Celik Aysun Simsek, Frat Necattin, Celebi Fatih, Guzey Deniz, Kaplan Rafet, Birol Selim, Memmi Naim
2nd Department of General Surgery, Vakif Gureba Education and Research Hospital, Istanbul, Turkey.
Surg Laparosc Endosc Percutan Tech. 2010 Aug;20(4):220-2. doi: 10.1097/SLE.0b013e3181e21bd1.
Intra-abdominal pressure created during laparoscopic cholecystectomy is accepted as a factor for postoperative pain. In this prospective, randomized, clinical study, the goal is to determine the effects of different intra-abdominal pressure values on visceral type pain.
Sixty women who underwent laparoscopic cholecystectomy were included in this study. Low-pressure (8 mm Hg), standard-pressure (SP: 12 mm Hg), and high-pressure (HP: 14 mm Hg) groups were designed for the study. The statistical analysis included mean age, weight, analgesic consumption, postoperative pain assessed by the Numeric Scale, duration of anesthesia, and operation.
No statistically significant difference was found between the groups comparing age, weight, analgesic consumption, and Numeric Scale values. In terms of duration of anesthesia, statistically significant difference was found between the groups low-pressure and HP and SP and HP, and statistically significant difference was found regarding operative duration between the groups SP and HP. There was no difference between the others groups.
We think that intra-abdominal pressure has no effect on postoperative visceral pain, but has effect on duration of anesthesia and operation.
腹腔镜胆囊切除术期间产生的腹内压被认为是术后疼痛的一个因素。在这项前瞻性、随机、临床研究中，目的是确定不同腹内压值对内脏型疼痛的影响。
本研究纳入了60例行腹腔镜胆囊切除术的女性患者。研究设计了低压（8毫米汞柱）、标准压力（SP：12毫米汞柱）和高压（HP：14毫米汞柱）组。统计分析包括平均年龄、体重、镇痛药用量、用数字评分法评估的术后疼痛、麻醉持续时间和手术时间。
在比较年龄、体重、镇痛药用量和数字评分值时，各组之间未发现统计学上的显著差异。在麻醉持续时间方面，低压组与高压组、标准压力组与高压组之间存在统计学上的显著差异，在手术持续时间方面，标准压力组与高压组之间存在统计学上的显著差异。其他组之间没有差异。
我们认为腹内压对术后内脏疼痛没有影响，但对麻醉持续时间和手术时间有影响。
