Impact of the patient's body position on the intraabdominal workspace during laparoscopic surgery

Surgical Endoscopy

Volumn 24, Issue 6, 2010, Pages 1398-1402

  Mulier, Jan Paul J ^a   Dillemans, Bruno ^a   Van Cauwenberge, Sebastiaan ^a  

^a AZ Sint Jan Brugge Oostende AV ^*

Author keywords

Intraabdominal pressure; Intraabdominal volume; Laparoscopy; Patient's body position; Surgery

Indexed keywords

ABDOMINAL PRESSURE; ADULT; AERATION; ARTICLE; BODY MASS; BODY POSITION; CARBON DIOXIDE TENSION; CLINICAL ARTICLE; FEMALE; HUMAN; LAPAROSCOPIC SURGERY; MALE; MUSCLE RELAXATION; OBESITY; OPERATING ROOM; PRIORITY JOURNAL; REVERSE TRENDELENBURG POSITION; SURGICAL APPROACH; TRENDELENBURG POSITION; BARIATRIC SURGERY; BODY POSTURE; COMPARATIVE STUDY; GASTROINTESTINAL RADIOGRAPHY; LAPAROSCOPY; MIDDLE AGED; OBESITY, MORBID; PATHOPHYSIOLOGY; PERITONEAL CAVITY; PRESSURE; PROCEDURES;

ABDOMINAL CAVITY; BARIATRIC SURGERY; BODY MASS INDEX; FEMALE; HUMANS; LAPAROSCOPY; MALE; MIDDLE AGED; OBESITY, MORBID; PNEUMOPERITONEUM, ARTIFICIAL; POSTURE; PRESSURE;

EID: 77955662434     PISSN: 09302794     EISSN: 14322218     Source Type: Journal    
DOI: 10.1007/s00464-009-0785-8     Document Type: Article

References (26)

1. Mulier JP, Dillemans B, Sablon T, Danneels I (2006) Effect of muscle relaxants on the abdominal pressure volume relation. Eur J Anesth 23:S42.
2. Chassard D, Berrada K, Tournadre J, Boulétreau P (1996) The effects of neuromuscular block on peak airway pressure and abdominal elastance during pneumoperitoneum. Anesth Analg 82:525-527.
3. Nguyen NT, Wolfe BM (2005) The physiologic effects of pneumoperitoneum in the morbidly obese. Ann Surg 241:219-226.
4. Adams JB, Moore RG, Micali S, Marco AP, Kavoussi LR (1999) Laparoscopic genitourinary surgery utilizing 20 mmHg intraabdominal pressure. J Laparoendosc Adv Surg Tech A 9:131-134.
5. Kitano Y, Takata M, Sasaki N, Zhang Q, Yamamoto S, Miyasaka K (1999) Influence of increased abdominal pressure on steadystate cardiac performance. J Appl Physiol 86:1651-1656.
6. Barczyński M, Herman RM (2002) Influence of different pressures of pneumoperitoneum on the autonomic system function during laparoscopy. Folia Med Cracov 43:51-58.
7. Mikami O, Fujise K, Matsumoto S, Shingu K, Ashida M, Matsuda T (1998) High intraabdominal pressure increases plasma catecholamine concentrations during pneumoperitoneum for laparoscopic procedures. Arch Surg 133:39-43.
8. Blobner M, Bogdanski R, Kochs E, Henke J, Findeis A, Jelen-Esselborn S (1998) Effects of intraabdominally insufflated carbon dioxide and elevated intraabdominal pressure on splanchnic circulation: an experimental study in pigs. Anesthesiology 89:475-482.
9. Sandhu T, Yamada S, Ariyakachon V, Chakrabandhu T, Chongruksut W, Ko-Iam W (2009) Low-pressure pneumoperitoneum versus standard pneumoperitoneum in laparoscopic cholecystectomy: a prospective randomized clinical trial. Surg Endosc 23:1044-1047.
10. Chok KS, Yuen WK, Lau H, Fan ST (2006) Prospective randomized trial on low-pressure versus standard-pressure pneumoperitoneum in outpatient laparoscopic cholecystectomy. Surg Laparosc Endosc Percutan Tech 16:383-386.
11. Esmat ME, Elsebae MM, Nasr MM, Elsebaie SB (2006) Combined low-pressure pneumoperitoneum and intraperitoneal infusion of normal saline for reducing shoulder tip pain following laparoscopic cholecystectomy. World J Surg 30:1969-1973.
12. Rauh R, Hemmerling TM, Rist M, Jacobi KE (2001) Influence of pneumoperitoneum and body positioning on respiratory system compliance. J Clin Anesth 13:361-365.
13. Liem TK, Krishnamoorthy M, Applebaum H, Kolata R, Rudd RG, Chen W (1996) A comparison of the hemodynamic and ventilatory effects of abdominal insufflation with helium and carbon dioxide in young swine. J Pediatr Surg 31:297-300.
14. Guenoun T, Aka EJ, Journois D, Philippe H, Chevallier JM, Safran D (2006) Effects of laparoscopic pneumoperitoneum and changes in position on arterial pulse pressure wave form: comparison between morbidly obese and normal-weight patients. Obes Surg 16:1075-1081.
15. Hirvonen EA, Poikolainen EO, Pääkkönen ME, Nuutinen LS (2000) The adverse hemodynamic effects of anesthesia, head-up tilt, and carbon dioxide pneumoperitoneum during laparoscopic cholecystectomy. Surg Endosc 14:272-277.
16. Junghans T, Böhm B, Gründel K, Schwenk W, Müller JM (1997) Does pneumoperitoneum with different gases, body positions, and intraperitoneal pressures influence renal and hepatic blood flow? Surgery 121:206-211.
17. Meininger D, Westphal K, Bremerich DH, Runkel H, Probst M, Zwissler B, Byhahn C (2008) Effects of posture and prolonged pneumoperitoneum on hemodynamic parameters during laparoscopy. World J Surg 32:1400-1405.
18. Mertens zur Borg IR, Lim A, Verbrugge SJ, IJzermans JN, Klein J (2004) Effect of intraabdominal pressure elevation and positioning on hemodynamic responses during carbon dioxide pneumoperitoneum for laparoscopic donor nephrectomy: a prospective controlled clinical study. Surg Endosc 18:919-923.
19. Fahy BG, Barnas GM, Flowers JL, Nagle SE, Njoku MJ (1995) The effects of increased abdominal pressure on lung and chest wall mechanics during laparoscopic surgery. Anesth Analg 81:744-750.
20. Tan PL, Lee TL, Tweed WA (1992) Carbon dioxide absorption and gas exchange during pelvic laparoscopy. Can J Anaesth 39:677-681.
21. 2 leakage or absorption important during measurement of the abdominal pressure volume relation in a pneumoperitoneum? Eur J Anesth 24:S43.
22. Valenza F, Vagginelli F, Tiby A, Francesconi S, Ronzoni G, Guglielmi M, Zappa M, Lattuada E, Gattinoni L (2007) Effects of the beach chair position, positive end-expiratory pressure, and pneumoperitoneum on respiratory function in morbidly obese patients during anesthesia and paralysis. Anesthesiology 107:725-732.
23. Mulier J, Dillemans B, Segers G, Casier I, Akin F (2008) The urinary bladder compliance is different from the abdominal compliance. Eur J Anesth 25:S44.
24. Perilli V, Sollazzi L, Bozza P, Modesti C, Chierichini A, Tacchino RM, Ranieri R (2000) The effects of the reverse Trendelenburg position on respiratory mechanics and blood gases in morbidly obese patients during bariatric surgery. Anesth Analg 91:1520-1525.
25. Dillemans B, Sakran N, Van Cauwenberge S, Sablon T, Defoort B, Van Dessel E, Akin F, Moreels N, Lambert S, Mulier J, Date R, Vandelanotte M, Feryn T, Proot L (2009) Standardization of the fully stapled laparoscopic Roux-en-Y gastric bypass for obesity reduces early immediate postoperative morbidity and mortality: a single center study on 2606 patients. Obes Surg 19(10):1355-1364.
26. Mulier J, Dillemans B, Crombach M, Missant C, Sels A (2009) On the abdominal pressure volume relationship. Internet J Anesthesiol 21:1.