Nesek-Adam Visnja, Mrsić Viviana, Smiljanić Aleksandra
Zavod za anesteziologiju, reanimatologiju i intenzivno lijecenje OB Sveti Duh, Zagreb.
Lijec Vjesn. 2004 Jan-Feb;126(1-2):22-5.
Laparoscopic surgery is a technique by which abdominal surgical treatments are performed in minimally invasive way. Many operations that once required long hospitalization are now being performed with laparoscopic technique. It has significantly reduced postoperative pain and the number of complications, shorter hospital stay, with faster recovery, and more rapid return to normal activities. These are only some of the advantages of laparoscopic surgery. The first laparoscopic cholecystectomy in Croatia was performed on May 14, 1992, at the University Department of Surgery of "Sveti Duh" General Hospital in Zagreb. By the introduction of this method as the "gold standard" in the treatment of cholelithiasis, laparoscopic surgery has been widely accepted, and today, ten years later, has become a recognized and routine surgical method. Because of its particular performance, laparoscopic surgery requires some specific anesthesiologic adjustments. Surgical treatments are usually performed in general endotracheal anesthesia, although regional or local one could be applied too. The choice of anestesiologic technique and anesthetics depends upon preoperative patient's condition, the kind of surgical treatment, anesthesiologist's evaluation, and at last upon the cooperation among patients, anesthesiologist and surgeon. The basic aim of anesthesia is respiratory and hemodynamic patient's stability, and the choice of anesthesiologic technique and anesthesia should enable satisfactory analgesia, amnesia, muscular relaxation, faster recovery and shorter hospital stay.
腹腔镜手术是一种以微创方式进行腹部外科治疗的技术。许多曾经需要长时间住院的手术现在都可以通过腹腔镜技术来完成。它显著减轻了术后疼痛和并发症的数量，缩短了住院时间，恢复更快，能更快地恢复正常活动。这些只是腹腔镜手术的部分优点。克罗地亚的第一例腹腔镜胆囊切除术于1992年5月14日在萨格勒布“圣杜赫”综合医院的外科大学部进行。随着这种方法被引入作为治疗胆结石的“金标准”，腹腔镜手术已被广泛接受，如今，十年后，它已成为一种公认的常规手术方法。由于其特殊的操作方式，腹腔镜手术需要一些特定的麻醉调整。手术治疗通常在全身气管内麻醉下进行，不过区域麻醉或局部麻醉也可以应用。麻醉技术和麻醉剂的选择取决于术前患者的状况、手术治疗的类型、麻醉医生的评估，最后还取决于患者、麻醉医生和外科医生之间的合作。麻醉的基本目标是保持患者呼吸和血流动力学稳定，麻醉技术和麻醉的选择应能实现满意的镇痛、遗忘、肌肉松弛、更快恢复以及缩短住院时间。
