Application of Pneumoperitoneum Pressure of 15 mmHg and Flow Rate of 20 L/min in Retroperitoneal Laparoscopic Renal Surgery
Objective To investigate the effect of pneumoperitoneum pressure of 15 mmHg and flow rate of 20 L/min on surgical efficacy and patient safety in retroperitoneal laparoscopic renal surgery in urological surgery,in order to provide optimal setting of surgical parameters.Methods A retrospective analysis was performed on 26 patients who underwent laparoscopic surgery for ventral renal tumors in the Affiliated Suzhou Hospital of Nanjing University Medical School from June 2022 to June 2023.Pneumoperitoneum pressure of 15 mmHg and flow rate of 20 L/min were used.The operative time,intraoperative visual field clarity,intraoperative blood loss,postoperative complication rate,postoperative hospital stay and postoperative pain score were evaluated.Results All 26 patients successfully completed surgery,without abdominal openness,and there were no significant postoperative complications after surgery.The operative time was(117.31±7.58)min,and the intraoperative visual field clarity score was(4.65±0.49)points,the intraoperative blood loss was(49.81±9.33)mL,the postoperative hospital stay was(7.27±0.45)days.The pain score was(4.69±0.74)points on the first day after surgery,(2.31±0.47)points on the third day after surgery,and(0.77±0.43)points on the seventh day after surgery,and the difference was statistically significant at different times after surgery(P<0.001).Conclusion Pneumoperitoneum pressure of 15 mmHg and flow rate of 20 L/min have significant clinical advantages in retroperitoneal laparoscopic renal surgery in urology.This parameter setting can provide a clearer surgical field of view,thereby improving surgical efficiency,effectively reducing the probability of intraoperative complications,and promoting the's rapid recovery after surgery.
万方数据
维普
