Reference : Postoperative spirometry after laparoscopy for lower abdominal or upper abdominal surgic...
Scientific journals : Article
Human health sciences : Anesthesia & intensive care
http://hdl.handle.net/2268/26750
Postoperative spirometry after laparoscopy for lower abdominal or upper abdominal surgical procedures.
English
Joris, Jean mailto [Centre Hospitalier Universitaire de Liège - CHU > > Anesthésie et réanimation >]
Kaba, Abdourahmane mailto [Centre Hospitalier Universitaire de Liège - CHU > > Anesthésie et réanimation >]
Lamy, Maurice mailto [Centre Hospitalier Universitaire de Liège - CHU > > Anesthésie et réanimation >]
1997
British Journal of Anaesthesia
Oxford University Press
79
4
422-6
Yes (verified by ORBi)
International
0007-0912
1471-6771
Oxford
United Kingdom
[en] Abdomen/surgery ; Adult ; Cholecystectomy, Laparoscopic/adverse effects ; Female ; Forced Expiratory Volume ; Genitalia, Female/surgery ; Humans ; Laparoscopy/adverse effects ; Lung Diseases/etiology/physiopathology ; Middle Aged ; Pain, Postoperative/etiology ; Peak Expiratory Flow Rate ; Prospective Studies ; Spirometry ; Vital Capacity
[en] In this prospective study, we have compared women undergoing laparoscopic cholecystectomy, laparoscopic gynaecological surgery and laparoscopic minor gynaecological procedures (diagnostic, tubal, ligation) (n = 10 in each group) to determine if lower abdominal laparoscopy results in less postoperative pulmonary dysfunction than upper abdominal laparoscopy. Pulmonary testing was performed before operation, and 3 and 6 h after operation, on the first and second days after surgery. After operation, a significant reduction in forced vital capacity, forced expiratory volume in 1 s and peak expiratory flow rate occurred after laparoscopic cholecystectomy at each time. There were no significant changes after minor gynaecologic laparoscopy, whereas laparoscopic gynaecological surgery resulted in minor pulmonary dysfunction on the day of surgery only. We conclude that postoperative pulmonary function was less impaired after gynaecological laparoscopy than after laparoscopic cholecystectomy. This study suggests that the site of surgery is an important determinant of lung dysfunction after laparoscopy.
http://hdl.handle.net/2268/26750

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