Article (Scientific journals)
Postoperative spirometry after laparoscopy for lower abdominal or upper abdominal surgical procedures.
Joris, Jean; Kaba, Abdourahmane; Lamy, Maurice
1997In British Journal of Anaesthesia, 79 (4), p. 422-6
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Keywords :
Abdomen/surgery; Adult; Cholecystectomy, Laparoscopic/adverse effects; Female; Forced Expiratory Volume; Genitalia, Female/surgery; Humans; Laparoscopy/adverse effects; Lung Diseases/etiology/physiopathology; Middle Aged; Pain, Postoperative/etiology; Peak Expiratory Flow Rate; Prospective Studies; Spirometry; Vital Capacity
Abstract :
[en] In this prospective study, we have compared women undergoing laparoscopic cholecystectomy, laparoscopic gynaecological surgery and laparoscopic minor gynaecological procedures (diagnostic, tubal, ligation) (n = 10 in each group) to determine if lower abdominal laparoscopy results in less postoperative pulmonary dysfunction than upper abdominal laparoscopy. Pulmonary testing was performed before operation, and 3 and 6 h after operation, on the first and second days after surgery. After operation, a significant reduction in forced vital capacity, forced expiratory volume in 1 s and peak expiratory flow rate occurred after laparoscopic cholecystectomy at each time. There were no significant changes after minor gynaecologic laparoscopy, whereas laparoscopic gynaecological surgery resulted in minor pulmonary dysfunction on the day of surgery only. We conclude that postoperative pulmonary function was less impaired after gynaecological laparoscopy than after laparoscopic cholecystectomy. This study suggests that the site of surgery is an important determinant of lung dysfunction after laparoscopy.
Disciplines :
Anesthesia & intensive care
Author, co-author :
Joris, Jean ;  Centre Hospitalier Universitaire de Liège - CHU > Anesthésie et réanimation
Kaba, Abdourahmane ;  Centre Hospitalier Universitaire de Liège - CHU > Anesthésie et réanimation
Lamy, Maurice ;  Centre Hospitalier Universitaire de Liège - CHU > Anesthésie et réanimation
Language :
English
Title :
Postoperative spirometry after laparoscopy for lower abdominal or upper abdominal surgical procedures.
Publication date :
1997
Journal title :
British Journal of Anaesthesia
ISSN :
0007-0912
eISSN :
1471-6771
Publisher :
Oxford University Press, Oxford, United Kingdom
Volume :
79
Issue :
4
Pages :
422-6
Peer reviewed :
Peer Reviewed verified by ORBi
Available on ORBi :
since 27 October 2009

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