| Comparison of Changes in Carbon Dioxide Absorption during Transperitoneal Laparoscopic Surgery and Intraperitoneal Laparoscopic Surgery. |
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Woon Yi Baek, Si Oh Kim, Hyung Gon Kim, Young Hoon Jeon |
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Department of Anesthesiology, School of Medicine, Kyungpook National University, Daegu, Korea. toohoonn@yahoo.co.kr |
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| Abstract |
BACKGROUND
Transperitoneal laparoscopy for renal surgery is now a common procedure. Previous studies have suggested that retroperitoneal laparoscopy is associated with greater carbon dioxide absorption. We compared carbon dioxide absorption and hemodynamic variables in patients undergoing transperitoneal laparoscopy for renal or adrenal surgery with that of patients undergoing intraperitoneal laparoscopy for colon surgery.
METHODS
Thirty two patients undergoing laparoscopic surgery were divided into laparoscopic renal surgery group (n = 16) and laparoscopic colon surgery group (n = 16). We measured hemodynamic changes and arterial blood gases before CO2 insufflation, 10 minutes, 70 minutes after insufflation and 30 minutes after exsufflation in each groups.
RESULTS
There was no significant difference in carbon dioxide absorption in patients who underwent transperitoneal laparoscopy compared to intraperitoneal laparoscopy at any interval.
CONCLUSIONS
In contrast to previous reports, our study suggests that transperitoneal laparoscopy is not associated with greater carbon dioxide absorption compared to intraperitoneal laparoscopy. |
| Key Words:
carbon dioxide absorption; hemodynamic changes; intraperitoneal laparoscopy; transperitoneal laparoscopy |
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