 +/- 0.95; postoperative: 2.93 +/- 1.05; P < 0.05), peak expiratory flow (PEF; preoperative: 5.59 +/- 1.97; postoperative: 4.27 +/- 1.60; P < 0.05) and the midexpiratory phase of forced expiratory flow (FEF25-75; preoperative: 1.98 +/- 0.93; postoperative: 1.60 +/- 0.73; P < 0.05), were reduced 20-25% on average compared with preoperative values. Clinically important changes in arterial blodd gas values did not occur. Of 30 postoperative chest films, 9 showed the development of microatetelctasis. CONCLUSION: Improved pulmonary function after laparoscopic cholecystectomy may account for the observed reduced rate of pulmonary complication after laparoscopic cholecystectomy.

Explore related subjects

Cholecystectomy, LaparoscopicFemaleHumansMaleMiddle AgedProspective StudiesPulmonary Gas ExchangeRadiography, ThoracicRespiratory MechanicsSpirometryJournal Article

Keep this discovery

Explore connections, maps & timelines

BibTeXRIS

S Hasukić, D Mesić. 2001. Postoperative pulmonary changes after laparoscopic cholecystectomy.. https://pubmed.ncbi.nlm.nih.gov/11769049/

Cite the original work for its findings. Save a collection to share your selection of sources.

KEEP EXPLORING

Related citations

PubMed2007

[Heterotopic pancreas in the gallbladder. Diagnosis, therapy, and course of a rare developmental anomaly of the pancreas].

Ectopic pancreas is a rare entity but the second most prevalent pancreatic anomaly. Heterotopic pancreas is defined as the presence of pancreatic tissue without any anatomic or vascular continuity with the main body of the pancreas. Its aetiology is not clearly established. In 1916, Poppi published for the first time evidence of heterotopic pancreas in the gallbladder. A review of the literature up to the present showed only 28 more cases worldwide of ectopic pancreas in the gallbladder. Aberrant pancreas is incidentally discovered in 2% of autopsies and has been estimated to occur once in every 500 upper abdominal explorations. Ninety per cent of ectopic pancreas is found in the stomach, duodenum, and jejunum. Mostly it is asymptomatic and benign. For this reason, therapy is indicated only in patients with symptoms such as pyloric obstruction, bleeding, and malignant transformation. Surgical resection or endoscopic mucosal resection as a newer method are recommended.

Cholecystectomy, Laparoscopic↗
PubMed2006

Navigating laparoscopic surgery into the next decade in developing countries - a personal perspective.

INTRODUCTION: Over 500 years ago, Vasco de Gama navigated from west to east, from Lisbon in Portugal to Calicut in India, in an epic voyage that lasted over 1 year (Fig. 1). This voyage was perhaps the greatest historic and, certainly, the greatest navigational achievement of the last millennium. For better or for worse, it catalysed a series of events that forever changed not only the history, but also the geography of the world. DISCUSSION: In our plans to navigate endoscopic surgery into the next decade in developing countries, we too should endeavour to change both the history and the geography of surgery. This talk traces a journey over 34 years of effort to spread laparoscopic surgery into developing countries.

Cholecystectomy, Laparoscopic↗