복강경 담낭절제술 시 저압기복과 표준기복의 수술 후 통증 차이

• Published in: Annals of surgical treatment and research Vol. 70; no. 4; pp. 307 - 311
• Main Authors: 오정택(Jung Taek O), 박동은(Dong Eun Park), 채권묵(Kwon Mook Chae)
• Format: Journal Article
• Language: Korean
• Published: 대한외과학회 01.04.2006
• Subjects: 일반외과학; 기복; Low-pressure pneumoperitoneum; 복강경 담낭절제술; Laparoscopic cholecystectomy; Pneumoperitoneum; 저압 기복; 술후 통증
• ISSN: 2288-6575; 2288-6796

Purpose: There were many studies for adverse effects of carbon dioxide insufflation for laparoscopic cholecystectectomy, mainly focused on cardiovascular and respiratory system. The use of low pressure pneumoperitoneum has been shown to reduce adverse hemodynamic effects. However, its effect on tissue trauma & postoperative pain remains controversial. The aim of this study was to compare postoperative pain intensity between different insufflation pressures in laparoscopic cholecystecetomy. Methods: We randomly allocated fifty four patients to 7 mmHg (LC7), 9 mmHg (LC9) and 12 mmHg (LC12) pneumoperitoneum group and examined operation time, postoperative pain intensity using visual analogue scale, amount of administered analgesics and complications prospectively. Results: The characteristics of the patients were similar among groups. The procedure was successfully completed in all patients in the LC12 gruop, but in five patients of LC7 group and one patient of LC9 group the insufflation pressure was increased to 12 mmHg to complete the operation. There were no significant difference in postoperative pain scores, analgesic comsumptions among groups. There were difficulties to get a safe hemostasis and to create a adequate working space at acute cholecystitis in LC7 group. Conclusion: In our study, there was no superior advantage for postoperative pain when low pressure pneumoperitoneum was applied. (J Korean Surg Soc 2006;70:307-311) KCI Citation Count: 2