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Intraoperative Myocardial Infarction During Elective Laparoscopic Cholecystectomy: A Case Report.
Cureus
December 2024
Anaesthesia, Medway NHS Foundation Trust, Kent, GBR.
Laparoscopic cholecystectomy has become the gold standard for treating symptomatic cholelithiasis due to its minimally invasive nature and faster recovery times compared to traditional open surgery, but it is not without risks. A key component of this procedure is the creation of pneumoperitoneum. This is achieved by insufflating the abdomen with carbon dioxide (CO2).
View Article and Find Full Text PDFEffect of electroacupuncture on internal carotid artery blood flow in patients undergoing laparoscopic gallbladder surgery: A randomized clinical trial.
Integr Med Res
December 2024
Yueyang Hospital of Integrated Traditional Chinese and Western Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai, China.
Background: Little is known about the effect of electroacupuncture (EA) on cerebral blood flow. We investigated this question in patients undergoing laparoscopic cholecystectomy, hypothesizing that EA would increase cerebral blood flow during surgery.
Methods: Eighty-two patients undergoing laparoscopic cholecystectomy were randomly divided into receiving electroacupuncture and intravenous anesthesia (EA+IA) and receving intravenous anesthesia alone (IA).
Transient Elevation of Liver Function Tests and Bilirubin Levels After Laparoscopic Cholecystectomy.
Medicina (Kaunas)
November 2024
A' Department of Surgery, General Hospital Papageorgiou, 56429 Thessaloniki, Greece.
: Laparoscopic cholecystectomy constitutes the current "gold standard" treatment of symptomatic gallstone disease. In order to avoid intraoperative vasculobiliary injuries, it is mandatory to establish the "critical view of safety". In cases of poor identification of the cystic duct and artery leading to a missed intraoperative injury, patients present with elevated liver function tests (LFTs) or increased bilirubin postoperatively.
View Article and Find Full Text PDFA comparison of the effects of lung protective ventilation and conventional ventilation on the occurrence of atelectasis during laparoscopic surgery in young infants: a randomized controlled trial.
Front Med (Lausanne)
October 2024
Department of Anesthesiology and Perioperative Medicine, The Second Affiliated Hospital of Anhui Medical University, Hefei, Anhui, China.
Article Synopsis
- This study examined the impact of lung protective ventilation (LPV) versus conventional ventilation on reducing pulmonary atelectasis and enhancing oxygen levels in infants undergoing laparoscopic surgery.
- Eighty infants aged 1-6 months were divided into two groups, with LPV using lower tidal volumes and specific strategies for lung recruitment, while the control group used higher tidal volumes and no positive end-expiratory pressure (PEEP).
- Results indicated that LPV significantly lowered the incidence of atelectasis and improved oxygenation during surgery, but these improvements were not sustained by the time the infants were discharged from post-anesthesia care.
Surgical conditions in experimental laparoscopy: effects of pressure, neuromuscular blockade, and pre-stretching on workspace volume.
Surg Endosc
December 2024
Department of Pediatric Surgery, Erasmus MC Sophia Children's Hospital, University Medical Center Rotterdam, PO box 2040, 3000 CB, Rotterdam, The Netherlands.
Background: Establishing a pneumoperitoneum for laparoscopy is common surgical practice, with the goal to create an optimal surgical workspace within the abdominal cavity while minimizing insufflation pressure. Individualized strategies, based on neuromuscular blockade (NMB), pre-stretching routines, and personalized intra-abdominal pressure (IAP) to enhance surgical conditions are strategies to improve surgical workspace. However, the specific impact of each factor remains uncertain.
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