Nishio S, Takeda H, Yokoyama M
Department of Urology, Ehime University School of Medicine, Ehime, Japan.
BJU Int. 1999 Jun;83(9):944-7. doi: 10.1046/j.1464-410x.1999.00098.x.
To better understand the physiological effects of pneumoperitoneum, by examining changes in urinary output during gaseous and gasless laparoscopic adrenalectomy.
Laparoscopic adrenalectomy was performed with gas in six patients and without in three. Urinary output was measured during insufflation and after desufflation.
In all patients who received gas, the urinary output was significantly decreased during insufflation and significantly increased after desufflation. However, there were no changes in urinary output in patients who did not receive gas.
For the safety of laparoscopic surgery it is important to recognise that oliguria occurs during pneumoperitoneum, although the changes in urinary output caused no complications in renal function.
通过检查气体腹腔镜肾上腺切除术和气腹无气腹腔镜肾上腺切除术中尿量的变化，更好地了解气腹的生理效应。
6例患者采用气体进行腹腔镜肾上腺切除术，3例未采用气体。在充气期间和放气后测量尿量。
在所有接受气体的患者中，充气期间尿量显著减少，放气后显著增加。然而，未接受气体的患者尿量没有变化。
对于腹腔镜手术的安全性而言，认识到气腹期间会出现少尿很重要，尽管尿量变化未引起肾功能并发症。
