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Establishing Pneumoperitoneum: The Ideal Gas and Physiological Consequences

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Controversies in Laparoscopic Surgery

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References

  1. Dorsay DA, Greene FL, Baysinger CL. Hemodynamic changes during laparoscopic cholecystectomy monitored with transesophageal echocardiography. Surg Endosc 1995;9:128–33.

    Article  CAS  PubMed  Google Scholar 

  2. Myre K, Buanes T, Smith G, Stokland O. Simultaneous hemodynamic and echocardiographic changes during abdominal gas insufflation. Surg Laparosc Endosc 1997;7:415–9.

    Article  CAS  PubMed  Google Scholar 

  3. Elliott S, Savill P, Eckersall S. Cardiovascular changes during laparoscopic cholecystectomy: a study using transoesophageal Doppler monitoring. Eur J Anaesthesiol 1998;15:50–5.

    Article  CAS  PubMed  Google Scholar 

  4. Harris SN, Ballantyne GH, Luther MA, Perrino AC Jr. Alterations of cardiovascular performance during laparoscopic colectomy: a combined hemodynamic and echocardiographic analysis. Anesth Analg 1996;83:482–7.

    CAS  PubMed  Google Scholar 

  5. Joris JL, Noirot DP, Legrand MJ, Jacquet NJ, Lamy ML. Hemodynamic changes during laparoscopic cholecystectomy. Anesth Analg 1993;76:1067–71.

    CAS  PubMed  Google Scholar 

  6. Mann C, Boccara G, Pouzeratte Y, Navarro F, Domergue J, Colson P. Hemodynamic monitoring using esophageal Doppler ultrasonography during laparoscopic cholecystectomy. Can J Anaesth 1999;46:15–20.

    CAS  PubMed  Google Scholar 

  7. Kashtan J, Green JF, Parsons EQ, Holcroft JW. Hemodynamic effect of increased abdominal pressure. J Surg Res 1981;30:249–55.

    Article  CAS  PubMed  Google Scholar 

  8. Kitano Y, Takata M, Sasaki N, Zhang Q, Yamamoto S, Miyasaka K. Influence of increased abdominal pressure on steady-state cardiac performance. J Appl Physiol 1999;86:1651–6.

    CAS  PubMed  Google Scholar 

  9. Ben-Haim M, Mandeli J, Friedman RL, Rosenthal RJ. Mechanisms of systemic hypertension during acute elevation of intraabdominal pressure. J Surg Res 2000 15;91:101–5.

    Article  CAS  PubMed  Google Scholar 

  10. Takata M, Wise RA, Robotham JL Effects of abdominal pressure on venous return: abdominal vascular zone conditions. J Appl Physiol 1990;69:1961–72.

    CAS  PubMed  Google Scholar 

  11. Rosenthal RJ, Friedman RL, Kahn AM, Martz J, Thiagarajah S, Cohen D, Shi Q, Nussbaum M. Reasons for intracranial hypertension and hemodynamic instability during acute elevations of intra-abdominal pressure: observations in a large animal model. J Gastrointest Surg 1998;2:415–25.

    Article  CAS  PubMed  Google Scholar 

  12. Wachsberg RH. Narrowing of the upper abdominal inferior vena cava in patients with elevated intraabdominal pressure: sonographic observations. J Ultrasound Med 2000;19:217–22.

    CAS  PubMed  Google Scholar 

  13. Ridings PC, Bloomfield GL, Blocher CR, Sugerman HJ. Cardiopulmonary effects of raised intra-abdominal pressure before and after intravascular volume expansion. J Trauma 1995;39:1071–5.

    CAS  PubMed  Google Scholar 

  14. Ho HS, Saunders CJ, Gunther RA, Wolfe BM. Effector of hemodynamics during laparoscopy: CO2 absorption or intra-abdominal pressure? J Surg Res 1995;59:497–503.

    Article  CAS  PubMed  Google Scholar 

  15. Mutoh T, Lamm WJ, Embree LJ, Hildebrandt J, Albert RK. Abdominal distension alters regional pleural pressures and chest wall mechanics in pigs in vivo. J Appl Physiol 1991;70:2611–8.

    CAS  PubMed  Google Scholar 

  16. Obeid F, Saba A, Fath J, Guslits B, Chung R, Sorensen V, Buck J, Horst M. Increases in intra-abdominal pressure affect pulmonary compliance. Arch Surg 1995;130:544–7.

    CAS  PubMed  Google Scholar 

  17. Richardson JD, Trinkle JK. Hemodynamic and respiratory alterations with increased intra-abdominal pressure. J Surg Res 1976;20:401–4.

    Article  CAS  PubMed  Google Scholar 

  18. Harman PK, Kron IL, McLachlan HD, Freedlender AE, Nolan SP. Elevated intra-abdominal pressure and renal function. Ann Surg 1982;196:594–7.

    CAS  PubMed  Google Scholar 

  19. Caldwell CB, Ricotta JJ. Changes in visceral blood flow with elevated intraabdominal pressure. J Surg Res 1987;43:14–20.

    CAS  PubMed  Google Scholar 

  20. Chiu AW, Chang LS, Birkett DH, Babayan RK. The impact of pneumoperitoneum, pneumoretroperitoneum, and gasless laparoscopy on the systemic and renal hemodynamics. J Am Coll Surg 1995;181:397–406.

    CAS  PubMed  Google Scholar 

  21. Gudmundsson FF, Gislason HG, Myking OL, Viste A, Grong K, Svanes K. Hormonal changes related to reduced renal blood flow and low urine output under prolonged increased intra-abdominal pressure in pigs. Eur J Surg 2002;168:178–86.

    PubMed  Google Scholar 

  22. Bloomfield GL, Blocher CR, Fakhry IF, Sica DA, Sugerman HJ. Elevated intra-abdominal pressure increases plasma renin activity and aldosterone levels. J Trauma 1997;42:997–1004.

    CAS  PubMed  Google Scholar 

  23. London ET, Ho HS, Neuhaus AM, Wolfe BM, Rudich SM, Perez RV. Effect of intravascular volume expansion on renal function during prolonged CO2 pneumoperitoneum. Ann Surg 2000;231:195–201.

    Article  CAS  PubMed  Google Scholar 

  24. Perez J, Taura P, Rueda J, Balust J, Anglada T, Beltran J, Lacy AM, Garcia-Valdecasas JC. Role of dopamine in renal dysfunction during laparoscopic surgery. Surg Endosc 2002;16:1297–301.

    CAS  PubMed  Google Scholar 

  25. Joris JL, Chiche JD, Canivet JL, Jacquet NJ, Legros JJ, Lamy ML. Hemodynamic changes induced by laparoscopy and their endocrine correlates: effects of clonidine. J Am Coll Cardiol 1998;32:1389–96.

    Article  CAS  PubMed  Google Scholar 

  26. Mikami O, Fujise K, Matsumoto S, Shingu K, Ashida M, Matsuda T. High intra-abdominal pressure increases plasma catecholamine concentrations during pneumoperitoneum for laparoscopic procedures. Arch Surg 1998;133:39–43.

    CAS  PubMed  Google Scholar 

  27. Karayiannakis AJ, Makri GG, Mantzioka A, Karousos D, Karatzas G. Systemic stress response after laparoscopic or open cholecystectomy: a randomized trial. Br J Surg 1997;84:467–71.

    Article  CAS  PubMed  Google Scholar 

  28. Ortega AE, Peters JH, Incarbone R, Estrada L, Ehsan A, Kwan Y, Spencer CJ, Moore-Jeffries E, Kuchta K, Nicoloff JT. A prospective randomized comparison of the metabolic and stress hormonal responses of laparoscopic and open cholecystectomy. J Am Coll Surg 1996;183:249–56.

    CAS  PubMed  Google Scholar 

  29. Glaser F, Sannwald GA, Buhr HJ, Kuntz C, Mayer H, Klee F, Herfarth C. General stress response to conventional and laparoscopic cholecystectomy. Ann Surg 1995;221:372–80.

    CAS  PubMed  Google Scholar 

  30. Mann C, Boccara G, Pouzeratte Y, Eliet J, Serradel-Le Gal C, Vergnes C, Bichet DG, Guillon G, Fabre JM, Colson P. The relationship among carbon dioxide pneumoperitoneum, vasopressin release, and hemodynamic changes. Anesth Analg 1999;89:278–83.

    CAS  PubMed  Google Scholar 

  31. Grace PA, Quereshi A, Coleman J, Keane R, McEntee G, Broe P, Osborne H, Bouchier-Hayes D. Reduced postoperative hospitalization after laparoscopic cholecystectomy. Br J Surg 1991;78:160–2.

    CAS  PubMed  Google Scholar 

  32. Ohzato H, Yoshizaki K, Nishimoto N, Ogata A, Tagoh H, Monden M, Gotoh M, Kishimoto T, Mori T. Interleukin-6 as a new indicator of inflammatory status: detection of serum levels of interleukin-6 and C-reactive protein after surgery. Surgery 1992;111:201–9.

    CAS  PubMed  Google Scholar 

  33. Halevy A, Lin G, Gold-Deutsch R, Lavi R, Negri M, Evans S, Cotariu D, Sackier JM. Comparison of serum C-reactive protein concentrations for laparoscopic versus open cholecystectomy. Surg Endosc 1995;9:280–2.

    Article  CAS  PubMed  Google Scholar 

  34. Redmond HP, Watson RW, Houghton T, Condron C, Watson RG, Bouchier-Hayes D. Immune function in patients undergoing open vs laparoscopic cholecystectomy. Arch Surg 1994;129:1240–6.

    CAS  PubMed  Google Scholar 

  35. Roumen RM, van Meurs PA, Kuypers HH, Kraak WA, Sauerwein RW. Serum interleukin-6 and C reactive protein responses in patients after laparoscopic or conventional cholecystectomy. Eur J Surg 1992;158:541–4.

    CAS  PubMed  Google Scholar 

  36. Cruickshank AM, Fraser WD, Burns HJ, Van Damme J, Shenkin A. Response of serum interleukin-6 in patients undergoing elective surgery of varying severity. Clin Sci (Lond) 1990;79:161–5.

    CAS  PubMed  Google Scholar 

  37. Grande M, Tucci GF, Adorisio O, Barini A, Rulli F, Neri A, Franchi F, Farinon AM. Systemic acute-phase response after laparoscopic and open cholecystectomy. Surg Endosc 2002;16:313–6.

    Article  CAS  PubMed  Google Scholar 

  38. Delgado S, Lacy AM, Filella X, Castells A, Garcia-Valdecasas JC, Pique JM, Momblan D, Visa J. Acute phase response in laparoscopic and open colectomy in colon cancer: randomized study. Dis Colon Rectum 2001;44:638–46.

    Article  CAS  PubMed  Google Scholar 

  39. Wu FP, Sietses C, von Blomberg BM, van Leeuwen PA, Meijer S, Cuesta MA. Systemic and peritoneal inflammatory response after laparoscopic or conventional colon resection in cancer patients: a prospective, randomized trial. Dis Colon Rectum 2003;46:147–55.

    Article  CAS  PubMed  Google Scholar 

  40. Leung KL, Lai PB, Ho RL, Meng WC, Yiu RY, Lee JF, Lau WY. Systemic cytokine response after laparoscopic-assisted resection of rectosigmoid carcinoma: A prospective randomized trial. Ann Surg 2000;231:506–11.

    Article  CAS  PubMed  Google Scholar 

  41. Schwenk W, Jacobi C, Mansmann U, Bohm B, Muller JM. Inflammatory response after laparoscopic and conventional colorectal resections — results of a prospective randomized trial. Langenbecks Arch Surg 2000;385:2–9.

    Article  CAS  PubMed  Google Scholar 

  42. Harmon GD, Senagore AJ, Kilbride MJ, Warzynski MJ. Interleukin-6 response to laparoscopic and open colectomy. Dis Colon Rectum 1994;37:754–9.

    Article  CAS  PubMed  Google Scholar 

  43. Griffith JP, Everitt NJ, Lancaster F, Boylston A, Richards SJ, Scott CS, Benson EA, Sue-Ling HM, McMahon MJ. Influence of laparoscopic and conventional cholecystectomy upon cell-mediated immunity. Br J Surg 1995;82:677–80.

    CAS  PubMed  Google Scholar 

  44. Brune IB, Wilke W, Hensler T, Holzmann B, Siewert JR. Downregulation of T helper type 1 immune response and altered pro-inflammatory and anti-inflammatory T cell cytokine balance following conventional but not laparoscopic surgery. Am J Surg 1999;177:55–60.

    Article  CAS  PubMed  Google Scholar 

  45. Allendorf JD, Bessler M, Whelan RL, Trokel M, Laird DA, Terry MB, Treat MR. Better preservation of immune function after laparoscopic-assisted vs. open bowel resection in a murine model. Dis Colon Rectum 1996;39Suppl:S67–72.

    CAS  PubMed  Google Scholar 

  46. Trokel MJ, Bessler M, Treat MR, Whelan RL, Nowygrod R. Preservation of immune response after laparoscopy. Surg Endosc 1994;8:1385–7.

    Article  CAS  PubMed  Google Scholar 

  47. Rasmussen JP, Dauchot PJ, DePalma RG, Sorensen B, Regula G, Anton AH, Gravenstein JS. Cardiac function and hypercarbia. Arch Surg 1978;113:1196–200.

    CAS  PubMed  Google Scholar 

  48. Schob OM, Allen DC, Benzel E, Curet MJ, Adams MS, Baldwin NG, Largiader F, Zucker KA. A comparison of the pathophysiologic effects of carbon dioxide, nitrous oxide, and helium pneumoperitoneum on intracranial pressure. Am J Surg 1996;172:248–53.

    Article  CAS  PubMed  Google Scholar 

  49. Rademaker BM, Odoom JA, de Wit LT, Kalkman CJ, ten Brink SA, Ringers J. Haemodynamic effects of pneumoperitoneum for laparoscopic surgery: a comparison of CO2 with N2O insufflation. Eur J Anaesthesiol 1994;11:301–6.

    CAS  PubMed  Google Scholar 

  50. El-Minawi MF, Wahbi O, El-Bagouri IS, Sharawi M, El-Mallah SY. Physiologic changes during CO2 and N2O pneumoperitoneum in diagnostic laparoscopy. A comparative study. J Reprod Med 1981;26:338–46.

    CAS  PubMed  Google Scholar 

  51. Hunter JG, Swanstrom L, Thornburg K. Carbon dioxide pneumoperitoneum induces fetal acidosis in a pregnant ewe model. Surg Endosc 1995;9:272–7.

    CAS  PubMed  Google Scholar 

  52. Aitola P, Airo I, Kaukinen S, Ylitalo P. Comparison of N2O and CO2 pneumoperitoneums during laparoscopic cholecystectomy with special reference to postoperative pain. Surg Laparosc Endosc 1998;8:140–4.

    Article  CAS  PubMed  Google Scholar 

  53. Sharp JR, Pierson WP, Brady CE 3rd. Comparison of CO2-and N2O-induced discomfort during peritoneoscopy under local anesthesia. Gastroenterology 1982;82:453–6.

    CAS  PubMed  Google Scholar 

  54. Tsereteli Z, Terry ML, Bowers SP, Spivak H, Archer SB, Galloway KD, Hunter JG. Prospective randomized clinical trial comparing nitrous oxide and carbon dioxide pneumoperitoneum for laparoscopic surgery. J Am Coll Surg 2002;195:173–9.

    Article  PubMed  Google Scholar 

  55. Phillips RS, Goldberg RI, Watson PW, Marshall JR, Barkin JS Mechanism of improved patient tolerance to nitrous oxide in diagnostic laparoscopy. Am J Gastroenterol 1987;82:143–4.

    CAS  PubMed  Google Scholar 

  56. Hunter JG, Staheli J, Oddsdottir M, Trus T. Nitrous oxide pneumoperitoneum revisited. Is there a risk of combustion? Surg Endosc 1995;9:501–4.

    CAS  PubMed  Google Scholar 

  57. Gunatilake DE. Case report: fatal intraperitoneal explosion during electrocoagulation via laparoscopy. Int J Gynaecol Obstet 1978;15:353–7.

    CAS  PubMed  Google Scholar 

  58. El-Kady AA, Abd-El-Razek M. Intraperitoneal explosion during female sterilization by laparoscopic electrocoagulation. A case report. Int J Gynaecol Obstet 1976;14:487–8.

    CAS  PubMed  Google Scholar 

  59. Curet MJ, Weber DM, Sae A, Lopez J. Effects of helium pneumoperitoneum in pregnant ewes. Surg Endosc 2001;15:710–4.

    Article  CAS  PubMed  Google Scholar 

  60. McMahon AJ, Baxter JN, Murray W, Imrie CW, Kenny G, O’Dwyer PJ. Helium pneumoperitoneum for laparoscopic cholecystectomy: ventilatory and blood gas changes. Br J Surg 1994;81:1033–6.

    CAS  PubMed  Google Scholar 

  61. Neuberger TJ, Andrus CH, Wittgen CM, Wade TP, Kaminski DL. Prospective comparison of helium versus carbon dioxide pneumoperitoneum. Gastrointest Endosc 1996;43:38–41.

    Article  CAS  PubMed  Google Scholar 

  62. Bongard FS, Pianim NA, Leighton TA, Dubecz S, Davis IP, Lippmann M, Klein S, Liu SY. Helium insufflation for laparoscopic operation. Surg Gynecol Obstet 1993;177:140–6.

    CAS  PubMed  Google Scholar 

  63. Junghans T, Bohm B, Grundel K, Schwenk W. Effects of pneumoperitoneum with carbon dioxide, argon, or helium on hemodynamic and respiratory function. Arch Surg 1997;132:272–8.

    CAS  PubMed  Google Scholar 

  64. Eisenhauer DM, Saunders CJ, Ho HS, Wolfe BM. Hemodynamic effects of argon pneumoperitoneum. Surg Endosc 1994;8:315–20.

    Article  CAS  PubMed  Google Scholar 

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Editor information

Editors and Affiliations

  1. Department of Surgery B, Rambam Health Care Campus, Israel Institute of Technology, Haifa, 31906, Israel

    Ahmad Assalia MD (Deputy Director) (Deputy Director)

  2. The Bruce Rappaport Faculty of Medicine, Technion, Israel Institute of Technology, Haifa, 31906, Israel

    Ahmad Assalia MD (Deputy Director) (Deputy Director)

  3. Division of Laparoscopic and Bariatric Surgery, Department of Surgery, Joan and Standford I. Weill Medical College of Cornell University, New York Presbyterian Hospital-Weill Cornell Medical Center, 525 East 68th Street, Mailbox 294, New York, NY, 10021, USA

    Michel Gagner MD, FRCSC, FACS (Professor of Surgery) (Professor of Surgery)

  4. Surgical Specialties of Keokuk, 1425 Morgan Street, Keokuk, IA, 52632, USA

    Moshe Schein MD, FACS, FCS (SA) (Professor of Surgery) (Professor of Surgery)

  5. Weill College of Medicine, Cornell University, New York

    Moshe Schein MD, FACS, FCS (SA) (Professor of Surgery) (Professor of Surgery)

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© 2006 Springer-Verlag Berlin Heidelberg

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(2006). Establishing Pneumoperitoneum: The Ideal Gas and Physiological Consequences. In: Assalia, A., Gagner, M., Schein, M. (eds) Controversies in Laparoscopic Surgery. Springer, Berlin, Heidelberg. https://doi.org/10.1007/3-540-30964-0_5

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  • DOI: https://doi.org/10.1007/3-540-30964-0_5

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-22952-0

  • Online ISBN: 978-3-540-30964-2

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