APPLICATION OF LAPAROSCOPIC LIFTING SYSTEMS IN PATIENTS WITH HIGH CARDIORESPIRATORY RISK
https://doi.org/10.24884/0042-4625-2016-175-4-62-66
Abstract
Intra-abdominal hypertension during laparoscopic operations increased the risk of complications from cardiovascular and respiratory systems. An application of laparolifting systems allowed doctors to avoid changes of pneumoperitoneum, although it was associated with technical difficulties in operation performance. The authors used a test in order to determine cardiorespiratory reserve in preoperative period. The reserve was characterized by decrease of stroke volume of the heart against the background of intra-abdominal hypertension. There was noted a reliable increase of complication rate in these patients in case of application of standard laparoscopic operation compared with operation using lifting systems.
About the Authors
A. G. Khitar’Yan
Rostov State Medical University
Russian Federation
Russian Federation
I. A. Miziev
Rostov State Medical University
Russian Federation
Russian Federation
M. E. Provotorov
Rostov State Medical University
Russian Federation
Russian Federation
K. S. Veliev
Rostov State Medical University
Russian Federation
Russian Federation
E. E. Glumov
Rostov State Medical University
Russian Federation
Russian Federation
S. A. Kovalev
Rostov State Medical University
Russian Federation
Russian Federation
M. Kh. Abramyants
Rostov State Medical University
Russian Federation
Russian Federation
S. T. Khubiev
Rostov State Medical University
Russian Federation
Russian Federation
References
1. Борисов А. Е., Архипов В. Ф. и др. Оценка эффективности вариантов эндолифта при выполнении лапароскопической холецистэктомии // Эндоскоп. хир. 1997. № 1. С. 7-11.
2. Белопухов В. М., Фёдоров И. В., Шаймуратов И. М. Особенности обезболивания в эндохирургии: Метод. реком. Казань, 1996. 23 с.
3. Левитэ Е. М., Феденко В. В., Константинов В. В. и др. Анестезиологическое обеспечение в лапароскопической хирургии - современное состояние проблемы // Эндоскоп. хир. 1995. № 2-3. С. 48-54.
4. Седов В. М., Стрижелецкий В. В. Осложнения в лапароскопической хирургии. СПб.: Санкт-Петербургское мед. изд-во, 2002. 180 с.
5. Хитарьян А. Г., Фомичев Е. В., Эль-Сахли Х. И. Безгазовая лапаролифтинговая лапароскопия у больных с интеркуррентной патологией // Актуальные вопросы внутренней патологии: Сборник трудов и тезисы докладов. Ростов, 2003. С. 140-141.
6. Чугунов А. Н., Комиссаров Ю. И., Давлиев М. К. Лапароскопическая операция при минимальном давлении и безгазовая лапароскопия // Эндоскоп. хир. 1997. № 1. С. 13.
7. Fletcher D. R. Abdominal insufflation for laparoscopy: can the risk be reduced? // Austr. N. J. Surg. 1995. Vol. 65. P. 462.
8. Wolf J. S., Stoller M. L. Physiology of laparoscopy // J. Urol. 1994. Vol. 152. P. 294-302.
Review
For citations:
Khitar’Yan A.G., Miziev I.A., Provotorov M.E., Veliev K.S., Glumov E.E., Kovalev S.A., Abramyants M.Kh., Khubiev S.T. APPLICATION OF LAPAROSCOPIC LIFTING SYSTEMS IN PATIENTS WITH HIGH CARDIORESPIRATORY RISK. Grekov's Bulletin of Surgery. 2016;175(4):62-66. (In Russ.) https://doi.org/10.24884/0042-4625-2016-175-4-62-66
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