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Anesthesia in Biliary Lithiasis

  • Anna M. Koivusalo

Abstract

Laparoscopy is the ‘gold standard’ in the treatment of symptomatic gallstones because its postoperative benefits are superior to those of open cholecystectomy. The advantages of laparoscopy over open procedures in recovery are well known and acknowledged. Postoperative pain is reduced, mobilization is easier, pulmonary function is better restored, the hospital stay is shorter, and return to daily activities is possible earlier after laparoscopy than after open surgery.

Keywords

Laparoscopic Cholecystectomy Central Venous Pressure Plasma Renin Activity Open Cholecystectomy Laparoscopic Cholecys 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References

  1. 1.
    Hirvonen EA, Nuutinen LS, Kauko M (1995) Ventilatory effects, blood gas changes and oxygen consumption during laparoscopic hysterectomy. Anesth Analg 80:961–966PubMedCrossRefGoogle Scholar
  2. 2.
    Wittgen C, Andreus C, Fitzgerald S et al (1991) Analysis of the hemodynamic and ventilatory effects of laparoscopic cholecystectomy. Arch Surg 126:997–1001PubMedGoogle Scholar
  3. 3.
    Kazama T, Ikeda K, Kato T, Kikura M (1996) Carbon dioxide output in laparoscopic cholecystectomy. Br J Anaesth 76:530–535PubMedGoogle Scholar
  4. 4.
    Bardoczky GI, Engelman E, Levarlet M, Simon P (1993) Ventilatory effects of pneumoperitoneum monitored with continuous spirometry. Anaesthesia 48:309–311PubMedCrossRefGoogle Scholar
  5. 5.
    Kendall A, Bhatt S, Oh T (1995) Pulmonary consequences of carbon dioxide insufflation for laparoscopic cholecystectomies. Anaesthesia 50:286–289PubMedCrossRefGoogle Scholar
  6. 6.
    Mäkinen M-T, Yli-Hankala A (1996) The effect of laparoscopic cholecystectomy on respiratory compliance as determined by continuous spirometry. J Clin Anesth 8:119–122PubMedCrossRefGoogle Scholar
  7. 7.
    Koivusalo AM, Kellokumpu I, Scheinin M et al (1998) A comparison of gasless mechanical and conventional carbon dioxide pneumoperitoneum methods for laparoscopic cholecystectomy. Anesth Analg 86:153–158PubMedCrossRefGoogle Scholar
  8. 8.
    Meininger D, Byhahn C, Mierdl S et al (2005) Positive end-expiratory pressure improves arterial oxygenation during prolonged pneumoperitoneum. Acta Anaesthesiol Scand 49:778–783PubMedCrossRefGoogle Scholar
  9. 9.
    Yacoub O, Cardonaa I, Coveler L, Dodson M (1982) Carbon dioxide embolism during laparoscopy. Anesthesiology 57:533–535PubMedGoogle Scholar
  10. 10.
    Schindler E, Muller M, Kelm C (1995) Cerebral carbon dioxide embolism during laparoscopic cholecystectomy. Anesth Analg 81:643–645PubMedCrossRefGoogle Scholar
  11. 11.
    Derouin M, Couture P, Boudreault D et al (1996) Detection of gas embolism by transesophageal echocardiography during laparoscopic cholecystectomy. Anesth Analg 82:119–124PubMedCrossRefGoogle Scholar
  12. 12.
    Mäkinen MT, Yli-Hankala A, Kansanaho M (1995) Early detection of CO2 pneumothorax with continuous spirometry during laparoscopic fundoplication. Acta Anaesthesiol Scand 9:411–413Google Scholar
  13. 13.
    Struthers AD, Cuschieri A (1998) Cardioyascular consequences of laparoscopic surgery. Lancet 352:568–570PubMedCrossRefGoogle Scholar
  14. 14.
    Joris JL, Noirot DP, Legrand MJ et al (1996) Hemodynamic changes during laparoscopic cholecystectomy. Anesth Analg 76:1067–1071Google Scholar
  15. 15.
    O’Leary E, Hubbard K, Tormey W, Cunningham A (1997) Laparoscopic cholecystectomy: haemodynamic and neuroendocrine response after pneumoperitoneum and changes in position. Br J Anaesth 76:640–644Google Scholar
  16. 16.
    Koivusalo AM, Kellokumpu I, Scheinin M et al (1996) Randomized comparison of the neuroendocrine response to laparoscopic cholecystectomy using either conventional or abdominal wall lift techniques. Br J Surg 83:1532–1536PubMedCrossRefGoogle Scholar
  17. 17.
    Joris JL, Chiche JD, Canivet JL et al (1998) Hemodynamic changes induced by laparoscopy and their endocrine correlates: effects of clonidine. J Am Coll Cardiol 32:1389–1396PubMedCrossRefGoogle Scholar
  18. 18.
    Ortega A, Peters J, Incarbone R et al (1996) A prospective randomized comparison of the metabolic and stress hormonal responses of laparoscopic and open cholecystectomy. J Am Coll Surg 183:249–256PubMedGoogle Scholar
  19. 19.
    McLaughlin J, Scheeres D, Dean R, Bonnell B (1995) The adverse hemodynamic effects of laparoscopic cholecystectomy. Surg Endosc 9:121–124PubMedCrossRefGoogle Scholar
  20. 20.
    Backlund M, Kellokumpu I, Scheinin T et al (1998) Effect of temperature of insufflated CO2 during and after prolonged laparoscopic surgery. Surg Endosc 12:1126–1130PubMedCrossRefGoogle Scholar
  21. 21.
    Neudecker J, Sauerland S, Neugebauer E et al (2002) The European Association for Endoscopic Surgery clinical practice guideline on the pneumoperitoneum for laparoscopic surgery. Surg Endosc 16:1121–1143PubMedCrossRefGoogle Scholar
  22. 22.
    Koivusalo AM, Scheinin M, Tikkanen I, Ristkari S, Lindgren L (1998) Effects of esmolol on haemodynamic response to CO2 pneumoperitoneum for laparoscopic surgery. Acta Anaesth Scand 42:510–517PubMedCrossRefGoogle Scholar
  23. 23.
    Andersson L, Wallin CJ, Sollevi A, Odeberg-Wennerman S (1999) Pneumoperitoneum in healthy humans is not associated with increased central blood volume. Acta Anaesth Scand 43:809–814PubMedCrossRefGoogle Scholar
  24. 24.
    Miki Y, Iwase K, Kamiike W et al (1997) Laparoscopic cholecystectomy and time course changes in renal function. Surg Endosc 11:838–841PubMedCrossRefGoogle Scholar
  25. 25.
    Harman PK, Kron IL, McLachlan HD et al (1982) Elevated intra-abdominal pressure and renal function. Ann Surg 196:594–597PubMedCrossRefGoogle Scholar
  26. 26.
    Jensen K, Kehlet H, Lund CM (2007) Post-operative recovery profile after laparoscopic cholecystectomy: a prospective, observational study of a multimodal anaesthetic regime. Acta Anaesthesiol Scand 51:464–471PubMedCrossRefGoogle Scholar
  27. 27.
    Schilling MK, Redaelli C, Krahenbuhl L et al (1997) Splanchnic microcirculatory changes during CO2 laparoscopy. J Am Coll Surg 184:378–382PubMedGoogle Scholar
  28. 28.
    Ishizaki Y, Bandai Y, Shimomura K et al (1993) Safe intraabdominal pressure of carbon dioxide pneumoperitoneum during laparoscopic surgery. Surgery 114:549–554PubMedGoogle Scholar
  29. 29.
    Hasukic S (2005) Postoperative changes in liver function tests: randomized comparison of low-and high-pressure laparoscopic cholecystectomy. Surg Endosc 19:1451–1455PubMedCrossRefGoogle Scholar
  30. 30.
    Morino M, Giraudo G, Festa V (1998) Alterations in hepatic function during laparoscopic surgery. An experimental clinical study. Surg Endosc 12:968–972PubMedCrossRefGoogle Scholar
  31. 31.
    Sato K, Kawamura T, Wakusawa R (2000) Hepatic blood flow and function in elderly patients undergoing laparoscopic cholecystectomy. Anesth Analg 90:1198–1202PubMedCrossRefGoogle Scholar
  32. 32.
    Windberger UB, Auer R, Keplinger F et al (1999) The role of intra-abdominal pressure on splanchnic and pulmonary hemodynamic and metabolic changes during carbon dioxide pneumoperitoneum. Gastrointest Endosc 49:84–91PubMedCrossRefGoogle Scholar
  33. 33.
    Meierhenrich R, Gauss A, Vandenesch P et al (2005) The effects of intraabdominally insufflated carbon dioxide on hepatic blood flow during laparoscopic surgery assessed by transesophageal echocardiography. Anesth Analg 100:340–347PubMedCrossRefGoogle Scholar
  34. 34.
    Knolmaver TJ, Bowyer MW, Egan JC, Asbun HJ (1998) The effects of pneumoperitoneum on gastric blood flow and traditional hemodynamic measurements. Surg Endosc 12:115–118CrossRefGoogle Scholar
  35. 35.
    Koivusalo AM, Kellokumpu I, Ristkari S, Lindgren L (1997) Splanchnic and renal deterioration during and after laparoscopic cholecystectomy: a comparison of the carbon dioxide pneumoperitoneum and the abdominal wall lift method. Anesth Analg 85:886–891PubMedCrossRefGoogle Scholar
  36. 36.
    Thaler W, Frey L, Marzoli GP, Messmer K (1996) Assessment of splanchnic tissue oxygenation by gastric tonometry in patients undergoing laparoscopic and open cholecystectomy. Br J Surg 83:620–624PubMedCrossRefGoogle Scholar
  37. 37.
    Odeberg S, Ljungqvist O, Sollevi A (1998) Pneumoperitoneum for laparoscopic cholecystectomy is not associated with compromised splanchnic circulation. Eur J Surg 164:843–848PubMedCrossRefGoogle Scholar
  38. 38.
    Saunders C, Leary B, Wolfe B (1995) Is outpatient laparoscopic cholecystectomy wise? Surg Endosc 9:1263–1268PubMedCrossRefGoogle Scholar
  39. 39.
    Mouton W, Bessell J, Otten K, Maddern G (1999) Pain after laparoscopy. Surg Endosc 13:445–448PubMedCrossRefGoogle Scholar
  40. 40.
    Cunniffe M, McAnena O, Dar M, Flynn N (1998) A prospective randomized trial of intraoperative bupivacaine irrigation for management of shoulder-tip pain following laparoscopy. Am J Surg 176:258–261PubMedCrossRefGoogle Scholar
  41. 41.
    Paolucci V, Gutt CN, Schaeff B, Encke A (1995) Gasless laparoscopy in abdominal surgery. Surg Endosc 9:497–500PubMedCrossRefGoogle Scholar
  42. 42.
    Thoelke MH, Merkelbach D, Ehmann T et al (1995) The abdominal lift: is there any advantage for the critically ill patient? Endosc Surg Allied Tech 3:180–182Google Scholar
  43. 43.
    Carry PY, Gallet D, Francois Y et al (1998) Respiratory mechanics during laparoscopic cholecystectomy: the effects of the abdominal wall lift. Anesth Analg 87:1393–1397PubMedCrossRefGoogle Scholar
  44. 44.
    Galizia G, Prizio G, Lieto E et al (2001) Hemodynamic and pulmonary changes during open, carbon dioxide pneumoperitoneum and abdominal wall-lifting cholecystectomy. A prospective, randomized study. Surg Endosc 15:477–483PubMedCrossRefGoogle Scholar
  45. 45.
    Junghans T, Modersohn D, Dorner F et al (2006) Systematic evaluation of different approaches for minimizing hemodynamic changes during pneumo peritoneum. Surg Endosc 20:763–769PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag Italia 2008

Authors and Affiliations

  • Anna M. Koivusalo
    • 1
  1. 1.Department of Anaesthesia and Intensive Care Liver Surgery and Transplantation ClinicUniversity HospitalHelsinkiFinland

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