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Surgical Endoscopy

Published in:

01-09-2005 | Review

Laparoscopic surgery: Pitfalls due to anesthesia, positioning, and pneumoperitoneum

Authors: C.P. Henny, J. Hofland

Published in: Surgical Endoscopy | Issue 9/2005

Abstract

Background

Laparoscopic procedures are increasing in number and extensiveness. Many patients undergoing laparoscopic surgery have coexisting disease. Especially in patients with cardiopulmonary comorbidity, pneumoperitoneum and positioning can be deleterious. This article reviews possible pitfalls related to the combination of anesthesia, positioning of the patient, and the influence of pneumoperitoneum in the course of laparoscopic interventions.

Methods

A literature search using Medline’s MESH terms was used to identify recent key articles. Cross-references from these articles were used as well.

Results

Patient positioning and pneumoperitoneum can induce hemodynamic, pulmonary, renal, splanchnic, and endocrine pathophysiological changes, which will affect the entire perioperative period of patients undergoing laparoscopic procedures.

Conclusion

Perioperative management for the estimation and reduction of risk of morbidity and mortality due to surgery and anesthesia in laparoscopic procedures must be based on knowledge of the pathophysiological disturbances induced by the combination of general anesthesia, pneumoperitoneum, and positioning of the patient.

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Title: Laparoscopic surgery: Pitfalls due to anesthesia, positioning, and pneumoperitoneum
Authors: C.P. Henny
J. Hofland
Publication date: 01-09-2005
Publisher: Springer-Verlag
Published in: Surgical Endoscopy / Issue 9/2005
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI: https://doi.org/10.1007/s00464-004-2250-z

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Laparoscopic surgery: Pitfalls due to anesthesia, positioning, and pneumoperitoneum

Abstract

Background

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusion

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