Clinical Practice Guideline on the Pneumoperitoneum for Laparoscopic Surgery
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Changes in duration of action of rocuronium following decrease in hepatic blood flow during pneumoperitoneum for laparoscopic gynaecological surgery
BACKGROUND A moderate insufflation pressure and deep neuromuscular blockade (NMB) have been recommended in laparoscopic surgery in consideration of the possible reduction in splanchnic perfusion due to the CO2-pneumoperitoneum. Since the liver is the major organ for rocuronium metabolism, the question of whether NMB of rocuronium would change with the variation of liver perfusion during pneumop...
متن کاملLaparoscopic entry: a review of Canadian general surgical practice.
BACKGROUND Laparoscopic surgery has gained popularity over open conventional surgery as it offers benefits to both patients and health care practitioners. Although the overall risk of complications during laparoscopic surgery is recognized to be lower than during laparotomy, inadvertent serious complications still occur. Creation of the pneumoperitoneum and placement of laparoscopic ports remai...
متن کاملLaparoscopic Surgery and Cancer Metastasis
Despite the wide spread use of laparoscopic techniques for malignant tumors, the oncological merits have not yet been fully determined. In this article, the author has reviewed reports of the therapeutic results of laparoscopically treated colorectal cancer and the literature for basic science experiments relating to CO2 pneumoperitoneum and the mechanisms of spread and metastasis of cancers. S...
متن کاملComparison of the impact of prolonged low-pressure and standard-pressure pneumoperitoneum on myocardial injury after robot-assisted surgery in the Trendelenburg position: study protocol for a randomized controlled trial
BACKGROUND Robot-assisted laparoscopic radical prostatectomy and robot-assisted radical cystectomy have gradually become the preferred choices for urologists as they allow surgeons to perform complex procedures more precisely and effectively. The pneumoperitoneum, which is normally applied in these surgeries to provide visual clarity and space to perform the procedure, may cause hemodynamic dis...
متن کاملPneumoperitoneum 48 Days After Laparoscopic Hysterectomy
BACKGROUND AND OBJECTIVES Postoperative pneumoperitoneum following laparoscopic surgery is self-limited, typically resolving within days. METHODS We analyzed the case of a 48-y-old woman who presented with acute abdominal pain 48 d after a total laparoscopic hysterectomy. Imaging studies revealed free air under the diaphragm suggesting a perforated viscus. RESULTS An exploratory laparotomy ...
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تاریخ انتشار 2006