29Aug 2017

LOW PRESSURE PNEUMOPERITONEUM VERSUS STANDARD PRESSURE PNEUMOPERITONEUM IN LAPAROSCOPIC CHOLECYSTECTOMY-AN EXPERIENCE.

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Aims and objectives:The aim of the study was to evaluate safety and complication rate differences, surgery time differences and need to convert to open cholecystectomies differences between the two groups. Materials and methods; A prospective randomized study was carried out on 80 patients. The patients were randomly allocated and divided into two groups A and B. Group A was standard pressure pneumoperitoneum group and group B was low pressure pneumoperitoneum group. All patients were subjected to necessary baseline investigations, informed consent was taken and institutional ethical clearance was also sought. Results: There were significant differences between the two groups. Group B i.e low pressure pneumoperitoneum group showed less number of all the known complications, less operating time taken, less hemodynamic and arterial blood gas changes and less incidence of need to convert to open cholecystectomies. Conclusion: Low pressure pneumoperitoneum laparoscopic cholecystectomy is safe in experienced hands.

1.?????? JA Shea, JA Berlin, DR Bachwich, RN Starsick;Indication for outcomes of cholecystectomy: a comparison of the pre and post laparoscopic eras; Annals of Surgery;1998; 227 (3);345 ? 50.

2.?????? Shahedi WH. The biliary system through the ages. Int Surgery 1979; 64:63.

3.?????? Donald P. Griffith, Malachy J. Journal of Endourology.Spring? 1989, 3(1): 1 -10.

4.?????? Prof. Gry Turners Lecture:History of Gall Bladder Surgery:British Med. Journal 1939 March 4; 1(4078): 464-465.

  1. Haubrich WS. History of Endoscopy. In: Sivak MV, ed. Gastroenterologic Endoscopy. Philadelphia, PA: WB Saunders Co., 1987; 2-19
  2. Lightdale CJ: Laparoscopy and biopsy in malignant liver disease. Cancer, supplement 1982; 11:2672.
  3. Cunningham AJ, BrullSJLaparoscopic cholecystectomy: anesthetic implications. 1993 May;76(5):1120-33.
  4. Mouret P. From the first laparoscopic cholecystectomy to the frontiers of laparoscopic surgery: the prospective futures, Dig Surg 1991; 8: 124.

9.?????? Reddick E J, Olsen D O. Laparoscopic laser cholecystectomy:a comparison with mini lap cholecystectomy. Surg. Endoscopy 1989:3:131

  1. E. Udwadia, Et al: International Surgery 1992 July ? Sept. ; 77 (3): 149-53.
  2. Marco Alan P, Yeo Charles J?? and? Rock Peter:Anaesthesia for a patient undergoing laparoscopic cholecystectomy.? Anaesthesiology 1990; 73:1268-1270.
  3. Dubois F, Icard P, Berthelot G, et al: Celioscopic cholecystectomy: preliminary report of 36 cases.Annals of Surgery 1990;211:60.
  4. Putensen-Himmer G, Putensen C, LammerH.Comparison of postoperative respiratory function after laparoscopy or open laparotomy for cholecystectomy.Anesthesiology 1992; 77:675-680.
  5. Russell RC. General surgery:biliary surgery. BMJ (Clinical Research Ed.) 1993;307(6914):1266?9.
  6. Casati A, Valentini G, Ferrari S, Senatore R, Zangrillo A, TorriG.Cardiorespiratory changes during gynaecological laparoscopy byabdominal wall elevation: comparison with carbon dioxide pneumoperitoneum.British Journal of Anaesthesia1997;78(1):51?4.
  7. Alijani A, Hanna GB, Cuschieri A. Abdominal wall lift versus positive - pressure capnoperitoneum for laparoscopic cholecystectomy -randomized controlled trial. Annals of Surgery 2004;239(3):388?94.

17.??? Nikhil Talwar, Rahul Pusuluri, Mohinder Paul Arora, MridulaPawar.Randomized Controlled Trial of Conventional Carbon Dioxide Pneumop.eritoneum versus Gasless Technique for Laparoscopic Cholecystectomy. JK Science,Vol. 8 No. 2, April-June 2006:73-78.

  1. GobinVeekash MD, LuiXin Wei MD. Carbon dioxide pneumoperitoneum ; physiologic changes and anaesthetic concerns. Ambulatory Surgery, July 2010,16.2,41-46.
  2. David B. Safran MD, Roco Orlando MD. The physiologic effects of pneumoperitoneum. The American Journal Of Surgery; Vol 167, Issue 2, Feb 1994;281-286.
  3. Gurusamy KS, Samraj K, Davidson BR Low pressure versus standard pressure pneumoperitoneum in laparoscopic cholecystectomy: The Cochrane Library 2009, Issue 4
  4. Sarli L,?Costi R,?Sansebastiano G,?Trivelli M,?Roncoroni L. Prospective randomized trial of low-pressure pneumoperitoneum for reduction of shoulder-tip pain following laparoscopy.Br J Surg2000; 87(9):1161-1165.

22.??? Barczynski M,?Herman RM. A prospective randomized trial on comparison of low-pressure (LP) and standard-pressure (SP) pneumoperitoneum for laparoscopic cholecystectomy.Surg Endosc2003; 17(4):533-538.

23.??? Faisal Bilal Lodhi,?Riaz Hussain. Laparoscopic cholecystectomy; Low-pressure pneumoperitoneum for shoulder-tip pain.Professional Med J?2003; 10(4):266-270.

  1. Smith I, Benzie RJ, Gordon Nanette LM, Kelman GR and Swapp:Cardiovascular effects of peritoneal insufflation of carbon dioxide for laparoscopy. British Medical Journal 1971; 3:410-411.

25.??? Deepaesh Benjamin Kanwer, Lileswar Kaman, Nedounsejiane M, BikashMedhi, Ganga Ram Verma, InduBala; Comparative study of low pressure versus standard pressure pneumoperitoneum in laparoscopic cholecystectomy-A randomized controlled trialSurgicalGastroenterologyTrop Gastroenterol2009;30(3):171-174

  1. McDermott Joseph? P, Regan? Mark C,Rory? Page,? Kevin? Cardiorespiratory? effects? of? laparoscopy? with? and? without? gas insufflation. Archives of Surgery 1995; 130:984-988

27.??? Volz Joachim, Koster Stefanic, Weis Michaela and Lebiwitz PW. Pathophysiologic features of pneumoperitoneum at laparoscopy: A Swine model.

[Shakeeb Nabi, Syed Nazima, Yasir Bashir, Ambreen Beigh, Nusrat Bashir and Dekyong Angmo. (2017); LOW PRESSURE PNEUMOPERITONEUM VERSUS STANDARD PRESSURE PNEUMOPERITONEUM IN LAPAROSCOPIC CHOLECYSTECTOMY-AN EXPERIENCE. Int. J. of Adv. Res. 5 (Aug). 1771-1778] (ISSN 2320-5407). www.journalijar.com

Nusrat Bashir
GMC SRINAGAR

DOI:

Article DOI: 10.21474/IJAR01/5244      
DOI URL: http://dx.doi.org/10.21474/IJAR01/5244

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