Postoperative pulmonary changes after laparoscopic cholecystectomy

Autor:	Hall Ea, Hopkins Tk, John F. Bilello, Kenneth G. Torrington
Rok vydání:	1996
Předmět:	Spirometry Vital capacity Pulmonary Atelectasis medicine.diagnostic_test business.industry Vital Capacity Pulmonary disease Atelectasis General Medicine medicine.disease FEV1/FVC ratio Postoperative Complications Effusion Cholecystectomy Laparoscopic Anesthesia Forced Expiratory Volume Medicine Arterial blood Humans Prospective Studies Blood Gas Analysis business Laparoscopic cholecystectomy Lung
Zdroj:	Southern medical journal. 89(7)
ISSN:	0038-4348
Popis:	Laparoscopic cholecystectomy (LC) has been widely used in recent years because of short postoperative hospital stays and low morbidity. In this study, 24 patients were prospectively evaluated with preoperative and postoperative spirometry, arterial blood gas determinations, and chest radiographs to quantitate the magnitude of postoperative pulmonary changes after LC. Statistically significant reductions were noted in forced vital capacity (FVC) (mean decrease, 810 mL) and forced expired volume in 1 second (FEV1) (mean decrease, 420 mL). Clinically important changes in arterial blood gas values did not occur. Of 20 postoperative chest films, 7 showed the development of atelectasis or effusion and 9 showed persistence of subdiaphragmatic free air 24 hours after LC. In summary, LC caused mean decreases of 23% in FVC and 16% in FEV1 24 hours after surgery. The physiologic derangements that follow LC are sufficiently small that all but the most severely impaired patients with pulmonary disease should be able to tolerate this operation.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::55a0c87e3a05e5518632c95f83bc9187 https://pubmed.ncbi.nlm.nih.gov/8685752 Zobrazit plný text záznamu Plný text ve formátu HTML
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