Laparoscopic cholecystectomy using abdominal wall retraction

Meijer, Daniëlle; Rademaker, B. P. M.; Schlooz, S.; Bemelman, W. A.; Wit, L. T. de; Bannenberg, J. J. G.; Stijnen, T.; GOUMA, D

doi:10.1007/s004649900412

Cited by 23 publications

(4 citation statements)

References 19 publications

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“…The metaanalysis also concluded that the lift technique decreases the cardiopulmonary changes observed with laparoscopic cholecystectomy. 3,7,18,25,26 However, most of the patients in these previous studies were relatively healthy, with preoperative ASA scores of 1 or 2. 7 Four of 6 dogs in the present study had an ASA score > 2, and no adverse changes were identified in respiratory or hemodynamic variables in these dogs, indicating that the lift technique appears to also be safe in dogs and cats.…”

Section: Discussionmentioning

confidence: 92%

Lift laparoscopy in dogs and cats: 12 cases (2008–2009)

Fransson

Ragle²

2011

javma

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Section: Discussionmentioning

confidence: 92%

Lift laparoscopy in dogs and cats: 12 cases (2008–2009)

Fransson

Ragle²

2011

javma

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“…Over the past several years, an increasing number of publications have reported that the CO 2 pneumoperitoneum has potentially hazardous effects on acid-base status, pulmonary function, cardiovascular hemodynamics, and hepatic perfusion [6,14,16]. Therefore, procedures using gasless abdominal wall lifting instead of pneumoperitoneum have been considered as alternative approaches [3,10]. Because most of these studies were conducted in patients undergoing laparoscopy, the pathophysiological and biochemical mechanisms of organ impairment could not be determined in these investigations.…”

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confidence: 99%

Oxidative stress in lung tissue induced by CO2 pneumoperitoneum in the rat

et al. 2000

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“…Probability conversion 0 [22][23][24][25] Probability complications 0 [26][27][28][29][30][31][32][33] Length of hospital stay (…”

Section: Gasless Laparoscopy Parametersmentioning

confidence: 99%

Cost-effectiveness of gasless laparoscopy as a means to increase provision of minimally invasive surgery for abdominal conditions in rural North-East India

et al. 2022

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Laparoscopic surgery, a minimally invasive technique to treat abdominal conditions, has been shown to produce equivalent safety and efficacy with quicker return to normal function compared to open surgery. As such, it is widely accepted as a cost-effective alternative to open surgery for many abdominal conditions. However, access to laparoscopic surgery in rural North-East India is limited, in part due to limited equipment, unreliable supplies of CO2 gas, lack of surgical expertise and a shortage of anaesthetists. We evaluate the cost-effectiveness of gasless laparoscopy as a means to increase provision of minimally invasive surgery (MIS) for abdominal conditions in rural North-East India. A decision tree model was developed to compare costs, evaluated from a patient perspective, and health outcomes, disability adjusted life years (DALYs), associated with gasless laparoscopy, conventional laparoscopy or open abdominal surgery in rural North-East India. Results indicate that MIS (performed by conventional or gasless laparoscopy) is less costly and produces better outcomes, fewer DALYs, than open surgery. These results were consistent even when gasless laparoscopy was analysed using least favourable data from the literature. Scaling up provision of MIS through increased access to gasless laparoscopy would reduce the cost burden to patients and increase DALYs averted. Based on a sample of 12 facilities in the North-East region, if scale up was achieved so that all essential surgeries amenable to laparoscopic surgery were performed as such (using conventional or gasless laparoscopy), 64% of DALYS related to these surgeries could be averted, equating to an additional 454.8 DALYs averted in these facilities alone. The results indicate that gasless laparoscopy is likely to be a cost-effective alternative to open surgery for abdominal conditions in rural North-East India and provides a possible bridge to the adoption of full laparoscopic services.

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Laparoscopic cholecystectomy using abdominal wall retraction

Cited by 23 publications

References 19 publications

Lift laparoscopy in dogs and cats: 12 cases (2008–2009)

Lift laparoscopy in dogs and cats: 12 cases (2008–2009)

Oxidative stress in lung tissue induced by CO2 pneumoperitoneum in the rat

Cost-effectiveness of gasless laparoscopy as a means to increase provision of minimally invasive surgery for abdominal conditions in rural North-East India

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