Cardiorespiratory evaluation in pre and post operative moments of laparoscopic cholecystectomy

Abstract

PURPOSE:To analyze the changes in both respiratory function and cardiopulmonary exercise tests results in patients subjected to laparoscopic cholecystectomy. METHODS:Fifty patients were evaluated (76% women) and the average age was 47.8±14.2 years. All individuals underwent the measurement of spirometry, manovacuometry, 6-minute walk test (6MWT) and stair-climbing test (SCT). All tests were performed at the first (PO1), fifth (PO5) and thirtieth (PO30) postoperative days. RESULTS:BMI average was 28.8±4.8 kg/m 2 . Sample comprised 68% non-smokers, 20% current smokers, and 12% former smokers.There was no incidence of postoperative complication whatsoever. There was a significant decrease in spirometric values at PO1, but values were similar to the ones of PRE at PO30. Manovacuometry showed alterations at PO1 displaying values that were similar to the ones of PRE at PO30. 6MWT was significantly shorter at until PO5, but at PO30 values were similar to ones of PRE. As for SCT, values were significantly compromised at PO5 and PO30 since they were similar to the ones of PRE. CONCLUSION:Patients submitted to laparoscopic cholecystectomy present a decrease in cardiorespiratory function on the first postoperative moments but there is a rapid return to preoperative conditions.

Use of a Simple Stair-Climbing Test to Assess Cardiopulmonary Fitness in Clinical Practice. An Overview of the Published Liter-Ature Aiming for a Future Goal

“…One notable approach within this context is the utilization of stair-climbing power, as described earlier. This is for instance used by Storer et al and Harmer et al [21,115,118,170,172,185,195,197,215] It is an important beneficial information gain, as some trials which for example used the SCT to determine the cardiorespiratory fitness of their patients [174] could show a significantly correlation to VO2max in CPET, as it has been shown in studies before. [185] Considering this correlation, especially SCT power, defined as body weight x total vertical height divided by SCT time could be a crucial information regarding the CRF assessment with a simple SCT and vice versa a huge lack of information when not gathered while performing SCT.…”

“…They could show a rapid recovery of CRF after surgery. [197] Cataneo et al used a standardized protocol in their studies to establish a submaximal exercise test in hospital settings where CPET is not available, to evaluate if the cardiorespiratory system of an individual has the capacity to undergo surgery. They used a SCT protocol, covering 6 flights (12,16m), measured time and calculated the individuals work to climb the stairs.…”