Influence of different CO2 pneumoperitoneum pressure on intestinal mucosal injury and intestinal function recovery in patients undergoing laparoscopic radical gastrectomy
10.3969/j.issn.1009-9905.2017.12.002
- VernacularTitle:不同CO2气腹压力对腹腔镜胃癌根治术中肠黏膜损伤及肠功能恢复的影响
- Author:
Kai-Huo FU
1
;
Jian-Quan ZHANG
;
Ming JIANG
Author Information
1. 海南西部中心医院普外科 海南儋州 571700
- Keywords:
Laparoscopic radical gastrectomy;
CO2 pneumoperitoneum pressure;
Intestinal mucosal injury;
Intestinal function recovery
- From:
Chinese Journal of Current Advances in General Surgery
2017;20(12):929-932
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the influence of different CO2 pneumoperitoneum pressure on intestinal mucosal injury and intestinal function recovery in patients undergoing laparoscopic radical gastrectomy.Methods:A total of 120 patients undergoing laparoscopic radical gastrectomy were randomly divided into group A,B and C.Each group included 40 patients.CO2 pneumoperitoneum pressure ingroup A,B and C were 8～10 mmHg,11～13 mmHg and 14～16 mmHg,respectively.The degree of intestinal mucosa damage,plasma D-lactate(2,24 and 48 hours after the treat-ment),intestinal function recovery and complication ration were compared between the three groups.Results:Damage degree of intestinal mucosa after operation in A,B and C groups were 0～1,1～2 and 2～3 respectively.There was significant change in intestinal mucosa injury after operation in both B and C groups.The level of D-lactic acid in group C (2,24 and 48 hours after the treat-ment) were significantly higher those in group A and group B (P＜0.05).The bowel sounds appeared time,exhaust time and intake time in group C were significantly longer than group A and group B (P＜0.05).The incidence of complications were not significantly difference during the three groups.Conclusion:The high pressure of CO2 pneumoperitoneum will cause intestinal mucosa damaged,and not conducive to the patients' intestinal rehabilitation.We suggest that the CO2 pneumoperitoneum pressure should be as low as possible under clear visualization during operation.
