Naslov
First experiences in laparoscopic appendectomy in children

Autori
Povšić-Čevra, Zdenko ; Stare, Ranko ; Kocman, Ivica

Vrsta, podvrsta i kategorija rada
Sažeci sa skupova, sažetak, stručni

Izvornik
Knjiga izvlečkov 4. kongresa endoskopske kirurgije Slovenije s mednarodno udeležbo / - Portorož, 1997, 87-87

Skup
4. kongres endoskopske kirurgije Slovenije s mednarodno udeležbo

Mjesto i datum
Portorož, Slovenija, 13.04.1997. - 15.04.1997

Vrsta sudjelovanja
Predavanje

Vrsta recenzije
Nije recenziran

Ključne riječi
laparoscopic appendectomy, children

Sažetak
Objective: In last two years in General Hospital Varaždin was performed more than 150 laparoscopic appendectomies. Among them was 18 patients under age of 16. The physiological effect of CO2 pneumoperithoneum in abdominal cavity is well known in the alduts. Aim of this study was to evaluate physiological effect of CO2 pneumoperithoneum in infants and to compare changes to classical - open appendectomy and also consider problems and risks of such procedure. Authors present first results of their analyze. Methods: Study was designed as prospective one. Patients we divided in two groups according their age (5-10, and 10-16). All patients received endotracheal anesthesia, and tracrium for muscular relaxation, all respiratory parameters were adjust to their body weight. During operation intraabdominal pressure never exceeded 10mmHg. We measured heart rate, blood pressure, etCO2, SaO2, pressure in Airways (plateu, peak), complience, duration of operation. Data were statistically analyzed with Student-t test. Results: The airway pressures and etCO2 showed significant increase during laparoscopy in all cases, but different for different age group. Hemodinamics including blood pressure, heart rate, oxygen saturation were not significantly changed. None of this changes influenced hemodinamic stability of children. Conclusion: First results of our study show that laparoscopic appendectomy can be save procedure for children, but only with appropriate monitoring and immediate adjustments of ventilator parameters during operation.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

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