Effects of different pneumoperitoneum pressures used in laparoscopic ovarian cystectomy on intraoperative respiratory and circulatory system and the risk of postoperative complications
Effects of different pneumoperitoneum pressures used in laparoscopic ovarian cystectomy on intraoperative respiratory and circulatory system and the risk of postoperative complications
Objective:To investigate the effects of different pneumoperitoneum pressures used in laparoscopic ovarian cystectomy on intraoperative respiratory and circulatory system and the risk of postoperative complications.Methods:Eighty patients who underwent laparoscopic ovarian cystectomy in the hospital from March 2019 to July 2023 were included in the study.They were randomly assigned to the high-pressure group(14-15mmHg)and the low-pressure group(10-11mmHg),with 40 patients in each group.Intraoperative respiratory and circulatory system and the incidence of postoperative complications were compared between the two groups.Results:At 25 min after pneumoperitoneum,there were increases in mean arterial pressure(MAP),heart rate(HR)and end-tidal carbon dioxide pressure(PETCO2)in both groups.Besides,above indicators in the high-pressure group were higher than those in the low-pressure group(P<0.05).After surgery,8(20.00%)cases of complications occurred in the high-pressure group,more than 2(5.00%)cases in the low-pressure group(P<0.05).Conclusion:Using low pneumoperitoneum pressure during laparoscopic ovarian cystectomy can reduce the impact on the patient's respiratory and circulatory system,and reduce the incidence of complications.
关键词
卵巢囊肿剥除术/腹腔镜/不同气腹压/呼吸循环系统/并发症
Key words
Ovarian cystectomy/Laparoscopy/Different pneumoperitoneum pressures/Respiratory and circulatory system/Complication
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