The Results of the Two Groups of Pneumoperitoneum Pressure Applied to Patients Undergoing Laparoscopic Radical Gastrectomy
Objective:To explore the effect of two groups of pneumoperitoneum pressure in patients undergoing laparoscopic radical gastrectomy. Methods:80 patients undergoing laparoscopic radical resection for gastric cancer were selected from June 2021 to June 2023. According to the random counting method,40 patients had pneumoperitoneum pressure of 12mmHg,and 40 patients used pneumoperitoneum pressure of 8mmHg for surgery-related indicators,intestinal function[plasma D-lactate (D-LA),diamine oxidase (DAO) concentration],liver and kidney function[N-acetyl-β-D-glucosidase (NAG),cystatin C (CysC),alanine aminotransferase (ALT),aspartate amino-transferase (AST),creatinine (Cr),urea nitrogen (BUN),urine volume]and complications. Results:Compared with the control group,the body temperature was significantly higher at the end of surgery,and the time of bowel sound onset,exhaust time,and hospitalization time were significantly shorter (P<0.05). Before surgery,there was no difference in D-LA and DAO concentrations between the two groups (P>0.05);24h after surgery,D-LA and DAO concentrations in the observation group were significantly lower compared with the control group (P<0.05). NAG,CysC,ALT,AST,Cr,and urine volume were not different between the two groups (P>0.05);At 24h after surgery,NAG,CysC,Cr,BUN were significantly lower,ALT,AST,and urine volume were significantly higher in the control group (P<0.05). Comparing the complication rate of the two groups,the results were not significantly different (P>0.05). Conclusion:The use of 8mmHg pneumoperitoneum pressure during laparoscopic radical gastrectomy can effectively reduce the temperature drop during surgery,shorten the hospital stay,reduce the damage to intestinal function and liver and kidney function,and have good safety.
laparoscopyradical GCpneumoperitoneum pressureintestinal functionliver and kidney function
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