Exploring appropriate pneumoperitoneum pressure in infants and children during laparoscopic surgery
10.3760/cma.j.issn.1008-6706.2012.05.009
- VernacularTitle:不同体表面积小儿腹腔镜手术中最佳气腹压力探讨
- Author:
Danbing YI
;
Jianlin DING
;
Xiaomei ZHOU
;
Zhihua WU
;
Xin XU
;
Congcai REN
- Publication Type:Journal Article
- Keywords:
Laparoscopic surgery;
Child;
Pneumoperitoneum pressure;
Surface area;
Complication
- From:
Chinese Journal of Primary Medicine and Pharmacy
2012;19(5):661-663
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the appropriate pneumoperitoneum pressure in different surface area children during pediatric laparoscopic surgery,so as to attenuate the intederence with physiological function and avoid pneumoperitoneum correlative complications.Methods 120 patients underwent laparoscopic surgery were divided into three groups by different surface area:A(0.43～0.67m2),B(0.68～0.92m2),C(0.93～1.17m2).Each group was divided into two subgroups again by different pneumoperitoneum pressure:A1(4 mm Hg),A2(6mm Hg),B1(7mm Hg),B2(9mm Hg),C1(10mm Hg),C2(12 mm Hg).The cardiorespiratory function and blood gas analysis in different time point before and after pneumoperitoneum were monitored.Results The increase of PET CO2,Paw,HR,MAP and PaCO2 in A2,B2,C2 were more obvious than in A1,B1,C1(P ＜ 0.01).The eligible pneumoperitoneum pressure for A,B,C were 4,7,10mmHg respectively.The complications of gastric contents back-streaming and respiratory acidosis were 7 cases in A2,B2,C2 in all,and 3 cases in A1,B1,C1.Conclusion Using a compatible pneumoperitoneum pressure for different surface area children could attenuate the interference of physiological function and avoid pneumoperitoneum correlative complications.
