The clinical investigations of pain on the shoulders and epigastrium after the reprotenal laparoscopic operations
- VernacularTitle:CO2气腹后腹腔镜术后上腹部与肩部疼痛的临床讨论
- Author:
Wen WANG
;
Zhilu FAN
;
Bo YANG
;
Weibing SUN
- Publication Type:Journal Article
- Keywords:
Pheunopertomeum;
Carbon dioxide;
Laparoscopic;
Pain
- From:
Chinese Journal of Postgraduates of Medicine
2009;32(z2):57-60
- CountryChina
- Language:Chinese
-
Abstract:
Objective To discuss the reason of pain on the shoulders and epigastrium after the reprotenal laparoscopic operations. Methods One hundred and eight patients had undergone the laparoscopic adrenalectomy or laparoscopie renal cyst unroofing. They were divided into two groups at random, group A and group B. In group A, discharged CO2 as soon as finished the operation, but did not in group B. At the same period, there were 49 patients who had received retroperitoneal laparoscopic radical nephrectomy, divided into two groups by the CO2-pheunopertomeum time, group C and group D. In the group D, the CO2-pheunopertomeum time was over 90 minutes, and the time was less than 90 minutes in the group C. Evaluated the pain degree through the vision analogue score (VAS) and recorded the pH,PaO2, PaCO2,BE in the arterial blood in group A and B before and after operation. Results The incidence rate of pain postoperation was significantly higher in group B than A (P < 0.05). In group A and group B, there was no difference in PaCO2, PaO2, pH, BE in the arterial blood(P > 0.05 ). The incidence rate of pain and the grade of VSA both were significantly higher in group D than group C (P < 0.05). Conclusions The stimuli of acid materials such as carbonate that derived from postoperative residual CO2 is probably the main cause of the pain on the shoulders and epigastrium after the laparoscopicsurgery.
