Suzuki Hiroaki, Arai Takero
Masui. 2016 Sep;65(9):908-912.
This article reviews anesthetic management of lapa- roscopic lower gastrointestinal tract surgery. The recommended anesthetic method is general anesthesia, and tracheal intubation is an appropriate airway control method. It is important to understand hemodynamics and respiratory changes with pneumoperitoneum and Trendelenburg position during operation, especially in a patient with compromised cardiopulmonary functions. It is necessary to consider postoperative analge- sic method. An'enhanced recovery after surgery program may be useful to laparoscopic lower gastrointestinal tract surgery.
本文综述了腹腔镜下消化道手术的麻醉管理。推荐的麻醉方法是全身麻醉，气管插管是合适的气道控制方法。了解手术过程中气腹和头低脚高位时的血流动力学和呼吸变化很重要，尤其是对于心肺功能受损的患者。有必要考虑术后镇痛方法。术后加速康复计划可能对腹腔镜下消化道手术有用。
