Abstract |
To determine whether the incidence of postoperative pulmonary complications increases in patients with high peak airway pressure (≥30 cm H2O) during laparoscopic colectomy, we investigated consecutive patients with colorectal cancer who had undergone laparoscopic colectomy. Of the 115 enrolled patients, 34 patients (30%) had peak airway pressure ≥30 cm H2O (an overload group). Compared with a nonoverload group (peak airway pressure <30 cm H2O), the overload group had a 5-fold greater incidence of postoperative respiratory complications and operations of longer duration, longer postanesthesia care unit stays, greater alveolar-arterial O2 differences, greater alveolar dead space-to-tidal volume ratios, and lower PaO2 measurements. Body mass index and preoperative alveolar-arterial O2 difference significantly affect higher peak airway pressure occurring during laparoscopic colectomy. Patients who had peak airway pressures ≥30 cm H2O during laparoscopic colectomy for colorectal cancer had higher incidence of postoperative respiratory complications than those whose peak airway pressures remained <30 cm H2O.
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Authors | Sang Bong Choi, Hye Kyeong Park, Joon Hwa Hong, Beom Gyu Kim, Hyun Kang |
Journal | Surgical laparoscopy, endoscopy & percutaneous techniques
(Surg Laparosc Endosc Percutan Tech)
Vol. 25
Issue 1
Pg. 83-88
(Feb 2015)
ISSN: 1534-4908 [Electronic] United States |
PMID | 24752158
(Publication Type: Clinical Study, Journal Article, Research Support, Non-U.S. Gov't)
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Topics |
- Aged
- Airway Resistance
(physiology)
- Body Mass Index
- Colectomy
(adverse effects)
- Colorectal Neoplasms
(complications, physiopathology, surgery)
- Female
- Humans
- Incidence
- Laparoscopy
(adverse effects)
- Male
- Middle Aged
- Pulmonary Gas Exchange
(physiology)
- Respiration Disorders
(diagnosis, epidemiology)
- Respiration, Artificial
(adverse effects)
- Risk Factors
- Tidal Volume
(physiology)
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