THE USE OF LAPAROSCOPIC LIFTING SYSTEMS IN CASE OF A HIGH ANESTHESIOLOGCAL RISK

Download full text PDF
Issue: 
11
Year: 
2016

Professor A. Khitaryan, MD; Professor I. Chumburidze, MD; Professor M. Shtilman, MD; M. Provorotov; A. Orekhov, K. Veliev, R. Zavgorodnyaya Rostov State Medical University, Rostov-on-Don

Elevated intraabdominal pressure during laparoscopic surgery increases the risk of cardiovascular and respiratory complications. The use of laparoscopic lifting systems makes it possible to avoid pneumoperitoneum application; however, this is fraught with technical difficulties.
Keywords: 
surgery
anesthesiology and intensive care
lifting systems
anesthesiological risk
cardiorespiratory reserve

It appears your Web browser is not configured to display PDF files. Download adobe Acrobat или click here to download the PDF file.

References: 
  1. Malbrain M. Abdominal pressure in the critically ill // Curr. Opin. Crit. Care. – 2000; 6: 17–29.
  2. Duale C., Bolandard F., Duban P. et al. Consequences physiopathologiques de la chirurgie cholioscopique // Ann. Chir. – 2001; 126: 508–14.
  3. Levite E.M., Fedenko V.V., Konstantinov V.V. i dr. Anestezio- logicheskoe obespechenie v laparoskopicheskoj hirurgii – sovremennoe sostojanie problemy // Endoskopicheskaja hirurgija. – 1995; 2–3: 48–54.
  4. Bobrinskaja I.G. Prognoziro- vanie i korrektsija gemodinamicheskih narushenij v laparoskopicheskoj hirurgii // Endoskopicheskaja hirurgija. – 2002; 4: 17–20.
  5. Wolf J., Stoller M. Physiology of laparoscopy // J. Urol. – 1994; 152: 294–302.
  6. Belopuhov V.M., Fedorov I.V., Shajmuratov I.M. Osobennosti obezbolivanija v endohirurgii. Metod. rek. / Kazan', 1996; 23 s.
  7. Semenjuta I.P. Izmenenija gemodinamiki na etapah laparoskopicheskoj holetsistektomii // Anesteziologija i reanimatologija. – 1998; 3: 89–90.
  8. Noirot D. et al. Haemodynamic changes during pneumoperitoneum for laparoscopic cholecystectomy. // Anesthesiology. – 1992; .77: 69.
  9. Fletcher D. Abdominal insufflation for laparoscopy: can the risk be reduced? // Austr. N. J. Surg. – 1995; 65: 462.
  10. Chin A., Eaton J., Tsoi E. Gasless laparoscopy using a planar lifting technique // L. Am. Coll. Surg. – 1994; 178 (4): 401–3.
  11. Chugunov A.N., Komissarov Ju.I., Davliev M.K. Laparoskopicheskaja operatsija pri minimal'nom davlenii i bezgazovaja laparoskopija // Endoskopicheskaja hirurgija. – 1997; 1: 13.
  12. Borisov A.E., Arhipov V.F. i dr. Otsenka effektivnosti variantov endolifta pri vypolnenii laparoskopicheskoj holetsistektomii // Endoskopicheskaja hirurgija. – 1997; 1: 7–11.