Application effect of low pneumoperitoneum pressure abdominal wall suspension in patients with laparoscopic radical gastrectomy
Objective To investigate the application effect of low pneumoperitoneum pressure abdominal wall sus-pension in patients with laparoscopic radical gastrectomy.Method A total of 98 laparoscopic radical gastrectomy pa-tients were divided into conventional group(n=49)and low abdominal pressure group(n=49)according to the intraopera-tive abdominal pressure.Conventional abdominal pressure operation was performed in the conventional group,while low pneumoperitoneum pressure abdominal wall suspension was performed in the low abdominal pressure group.The surgi-cal indicators,circulatory function indicators[heart rate(HR),mean arterial pressure(MAP),intraocular pressure(IOP)],respiratory function indicators[partial pressure of end-tidal carbon dioxide(PETCO2),peak airway pressure(Ppeak)],postop-erative indicators and incidence of complications were compared between the two groups.Result The intraoperative blood loss in the low abdominal pressure group was significantly less than that in the conventional group,and the differ-ence was statistically significant(P＜0.01).After 15 minutes of pneumoperitoneus establishment,HR,MAP,IOP,PETCO2 and Ppeak in two groups were higher than those before anesthesia,and the HR,MAP,IOP,PETCO2 and Ppeak in low abdomi-nal pressure group were lower than those in conventional group,and the differences were statistically significant(P＜0.05).After operation,the recovery time of bowel sound,first exhaust time,first defecation time,first getting out of bed time and postoperative hospitalization time of patients in low abdominal pressure group were significantly shorter than those in conventional group,and the differences were statistically significant(P＜0.05).The total incidence of postopera-tive complications in the low abdominal pressure group was 4.08％,which was lower than 16.33％in the conventional group,and the difference was statistically significant(P＜0.05).Conclusion Low abdominal pressure abdominal wall suspension has a high safety in patients undergoing laparoscopic radical gastrectomy,which can effectively reduce the ad-verse effects on patients'circulatory and respiratory function,promote postoperative recovery of patients,and reduce the incidence of postoperative complications.
万方数据
维普
