Influence of surgical position and pneumoperitoneum pressure on post-operative shoulder pain following laparoscopy

VernacularTitle:体位和气腹压力对腹腔镜术后肩痛的影响
Author: Tao WANG ¹ ; Jing ZHAO ; Xin DONG
Author Information

1. 解放军总医院
Keywords: Surgical position; Pneumoperitoneum pressure; Laparoscopy; Shoulder pain
From: Chinese Journal of Modern Nursing 2008;14(8):961-962
CountryChina
Language:Chinese
Abstract: Objective To explore the effect of surgical position and pneumoperitoneum pressure on shoulder pain following laparoscopy. Methods A total of 277 patients underwent laparoscopy were randomly selected as the subjects for study. 142 patients underwent laparoscopic cholecystectomy (LC) ( heM-high and foot-low) were divided into two groups: Group A with a pneumoporitoneum pressure of 14 mm Hg CO2 pressure, and Group B with a pneumoperitoneum pressure of 10 mmHg CO2 pressure. 135 patients underwent laparoscopic gynecologic surgery (head-low and foot-high ) were randomly divided into two groups: Group C with 14 mmHg pneumoperitoneum pressure, and Group D with 10 mm Hg pressure. The incidence of shoulder pain after laparoscopy was compared and analyzed. Results The incidence of postoperative shoulder pain was significantly high in Groups C and D, compared with Groups A and B, respectively. If compared with Groups B and D respectively, Groups A and C with a higher CO2 pressure have more shoulder pain patients. Conclusions Laparoscopic CO2 pressure and surgical position have significantly effects on postoperative shoulder pain.