Effects of capnoperitoneum for laparoscopy on liver, renal and pulmonary functions: a prospective observational study

Authors

  • Gautham G. Department of General Surgery, Mahatma Gandhi Medical College and Research Institute (MGMC and RI), Puducherry, India
  • Chetan Anand Department of General Surgery, Mahatma Gandhi Medical College and Research Institute (MGMC and RI), Puducherry, India
  • Manoj Karthik S. Department of General Surgery, Mahatma Gandhi Medical College and Research Institute (MGMC and RI), Puducherry, India
  • Pajanivel R. Department of Pulmonary Medicine, Mahatma Gandhi Medical College and Research Institute (MGMC and RI), Puducherry, India

DOI:

https://doi.org/10.18203/2349-2902.isj20172018

Keywords:

Capnoperitoneum, Liver function, Laparoscopic surgery, Pulmonary function, Renal function

Abstract

Background: Laparoscopy is the mainstay of surgical intervention in today’s era. Carbondioxide is an ideal insufflation gas, for creating pneumoperitoneum for laparoscopic surgeries. Although capnoperitoneum has been established as safe gas, our study was carried out to assess any clinical or subclinical changes produced by capnoperitoneum in a semiurban setting thereby creating awareness among our suburban population and also to add to the existing research data.

Methods: We studied 60 patients who underwent laparoscopic surgeries in various surgical disciplines at our institution between October 2014 and August 2016 and fulfilling the inclusion criteria. The pre-operative and post-operative values of liver, renal and pulmonary functions were collected. These parameters were assessed using paired t test. Patient’s with preexisting diseases of these systems were excluded from the study.

Results: Of the 60 patients assessed, there was a change in the values of the pre and postoperative values of the liver, renal and the pulmonary function tests, but these changes were insignificant as assessed by the paired t test. The demographic data was representation of the population who took part in the study.

Conclusions: Laparoscopic surgeries using capnoperitoneum produce a transient change in the parameters of the liver, renal and pulmonary functions. However, these insignificant changes also were evidenced to fall back to normal range within short interval of time. Thus, it can be concluded that capnoperitoneum does not produce any clinical or sub-clinical changes, and is considered safe, in patients with normal organ functions.

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Published

2017-05-24

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Section

Original Research Articles