Cardiovascular and Respiratory Changes and Convalescence in Laparoscopic Colonic Surgery

Schulze, Svend; Lyng, Karen Marie; Bugge, Kim; Perner, Anders; Bendtsen, Asger; Thorup, Jørgen; Nielsen, Hans Jørgen; Rasmussen, Verner; Rosenberg, Jacob

doi:10.1001/archsurg.134.10.1112

Cited by 35 publications

(3 citation statements)

References 39 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The pulmonary function returned back to baseline in the postoperative period in keeping with previous reports. 21 Hence AWL has both intra-and postoperative advantages for patients with pulmonary dysfunction.…”

Section: Discussionmentioning

confidence: 99%

Abdominal Wall Lift Versus Positive-Pressure Capnoperitoneum for Laparoscopic Cholecystectomy

2004

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 99%

Abdominal Wall Lift Versus Positive-Pressure Capnoperitoneum for Laparoscopic Cholecystectomy

2004

View full text Add to dashboard Cite

show abstract

“…This is likely due to the ventilatory and hemodynamic changes caused by the increased intraperitoneal pressure [ 29 , 30 ]. Previous studies comparing pneumoperitoneum to gasless laparoscopy found that descending aorta blood flow, central venous pressure and heart rate were higher in the pneumoperitoneum group [ 31 ]. Therefore, our results are consistent with previous reports.…”

Section: Discussionmentioning

confidence: 99%

KeyLoop retractor for global gasless laparoscopy: evaluation of safety and feasibility in a porcine model

et al. 2023

View full text Add to dashboard Cite

Background Many surgeons in low- and middle-income countries have described performing surgery using gasless (lift) laparoscopy due to inaccessibility of carbon dioxide and reliable electricity, but the safety and feasibility of the technique has not been well documented. We describe preclinical testing of the in vivo safety and utility of KeyLoop, a laparoscopic retractor system to enable gasless laparoscopy. Methods Experienced laparoscopic surgeons completed a series of four laparoscopic tasks in a porcine model: laparoscopic exposure, small bowel resection, intracorporeal suturing with knot tying, and cholecystectomy. For each participating surgeon, the four tasks were completed in a practice animal using KeyLoop. Surgeons then completed these tasks using standard-of-care (SOC) gas laparoscopy and KeyLoop in block randomized order to minimize learning curve effect. Vital signs, task completion time, blood loss and surgical complications were compared between SOC and KeyLoop using paired nonparametric tests. Surgeons completed a survey on use of KeyLoop compared to gas laparoscopy. Abdominal wall tissue was evaluated for injury by a blinded pathologist. Results Five surgeons performed 60 tasks in 15 pigs. There were no significant differences in times to complete the tasks between KeyLoop and SOC. For all tasks, there was a learning curve with task completion times related to learning the porcine model. There were no significant differences in blood loss, vital signs or surgical complications between KeyLoop and SOC. Eleven surgeons from the United States and Singapore felt that KeyLoop could be used to safely perform several common surgical procedures. No abdominal wall tissue injury was observed for either KeyLoop or SOC. Conclusions Procedure times, blood loss, abdominal wall tissue injury and surgical complications were similar between KeyLoop and SOC gas laparoscopy for basic surgical procedures. This data supports KeyLoop as a useful tool to increase access to laparoscopy in low- and middle-income countries.

show abstract

“…One of the key steps in this type of surgery is induction of pneumoperitonium, which is not physiological and has adverse hemodynamic and respiratory outcomes. 7,8 These effects can be minimized with appropriate dedicated anesthetic management. [14][15][16] Iatrogenic injuries in laparoscopic surgery, however, are still a problem confronted by the surgeon.…”

Section: Wjolsmentioning

confidence: 99%

Comparison of Open and Closed Entry Techniques for Creation of Pneumoperitoneum in Laparoscopic Surgery in Terms of Time Consumption, Entry-related Complicatons and Failure of Technique

Zaman¹,

Singal²,

Singal³

et al. 2015

WJOLS

View full text Add to dashboard Cite

The modern art of examining the abdominal cavity by laparos copy and its contents which requires insertion of a cannula through abdominal wall, creation of pneumoperitoneum and visualization of abdominal cavity to perform any surgical proce dure has become a routine in many institutions. The first step in any laparoscopic procedure is creation of pneumoperitoneum for which mostly carbon dioxide is the recommended gas used. Two commonly used methods to create pneumoperitoneum are closed (veress needle) and open technique (Hasson tech nique). Both have their own advantages and disadvantages. The current study was designed to compare these two tech niques in terms of safety of the procedure, time for induction of pneumo peritoneum, air leakage, and time required to complete the procedure. Aim: To compare the open and closed methods of creating pneumoperitoneum for doing various laparoscopic procedures in terms of their safety, operating time and other parameters. Settings and design: A prospective randomized double blind study. Materials and methods: This was a randomized controlled prospective study conducted at Department of General and minimal access surgery, MMIMSR Medical College, Ambala Haryana from August 2013 to December 2015. Pneumoperi toneum was created by closed technique in group A, and by open technique in group B. Time required for successful pneu moperitoneum was calculated in each group. Failure to induce pneumoperitoneum was determined for each technique. Time WJOLS

show abstract

Cardiovascular and Respiratory Changes and Convalescence in Laparoscopic Colonic Surgery

Cited by 35 publications

References 39 publications

Abdominal Wall Lift Versus Positive-Pressure Capnoperitoneum for Laparoscopic Cholecystectomy

Abdominal Wall Lift Versus Positive-Pressure Capnoperitoneum for Laparoscopic Cholecystectomy

KeyLoop retractor for global gasless laparoscopy: evaluation of safety and feasibility in a porcine model

Comparison of Open and Closed Entry Techniques for Creation of Pneumoperitoneum in Laparoscopic Surgery in Terms of Time Consumption, Entry-related Complicatons and Failure of Technique

Contact Info

Product

Resources

About