Avaliação da função pulmonar após colecistectomias laparoscópicas e convencionais
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Data
2007-10
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Resumo
Background: To evaluate pulmonary function after laparoscopic and subcostal cholecystectomies . Methods: This was a
randomized study, in which postoperative spirometries in two groups of fifteen patients each were evaluated. Group GL
underwent laparoscopic chlecystectomies. Group GA underwent open subcostal cholecystectomies by means of mini-laparatomy,
in abbreviated anesthetic-surgical time. The two groups ́ variables were compared using ANOVA. Within the same group,
before and after the operations, the paired Student-t test was used. A value of p < 0.05 was considered statistically significant.
Results: All patients from both groups presented restrictive postoperative ventilatory disturbances, with a faster spirometric
normalization for those patients operated through laparoscopy. Groups GL vs. GA, in immediate post-operative: Forced Vital
Capacity (p < 0.001) and Forced Expiratory Volume in one second (p < 0.001). Conclusion: Postoperative harm to pulmonary
function was significantly less in laparoscopic than in open cholecystectomies, even with mini-laparotomies and abbreviated
anesthetic-surgical time.
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Testes de função respiratória, Colecistectomia laparoscópica, Colecistectomia, Respiratory function tests, Cholecystectomy, Laparoscopic cholecystectomy
Citação
RAMOS, Gilson Cassem et al. Avaliação da função pulmonar após colecistectomias laparoscópicas e convencionais. Revista do Colégio Brasileiro de Cirurgiões, Rio de Janeiro, v. 34, n. 5, p. 326-330, 2007.