PDF(Pubmed)
Abstract：
UNASSIGNED: Laparoscopic cholecystectomy (LC) has become the gold standard for the management of symptomatic gallstone disease. The complications related to different pressure ranges of pneumoperitoneum have been studied widely with no definite conclusion till date. The current study was planned to determine the effect of standard versus low pressure laparoscopic cholecystectomy (LPLC) on postoperative abdominal and shoulder tip pain (STP).
UNASSIGNED: The present randomised clinical trial included 84 patients divided into two groups: standard pressure laparoscopic cholecystectomy (SPLC) (13 mmHg) and LPLC (9 mmHg). The variables tested were abdominal pain at 3, 6, 12 and 24 h (by verbal rating scale), the incidence and intensity of STP, post-operative nausea and vomiting (PONV) and surgeon\'s comfort for the two techniques.
UNASSIGNED: The demographic characteristics of patients were similar in both groups. In LPP group, the postoperative abdominal pain at 6, 12 and 24 h was significantly less than SPLC; p = 0.02. Incidence of shoulder pain was significantly less in low pressure group (7.14%) compared with standard pressure (28.57%).
UNASSIGNED: Low-pressure pneumoperitoneum (LPP) is safe and feasible surgery with reduced abdominal and STP.
UNASSIGNED: The present randomised clinical trial included 84 patients divided into two groups: standard pressure laparoscopic cholecystectomy (SPLC) (13 mmHg) and LPLC (9 mmHg). The variables tested were abdominal pain at 3, 6, 12 and 24 h (by verbal rating scale), the incidence and intensity of STP, post-operative nausea and vomiting (PONV) and surgeon\'s comfort for the two techniques.
UNASSIGNED: The demographic characteristics of patients were similar in both groups. In LPP group, the postoperative abdominal pain at 6, 12 and 24 h was significantly less than SPLC; p = 0.02. Incidence of shoulder pain was significantly less in low pressure group (7.14%) compared with standard pressure (28.57%).
UNASSIGNED: Low-pressure pneumoperitoneum (LPP) is safe and feasible surgery with reduced abdominal and STP.
摘要：
■腹腔镜胆囊切除术（LC）已成为治疗有症状的胆结石疾病的金标准。与气腹不同压力范围有关的并发症已被广泛研究，至今尚无确切结论。本研究旨在确定标准与低压腹腔镜胆囊切除术（LPLC）对术后腹部和肩尖疼痛（STP）的影响。
■本随机临床试验包括84例患者，分为两组：标准压力腹腔镜胆囊切除术（SPLC）（13mmHg）和LPLC（9mmHg）。测试的变量是3、6、12和24小时的腹痛(通过口头评定量表)，STP的发生率和强度，术后恶心和呕吐（PONV）和外科医生对这两种技术的舒适度。
■两组患者的人口统计学特征相似。在LPP组中,术后6、12和24h的腹痛明显少于SPLC;p=0.02。与标准压力（28.57％）相比，低压组的肩痛发生率（7.14％）明显较低。
■低压气腹（LPP）是安全可行的手术，可减少腹部和STP。
■本随机临床试验包括84例患者，分为两组：标准压力腹腔镜胆囊切除术（SPLC）（13mmHg）和LPLC（9mmHg）。测试的变量是3、6、12和24小时的腹痛(通过口头评定量表)，STP的发生率和强度，术后恶心和呕吐（PONV）和外科医生对这两种技术的舒适度。
■两组患者的人口统计学特征相似。在LPP组中,术后6、12和24h的腹痛明显少于SPLC;p=0.02。与标准压力（28.57％）相比，低压组的肩痛发生率（7.14％）明显较低。
■低压气腹（LPP）是安全可行的手术，可减少腹部和STP。
