Klockgether-Radke A
Zentrum Anästhesiologie, Rettungs- und Intensivmedizin, Georg-August-Universität Göttingen.
Zentralbl Chir. 1993;118(10):588-91.
Laparoscopic surgery may be associated with increased perioperative morbidity due to respiratory and cardiocirculatory problems. Preoperative assessment requires a diagnostic program including laboratory tests and noninvasive diagnostic studies, and a physical status classification. High-risk patients are those with intracardial right-to-left shunts (increased risk of gas embolism) and patients in shock. Increased intraoperative morbidity is expected in patients with manifest cardiac failure or severely restricted pulmonary function. In patients with moderate pulmonary dysfunction laparoscopic procedures seem to be associated with the benefit of a better postoperative pulmonary function.
由于呼吸和心脏循环问题，腹腔镜手术可能与围手术期发病率增加有关。术前评估需要一个包括实验室检查和非侵入性诊断研究的诊断程序，以及身体状况分类。高危患者是那些有心内右向左分流（气体栓塞风险增加）的患者和休克患者。明显心力衰竭或肺功能严重受限的患者术中发病率预计会增加。在中度肺功能障碍的患者中，腹腔镜手术似乎与术后更好的肺功能益处相关。
