[Laparoscopic colectomy: a 120 cases retrospective review]

Rev Col Bras Cir. 2009 Apr;36(2):144-7. doi: 10.1590/s0100-69912009000200010.
[Article in Portuguese]

Abstract

Objective: To evaluate pulmonary function after open subcostal cholecystectomy under action of morphine in the immediate postoperative period.

Methods: This was a prospective study in which the postoperative spirometric studies of fifteen patients who underwent open subcostal cholecystectomies received peridural morphine anesthesia. Preoperative and postoperative data were compared using a paired student-t test. Values of p < 0.05 were considered statistically significant.

Results: Significant differences were shown for the Forced Vital Capacity variable (p = 0.007) and Forced Expiratory Volume in the first second (p = 0.008) comparing the preoperative and immediate postoperative period, indicating restrictive ventilatory disturbances. All patients presented normal spirometric studies in the third postoperative day.

Conclusion: Even under action of morphine peridural analgesia, in the immediate postoperative period, light restrictive post-cholecystectomy ventilatory disturbances were observed. However, it was observed a fast recovery after morphine peridural analgesia for pulmonary function, which may lower postoperative pulmonary morbidity.

Publication types

  • Comparative Study
  • English Abstract
  • Review

MeSH terms

  • Colectomy / methods*
  • Colonic Diseases / surgery*
  • Humans
  • Laparoscopy*
  • Retrospective Studies