Postoperative pulmonary function in laparoscopic versus open cholecystectomy: prospective, comparative study.
No Thumbnail Available
Date
2005-01-22
Journal Title
Journal ISSN
Volume Title
Publisher
Abstract
BACKGROUND: Pulmonary complications remain a leading cause of morbidity after major abdominal operations.
OBJECTIVE: To compare pulmonary function and the frequency of pulmonary complications after laparoscopic cholecystectomy (LC) and open cholecystectomy (OC).
METHODS: Fifty-five patients with symptomatic gallstone disease undergoing elective cholecystectomy (LC 40, OC 15) under general anesthesia were evaluated using pulmonary function tests (forced vital capacity [FVC], forced expiratory volume at 1 second [FEV1], and forced expiratory flow at 25% to 75% [FEF25% -75%], chest X-ray and pulse oximetry before and after surgery.
RESULTS: FVC, FEV1 and FEF25% -75% decreased by 21.5%, 21.2% and 30.3%, respectively, on postoperative day 1 following LC, and by 44.3%, 46.2% and 58.3%, respectively, after OC. Chest X-ray showed atelectasis in 15% of patients undergoing LC and 45% of those with OC.
CONCLUSION: Impairment in pulmonary function after LC was less marked than after OC.
Description
Keywords
Citation
Ravimohan SM, Kaman L, Jindal R, Singh R, Jindal SK. Postoperative pulmonary function in laparoscopic versus open cholecystectomy: prospective, comparative study. Indian Journal of Gastroenterology. 2005 Jan-Feb; 24(1): 6-8