Prolonged Postlaparoscopy Carbon Dioxide Pneumoperitoneum

Person, Benjamin; Susan, M. Fetherston

doi:10.1097/sle.0b013e318157d47b

Cited by 8 publications

(2 citation statements)

References 18 publications

(20 reference statements)

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“…Currently, the longest reported cases in the literature are 8 wk of retained pneumoperitoneum post laparotomy and 4 wk of retained pneumoperitoneum postlaparoscopy. 1–3 …”

Section: Discussionmentioning

confidence: 99%

Pneumoperitoneum 48 Days After Laparoscopic Hysterectomy

Smith

Wilson

Luces

et al. 2013

JSLS

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“…Currently, the longest reported cases in the literature are 8 wk of retained pneumoperitoneum post laparotomy and 4 wk of retained pneumoperitoneum postlaparoscopy. 1–3 …”

Section: Discussionmentioning

confidence: 99%

Pneumoperitoneum 48 Days After Laparoscopic Hysterectomy

Smith

Wilson

Luces

et al. 2013

JSLS

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“…The present study involved a follow-up of 50 patients who underwent laparoscopic gastrectomy, in which one patient with implantation metastasis in the peritoneal cavity was identified shortly following the surgery. This may have been due to the following: i) the direct implantation of the shedded tumor cells; ii) trocar incision injury and leakage of CO 2 along the trocar; iii) atomization of the tumor cells; and iv) the effect of artificial pneumoperitoneum on cellular immunity (28–31). Furthermore, when the number of tumor cells reaches a certain level, the cells escape from the collection pore due to the pressure difference in the CO 2 pneumoperitoneum.…”

Section: Discussionmentioning

confidence: 99%

Comparison of laparoscopy-assisted surgery and laparotomy for treating locally advanced distal gastric antral cancer

Fang

Han

Ding

et al. 2013

Experimental and Therapeutic Medicine

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The aim of this study was to investigate the safety, feasibility and mid-term results of laparoscopy-assisted surgery in the treatment of locally advanced gastric antral cancer. The clinical data of 50 patients who received laparoscopy-assisted surgery (Group A) and 62 patients who were treated by conventional laparotomy (Group B) from August 2009 to January 2011 were retrospectively analyzed. The surgical incision length, the volume of blood loss, the intestinal function recovery time, the postoperative complications, the postoperative 1- and 3-year cumulative survival rates and the average survival time in the two groups were observed. The results of the two groups were compared using the χ2 test for the enumeration data, a t-test for the numerical data and a Wilcoxon rank sum test for the skewed data. In addition, the Kaplan-Meier method of single factor analysis was utilized to comwpare the 1- and 3-year cumulative survival rates, as well as the average survival time of the two groups. The results indicated that the duration of surgery for Group A was significantly longer compared with that of Group B (P<0.05); however, the incision length and the volume of intraoperative blood loss in Group A were significantly smaller compared with those of Group B (P<0.01). Furthermore, in Group A, the recovery of intestinal function was more rapid and the time spent in hospital was shorter. However, between Groups A and B, the respective number of dissected lymph nodes (16.3 and 17.2), 1-year survival rates (86.0 and 88.6%) and 3-year survival rates (52.6 and 53.7%) were not significantly different (P<0.05). The results indicate that laparoscopy-assisted surgery is a safe approach for the treatment of locally advanced gastric antral cancer and has beneficial treatment effects. Laparoscopy-assisted surgery is advantageous compared with laparotomy, due to the smaller incision length and reductions in intraoperative blood loss, invasiveness, postoperative recovery time and the number of complications.

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