Anaesthesia for minimally invasive surgery

被引:9
作者
Dec, Marta [1 ]
Andruszkiewicz, Pawel [1 ]
机构
[1] Med Univ Warsaw, Cent Teaching Hosp, Dept Anaesthesiol & Intens Care 2, PL-00097 Warsaw, Poland
关键词
minimally invasive surgery; general anaesthesia; perioperative management; LAPAROSCOPIC CHOLECYSTECTOMY; PULMONARY-FUNCTION; PAIN MANAGEMENT; INSUFFLATION; ANALGESIA; TRIAL;
D O I
10.5114/wiitm.2015.56411
中图分类号
R61 [外科手术学];
学科分类号
摘要
Minimally invasive surgery (MIS) is rising in popularity. It offers well-known benefits to the patient. However, restricted access to the surgical site and gas insufflation into the body cavities may result in severe complications. From the anaesthetic point of view MIS poses unique challenges associated with creation of pneumoperitoneum, carbon dioxide absorption, specific positioning and monitoring a patient to whom the anaesthetist has often restricted access, in a poorly lit environment. Moreover, with refinement of surgical procedures and growing experience the anaesthetist is presented with patients from high-risk groups (obese, elderly, with advanced cardiac and respiratory disease) who once were deemed unsuitable for the laparoscopic technique. Anaesthetic management is aimed at getting the patient safely through the procedure, minimizing the specific risks arising from laparoscopy and the patient's coexisting medical problems, ensuring quick recovery and a relatively pain-free postoperative course with early return to normal function.
引用
收藏
页码:509 / 514
页数:6
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