Thoelke M H, Merkelbach D, Ehmann T, Henrich P, Engelhardt G H, Brandt L
Department of Anaesthesiology and Intensive Care Medicine, Klinikum Wuppertal GmbH, University of Witten-Herdecke, Germany.
Endosc Surg Allied Technol. 1995 Aug;3(4):180-2.
The use of carbon dioxide to create a cavity for the operation of laparoscopic cholecystectomy leads to serious complications of the cardiovascular system; consequently, patients with ischaemic heart disease can be put at greater risk. For example, on reaching an intra-abdominal pressure of 15mmHg, a fall of about 35% of the static compliance was observed. Upon using the Laparolift, these influences on the respiratory system were not detected, and the rise in systemic vascular resistance usually seen with the CO2-pneumoperitoneum did not occur. From the anaesthetist's viewpoint the Laparolift was helpful in the treatment of patients with serious limitations of cardiac function.
使用二氧化碳为腹腔镜胆囊切除术制造操作空间会引发心血管系统的严重并发症；因此，患有缺血性心脏病的患者面临的风险可能更高。例如，当腹腔内压力达到15mmHg时，静态顺应性下降了约35%。使用Laparolift时，未检测到对呼吸系统的这些影响，并且通常在二氧化碳气腹时出现的全身血管阻力增加也未发生。从麻醉师的角度来看，Laparolift有助于治疗心脏功能严重受限的患者。
