Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2005 Sep;19(9):1163-71.
doi: 10.1007/s00464-004-2250-z. Epub 2005 Jul 28.

Laparoscopic surgery: pitfalls due to anesthesia, positioning, and pneumoperitoneum

C P Henny  1 , J Hofland
Affiliations
Review

Laparoscopic surgery: pitfalls due to anesthesia, positioning, and pneumoperitoneum

C P Henny et al. Surg Endosc. 2005 Sep.

Abstract

Background: Laparoscopic procedures are increasing in number and extensiveness. Many patients undergoing laparoscopic surgery have coexisting disease. Especially in patients with cardiopulmonary comorbidity, pneumoperitoneum and positioning can be deleterious. This article reviews possible pitfalls related to the combination of anesthesia, positioning of the patient, and the influence of pneumoperitoneum in the course of laparoscopic interventions.

Methods: A literature search using Medline's MESH terms was used to identify recent key articles. Cross-references from these articles were used as well.

Results: Patient positioning and pneumoperitoneum can induce hemodynamic, pulmonary, renal, splanchnic, and endocrine pathophysiological changes, which will affect the entire perioperative period of patients undergoing laparoscopic procedures.

Conclusion: Perioperative management for the estimation and reduction of risk of morbidity and mortality due to surgery and anesthesia in laparoscopic procedures must be based on knowledge of the pathophysiological disturbances induced by the combination of general anesthesia, pneumoperitoneum, and positioning of the patient.

PubMed Disclaimer

References

    1. Br J Surg. 1996 Nov;83(11):1532-6 - PubMed
    1. N Engl J Med. 2004 May 13;350(20):2050-9 - PubMed
    1. Br J Anaesth. 2001 Jun;86(6):882-6 - PubMed
    1. Anesth Analg. 1999 Mar;88(3):500-4 - PubMed
    1. Ann Surg. 2002 Nov;236(5):643-8 - PubMed