Abstract
Understanding the physiology of pneumoperitoneum is essential for performing laparoscopy in a safe manner. This section first describes the characteristics of the ideal insufflating agent, and the advantages and disadvantages of various gases that have been used for this purpose. The second part of this section describes the physiologic changes observed with carbon dioxide pneumoperitoneum, the most common agent used in the United States.
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Andrus CH, Wittgen CM, Naunheim KS. Anesthetic and physiologic changes during laparoscopy and thoracostomy: the surgeon’s view. Semin Laparosc Surg 1994;1:228–240.
Bongard FS, Pianim NA, Leighton TA, Dubecz S, Davis IP, Lippman M. Helium insufflation for laparoscopic operation. Surg Gynecol Obstet 1993;177:140–146.
Drummond GB, Scott DB. Laparoscopy explosion hazards with nitrous oxide. Br J Med 1976; 1:586.
Eisenhauer DM, Saunders CJ, Ho HS, Wolfe BM. Hemodynamic effects of argon pneumoperitoneum. Surg Endosc 1994;8:315–321.
El Minawi MF, Wahbi O, Bagouri IS, Sharawi M, El-Mallah SY. Physiologic changes during CO2 and N2O pneumperitoneum in diagnostic laparoscopy: a comparative study. J Reprod Med 1981;26:338–346.
Hunter JG, Swanstrom L, Thornburg K. Carbon dioxide pneumoperitoneum induces fetal acidosis in a pregnant ewe model. Surg Endosc 1995;9:272–279.
Leighton T, Pianim N, Liu SY, Kono M, Klein S, Bongard F. Effectors of hypercarbia during experimental pneumoperitoneum. Am Surg 1992;58:717–721.
Leighton T, Se-Yuan Liu, Bongard FS. Comparative cardiopulmonary effects of carbon dioxide versus helium pneumoperitoneum. Surgery 1993; 113:527–531.
McMahon AJ, Baxter JN, Murray W, Imrie CW, Kenny G, O’Dwyer PJ. Helium pneumoperitoneum for laparoscopic cholecystectomy: ventilatory and blood gas changes. Br J Surg 1993;81:1033–1036.
Minoli G, Terrazzi V, Spinzi GC, Benvenuti C, Rossini A. The influence of carbon dioxide and nitrous oxide on pain during laparoscopy: a double-blind, controlled trial. Gastrointest Endosc 1982;3:173–175.
Neuberger TJ, Andrus CH, Wittgen CM, Wade TP, Kaminski DL. Prospective comparison of helium versus carbon dioxide pneumoperitoneum. Gastrointest Endosc 1996;43:38–41.
Sharp JR, Pierson WP, Brady CE. Comparison of CO2- and N2O-induced discomfort during peritoneoscopy under local anesthesia. Gastroenterology 1982;82:453–456.
Sogge MR, Goldner FH, Butler ML. Pain response comparison between carbon dioxide and nitrous oxide in peritoneoscopy (abstr). Gastrointest Endose 1980;26:78.
Wittgen CM, Andrus CH, Fitzgerald SD, Baudendistel LJ, Dahms TE, Kaminski DL. Analysis of the hemodynamic and ventilatory effects of laparoscopic cholecystectomy. Arch Surg 1991;126:997–1001.
Wolf JS, Stoller ML. The physiology of laparoscopy: basic principles, complications and other considerations. J Urol 1994;152:294–302.
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© 1999 Society of American Gastrointestinal Endoscopic Surgeons
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Corwin, C.L. (1999). Pneumoperitoneum. In: Scott-Conner, C.E.H. (eds) The SAGES Manual. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-88454-2_5
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DOI: https://doi.org/10.1007/978-3-642-88454-2_5
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-540-66330-0
Online ISBN: 978-3-642-88454-2
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