Pulmonary function after laparoscopic cholecystectomy

P. R. Schauer, J. Luna, A. A. Ghiatas, M. E. Glen, J. M. Warren, K. R. Sirinek, J. Van de Water, Bruce Wolfe, G. M. Larson, R. E. Condon, W. S. Helton, K. A. Zucker, P. J. Fabri

Research output: Contribution to journalArticle

121 Citations (Scopus)

Abstract

Background. The purpose of this study was to prospectively compare the effect of laparoscopic cholecystectomy (LC) versus open cholecystectomy (OC) on postoperative pulmonary function. Methods. Forty consecutive patients (20 in each group) who were evenly matched in terms of pulmonary risk factors were assigned to either elective LC or OC. Pulmonary function studies, oxygen saturation, and chest radiography were performed on both groups before and after the operation until baseline levels were reached. Narcotic requirements and pulmonary complications were compared. The t test, ANOVA, and chi- squared analysis were used. Results. Compared to the patients who underwent OC, patients who underwent LC had a significant reduction in postoperative pulmonary impairment (30% to 38%) in all areas studied including forced vital capacity; forced expiratory volume in 1 second; forced expiratory flow, mid- expiratory phase; maximum forced expiratory flow; maximum voluntary ventilation; total lung capacity; and oxygen saturation. Pulmonary function returned to baseline levels 4 to 10 days sooner after LC. Pulmonary complications including atelectasis and hypoxia were less frequent after LC. An eight-fold decrease was noted in postoperative pain medication requirement in the LC group. Conclusions. Compared to OC, laparoscopic cholecystectomy results in a significantly reduced compromise in pulmonary function and narcotic requirement leading to fewer postoperative pulmonary complications. Laparoscopic cholecystectomy should be considered the procedure of choice for elective cholecystectomy.

Original languageEnglish (US)
Pages (from-to)389-399
Number of pages11
JournalSurgery
Volume114
Issue number2
StatePublished - 1993
Externally publishedYes

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Laparoscopic Cholecystectomy
Lung
Cholecystectomy
Narcotics
Oxygen
Total Lung Capacity
Pulmonary Atelectasis
Vital Capacity
Forced Expiratory Volume
Postoperative Pain
Radiography
Ventilation
Analysis of Variance
Thorax

ASJC Scopus subject areas

  • Surgery

Cite this

Schauer, P. R., Luna, J., Ghiatas, A. A., Glen, M. E., Warren, J. M., Sirinek, K. R., ... Fabri, P. J. (1993). Pulmonary function after laparoscopic cholecystectomy. Surgery, 114(2), 389-399.

Pulmonary function after laparoscopic cholecystectomy. / Schauer, P. R.; Luna, J.; Ghiatas, A. A.; Glen, M. E.; Warren, J. M.; Sirinek, K. R.; Van de Water, J.; Wolfe, Bruce; Larson, G. M.; Condon, R. E.; Helton, W. S.; Zucker, K. A.; Fabri, P. J.

In: Surgery, Vol. 114, No. 2, 1993, p. 389-399.

Research output: Contribution to journalArticle

Schauer, PR, Luna, J, Ghiatas, AA, Glen, ME, Warren, JM, Sirinek, KR, Van de Water, J, Wolfe, B, Larson, GM, Condon, RE, Helton, WS, Zucker, KA & Fabri, PJ 1993, 'Pulmonary function after laparoscopic cholecystectomy', Surgery, vol. 114, no. 2, pp. 389-399.
Schauer PR, Luna J, Ghiatas AA, Glen ME, Warren JM, Sirinek KR et al. Pulmonary function after laparoscopic cholecystectomy. Surgery. 1993;114(2):389-399.
Schauer, P. R. ; Luna, J. ; Ghiatas, A. A. ; Glen, M. E. ; Warren, J. M. ; Sirinek, K. R. ; Van de Water, J. ; Wolfe, Bruce ; Larson, G. M. ; Condon, R. E. ; Helton, W. S. ; Zucker, K. A. ; Fabri, P. J. / Pulmonary function after laparoscopic cholecystectomy. In: Surgery. 1993 ; Vol. 114, No. 2. pp. 389-399.
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abstract = "Background. The purpose of this study was to prospectively compare the effect of laparoscopic cholecystectomy (LC) versus open cholecystectomy (OC) on postoperative pulmonary function. Methods. Forty consecutive patients (20 in each group) who were evenly matched in terms of pulmonary risk factors were assigned to either elective LC or OC. Pulmonary function studies, oxygen saturation, and chest radiography were performed on both groups before and after the operation until baseline levels were reached. Narcotic requirements and pulmonary complications were compared. The t test, ANOVA, and chi- squared analysis were used. Results. Compared to the patients who underwent OC, patients who underwent LC had a significant reduction in postoperative pulmonary impairment (30{\%} to 38{\%}) in all areas studied including forced vital capacity; forced expiratory volume in 1 second; forced expiratory flow, mid- expiratory phase; maximum forced expiratory flow; maximum voluntary ventilation; total lung capacity; and oxygen saturation. Pulmonary function returned to baseline levels 4 to 10 days sooner after LC. Pulmonary complications including atelectasis and hypoxia were less frequent after LC. An eight-fold decrease was noted in postoperative pain medication requirement in the LC group. Conclusions. Compared to OC, laparoscopic cholecystectomy results in a significantly reduced compromise in pulmonary function and narcotic requirement leading to fewer postoperative pulmonary complications. Laparoscopic cholecystectomy should be considered the procedure of choice for elective cholecystectomy.",
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N2 - Background. The purpose of this study was to prospectively compare the effect of laparoscopic cholecystectomy (LC) versus open cholecystectomy (OC) on postoperative pulmonary function. Methods. Forty consecutive patients (20 in each group) who were evenly matched in terms of pulmonary risk factors were assigned to either elective LC or OC. Pulmonary function studies, oxygen saturation, and chest radiography were performed on both groups before and after the operation until baseline levels were reached. Narcotic requirements and pulmonary complications were compared. The t test, ANOVA, and chi- squared analysis were used. Results. Compared to the patients who underwent OC, patients who underwent LC had a significant reduction in postoperative pulmonary impairment (30% to 38%) in all areas studied including forced vital capacity; forced expiratory volume in 1 second; forced expiratory flow, mid- expiratory phase; maximum forced expiratory flow; maximum voluntary ventilation; total lung capacity; and oxygen saturation. Pulmonary function returned to baseline levels 4 to 10 days sooner after LC. Pulmonary complications including atelectasis and hypoxia were less frequent after LC. An eight-fold decrease was noted in postoperative pain medication requirement in the LC group. Conclusions. Compared to OC, laparoscopic cholecystectomy results in a significantly reduced compromise in pulmonary function and narcotic requirement leading to fewer postoperative pulmonary complications. Laparoscopic cholecystectomy should be considered the procedure of choice for elective cholecystectomy.

AB - Background. The purpose of this study was to prospectively compare the effect of laparoscopic cholecystectomy (LC) versus open cholecystectomy (OC) on postoperative pulmonary function. Methods. Forty consecutive patients (20 in each group) who were evenly matched in terms of pulmonary risk factors were assigned to either elective LC or OC. Pulmonary function studies, oxygen saturation, and chest radiography were performed on both groups before and after the operation until baseline levels were reached. Narcotic requirements and pulmonary complications were compared. The t test, ANOVA, and chi- squared analysis were used. Results. Compared to the patients who underwent OC, patients who underwent LC had a significant reduction in postoperative pulmonary impairment (30% to 38%) in all areas studied including forced vital capacity; forced expiratory volume in 1 second; forced expiratory flow, mid- expiratory phase; maximum forced expiratory flow; maximum voluntary ventilation; total lung capacity; and oxygen saturation. Pulmonary function returned to baseline levels 4 to 10 days sooner after LC. Pulmonary complications including atelectasis and hypoxia were less frequent after LC. An eight-fold decrease was noted in postoperative pain medication requirement in the LC group. Conclusions. Compared to OC, laparoscopic cholecystectomy results in a significantly reduced compromise in pulmonary function and narcotic requirement leading to fewer postoperative pulmonary complications. Laparoscopic cholecystectomy should be considered the procedure of choice for elective cholecystectomy.

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