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[腹腔镜手术中的气腹会给老年患者带来额外的压力吗?]

[Does pneumoperitoneum in laparoscopic intervention induce additional stress on elderly patients?].

作者信息

Taylessani C, Muth K, Niebuhr H, Rückert K

机构信息

Chirurgische Abteilung, Allgemeines Krankenhaus Ochsenzoll, Hamburg.

出版信息

Langenbecks Arch Chir Suppl Kongressbd. 1997;114:1108-10.

PMID:9574348
Abstract

Although the required pneumoperitoneum for laparoscopic cholecystectomy and laparoscopic hernial repair means stress for the elderly, it does not affect them negatively from a clinical point of view. On the contrary, the patient profits by a low complication rate, a quick recovery and a shorter stay in hospital.

摘要

尽管腹腔镜胆囊切除术和腹腔镜疝修补术所需的气腹对老年人来说意味着压力,但从临床角度来看,这对他们并没有负面影响。相反,患者受益于低并发症发生率、快速康复和较短的住院时间。

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Langenbecks Arch Chir Suppl Kongressbd. 1997;114:1108-10.
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Randomized clinical trial of the effect of pneumoperitoneum on cardiac function and haemodynamics during laparoscopic cholecystectomy (Br J Surg 2004; 91: 848-854).气腹对腹腔镜胆囊切除术中心脏功能和血流动力学影响的随机临床试验(《英国外科杂志》2004年;91卷:848 - 854页)
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Gasless laparoscopy could avoid alterations in hepatic function.免气腹腹腔镜检查可避免肝功能改变。
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Propranolol is effective in decreasing stress response due to airway manipulation and CO2 pneumoperitoneum in patients undergoing laparoscopic cholecystectomy.普萘洛尔可有效减轻接受腹腔镜胆囊切除术患者因气道操作和二氧化碳气腹引起的应激反应。
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[Are high risk patients candidates for minimally invasive surgery with CO2 pneumoperitoneum? Viewpoint from anesthesiology].
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