The Effect of Increased Intra-Abdominal Pressure on Hemodynamics in Laparoscopic Cholecystectomy—The Experience of a Single Centre
Abstract
:1. Introduction
2. Materials and Methods
2.1. Data Collection and Subjects
2.2. Procedures
2.3. Statistical Analysis
2.4. Results
3. Discussion
3.1. Limitations
3.2. Future Directions
4. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
Abbreviations
ASA | American Society of Anesthesiologists Physical Status |
BMI | Body Mass Index |
BP | Blood Pressure |
CO2 | Carbon Dioxide |
COPD | Chronic Obstructive Pulmonary Disease |
ETCO2 | End Tidal CO2 |
FiO2 | Oxygen Fraction |
GBC | Gallbladder Cancer |
HR | Heart Rate |
PCO2 | Partial Pressure of Carbon Dioxide |
PEEP | Positive End Expiratory Pressure |
SaO2 | Oxygen Saturation |
SPSS | Statistical Package for Social Sciences |
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Variables | Frequency (n) | Percent (%) |
---|---|---|
Gender | ||
Famale | 293 | 85.7 |
Male | 49 | 14.3 |
BMI, kg/m2 | ||
<18.5—underweight | 21 | 6.1 |
18.6–24.9—Normal | 156 | 45.6 |
25–29.9—overweight | 114 | 33.3 |
30–34.9—obesity grade 1 | 42 | 12.3 |
35–39.9—obesity grade 2 | 8 | 2.3 |
>40—obesity grade 3 | 1 | 0.3 |
Age | ||
<40 years old | 56 | 16.4 |
40–59 years old | 183 | 53.5 |
>60 years old | 103 | 30.1 |
Residence | ||
Urban | 228 | 66.7 |
Rural | 114 | 33.3 |
Smokers | 61 | 17.8 |
Nonsmokers | 281 | 82.2 |
ASA | ||
ASA I | 12 | 3.5 |
ASA II | 271 | 79.2 |
ASA III | 58 | 17 |
ASA IV | 1 | 0.3 |
Operator scheme | ||
Elective surgery | 251 | 73.4 |
Emergency | 91 | 26.6 |
Diagnosis of hypertension | 137 | 40 |
Intraoperative | Postoperative | Preoperative | ||||
---|---|---|---|---|---|---|
correlation | Pearson Coefficient | correlation | Pearson Coefficient | correlation | Pearson Coefficient | |
Blood pressure | direct correlation: intraoperative minimum blood pressure levels and sex (men having higher blood pressure) | (p 0.015 < 0.05) | direct correlation: postoperative maximum blood pressure levels and age | (p < 0.001 < 0.05) | direct correlation: maximum blood pressure value and BMI | (p < 0.001 < 0.05) |
direct correlation: intraoperative maximum blood pressure and body mass index (BMI) | (p 0.025 < 0.05) | direct correlation: postoperative maximum blood pressure levels and sex (male sex are associated with a higher maximum blood pressure value) | (p 0.009 < 0.05) | correlation between the preoperative maximum blood pressure value and smoking status | (p < 0.001 < 0.05) | |
inverse correlation: intraoperative maximum blood pressure and age | (p 0.001 < 0.05) | direct correlation: minimum and maximum blood pressure and age | (p 0.001 < 0.05) | |||
Heart rate | indirect correlation: maximum intraoperative heart rate and age | (p 0.015 < 0.05) | Correlation: minimum heart rate and smoking status (average value being higher in non-smokers) | (p 0.011 < 0.05) |
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Share and Cite
Stamate, E.; Piraianu, A.-I.; Duca, O.-M.; Ciobotaru, O.R.; Fulga, A.; Fulga, I.; Onisor, C.; Matei, M.N.; Luchian, A.-S.; Dumitrascu, A.G.; et al. The Effect of Increased Intra-Abdominal Pressure on Hemodynamics in Laparoscopic Cholecystectomy—The Experience of a Single Centre. J. Pers. Med. 2024, 14, 871. https://doi.org/10.3390/jpm14080871
Stamate E, Piraianu A-I, Duca O-M, Ciobotaru OR, Fulga A, Fulga I, Onisor C, Matei MN, Luchian A-S, Dumitrascu AG, et al. The Effect of Increased Intra-Abdominal Pressure on Hemodynamics in Laparoscopic Cholecystectomy—The Experience of a Single Centre. Journal of Personalized Medicine. 2024; 14(8):871. https://doi.org/10.3390/jpm14080871
Chicago/Turabian StyleStamate, Elena, Alin-Ionut Piraianu, Oana-Monica Duca, Oana Roxana Ciobotaru, Ana Fulga, Iuliu Fulga, Cristian Onisor, Madalina Nicoleta Matei, Alexandru-Stefan Luchian, Adrian George Dumitrascu, and et al. 2024. "The Effect of Increased Intra-Abdominal Pressure on Hemodynamics in Laparoscopic Cholecystectomy—The Experience of a Single Centre" Journal of Personalized Medicine 14, no. 8: 871. https://doi.org/10.3390/jpm14080871