| Hemodynamics during laparoscopic extra- and intraperitoneal insufflation. An experimental study. | |
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MedLine Citation:
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PMID: 9294271 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Total extraperitoneal laparoscopic surgery is an alternative to the laparoscopic transperitoneal route; however, its effects on hemodynamics have not been adequately studied. This experimental study compared the effects of intraperitoneal insufflation and extraperitoneal insufflation on hemodynamics and oxygen transport. METHODS: Sixteen pigs were randomly assigned for intraperitoneal insufflation or extraperitoneal insufflation with 15 mmHg carbon dioxide. Hemodynamic and oxygen transport parameters were taken during an hour of insufflation and analyzed for statistical differences. RESULTS: During extraperitoneal CO2 pneumoperitoneum central venous filling pressures (central venous pressure, pulmonary capillary wedge pressure and mean pulmonary arterial pressure) and end-tidal CO2 increased slower but to a similar magnitude in comparison to intraperitoneal insufflation. Cardiac output and indices of oxygen consumption and oxygen delivery were equally affected by both types of insufflation. Arterial CO2 pressure increased significantly more during intraperitoneal insufflation. CONCLUSION: The data from this study suggest that extraperitoneal insufflation might result in less cardiovascular impairment than intraperitoneal insufflation. |
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Authors:
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J J Bannenberg; B M Rademaker; F M Froeling; D W Meijer |
Publication Detail:
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Type: Comparative Study; Journal Article |
Journal Detail:
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Title: Surgical endoscopy Volume: 11 ISSN: 0930-2794 ISO Abbreviation: Surg Endosc Publication Date: 1997 Sep |
Date Detail:
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Created Date: 1997-09-30 Completed Date: 1997-09-30 Revised Date: 2007-11-15 |
Medline Journal Info:
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Nlm Unique ID: 8806653 Medline TA: Surg Endosc Country: GERMANY |
Other Details:
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Languages: eng Pagination: 911-4 Citation Subset: IM |
Affiliation:
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Department of Surgery, Academic Medical Center, University of Amsterdam, PO Box 22700, 1100 DE Amsterdam, The Netherlands. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Analysis of Variance Animals Blood Gas Analysis Carbon Dioxide / administration & dosage Disease Models, Animal Hemodynamics / physiology* Laparoscopy / methods* Oxygen Consumption Pneumoperitoneum, Artificial / methods* Pressure Random Allocation Swine |
| Chemical | |
Reg. No./Substance:
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124-38-9/Carbon Dioxide |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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