Journal of Minimal Access Surgery最新文献_第2页

Post-bariatric surgery nutritional supplementation: An evaluation of compliance and nutrient adequacy in the Indian patients. 减肥手术后营养补充：对印度患者依从性和营养充足性的评估。

IF 1.2 4区医学

Journal of Minimal Access Surgery Pub Date : 2026-10-01 Epub Date: 2025-12-05 DOI: 10.4103/jmas.jmas_80_25

Anoop Singh, Deeksha Kapoor, Ravindra Vats, Deep Goel

{"title":"Post-bariatric surgery nutritional supplementation: An evaluation of compliance and nutrient adequacy in the Indian patients.","authors":"Anoop Singh, Deeksha Kapoor, Ravindra Vats, Deep Goel","doi":"10.4103/jmas.jmas_80_25","DOIUrl":"10.4103/jmas.jmas_80_25","url":null,"abstract":"Introduction: Bariatric surgery (BS) is the most effective treatment for morbid obesity. Despite a high number of BS performed in India, there is limited research on post-operative nutritional follow-up. The study aimed to assess patient compliance and adequacy of nutritional supplementation protocols in the post-operative period.Patients and methods: This prospective, single-centre observational study (August 2022-July 2023) assessed post-operative nutritional status in the Indian patients undergoing BS. Baseline and follow-up nutritional assessments (serum albumin, ferritin, B12, calcium and D3) were performed, and patients were given a supplementation regimen based on the American Society for Metabolic and BS guidelines. Compliance with prescribed supplementation was monitored. Patients were considered compliant if they took ≥80% of the prescribed doses.Results: The study involved 32 patients, with 65.6% (21) undergoing sleeve gastrectomy and 34.4% (11) undergoing Roux-en-Y gastric bypass. Over 6 months, the mean body mass index decreased from 47 to 36.1 kg/m 2 . Compliance rates for supplementation varied, with high rates for iron (96.9%) but lower rates for protein (28.1%) and Vitamin B12 (43.7%). However, compliance with supplements did not statistically affect deficiencies for most nutrients, except for Vitamin B12. After 6 months post-surgery, Vitamin B12 deficiency was significantly higher in non-compliant patients than in compliant ones (50% vs. 0%, P = 0.001).Conclusion: This study suggests that the prescribed supplements are adequate in maintaining nutrient levels post-surgery. Compliance is particularly important in preventing Vitamin B12 deficiency, as non-compliant patients tend to show persistent deficiency. The level of other nutrients improved regardless of compliance.","PeriodicalId":48905,"journal":{"name":"Journal of Minimal Access Surgery","volume":" ","pages":"404-411"},"PeriodicalIF":1.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145688425","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Stapler-assisted endoscopic mini- or less-open sublay technique: How do I do it? 订书机辅助内镜微创或不太开放的内镜下技术：我该怎么做？

IF 1.2 4区医学

Journal of Minimal Access Surgery Pub Date : 2026-10-01 Epub Date: 2025-07-22 DOI: 10.4103/jmas.jmas_137_25

Alaa Zahalka, Fahim Kanani, Wasim Shaqqur, Asad Asem, Ronit Bar-Haim, Arkadiy Iskhakov, Katia Dayan

{"title":"Stapler-assisted endoscopic mini- or less-open sublay technique: How do I do it?","authors":"Alaa Zahalka, Fahim Kanani, Wasim Shaqqur, Asad Asem, Ronit Bar-Haim, Arkadiy Iskhakov, Katia Dayan","doi":"10.4103/jmas.jmas_137_25","DOIUrl":"10.4103/jmas.jmas_137_25","url":null,"abstract":"Background: This study evaluates the clinical efficacy of the endoscopic mini- or less-open sublay (EMILOS) technique with stapler-assisted fascial closure for ventral hernia repair.Materials and methods: Twelve patients underwent EMILOS with stapler-assisted fascial closure between July 2022 and August 2024 with a mean follow-up of 12.4 months.Results: The cohort (7 females and 5 males; mean age: 58.9 ± 16.3 years and body mass index: 27.8 ± 3.5 kg/m²) underwent repair for various ventral hernias (mean defect: 4.9 cm × 5.2 cm). The mean operative time was 95 min. Complications included seroma (17%), surgical site infection (8%) and small bowel obstruction requiring reoperation (8%). The hernia recurrence rate was 8%. Patients reporting excellent quality of life increased from 17% preoperatively to 50% postoperatively.Conclusions: EMILOS with stapler-assisted closure offers a safe, efficient approach with favourable short-term outcomes, particularly for obese patients and medium-sized hernias. The technique combines enhanced visualisation with efficient fascial closure, yielding an 8% recurrence rate that compares favourably with alternatives. Larger studies with extended follow-up are needed to establish long-term efficacy.","PeriodicalId":48905,"journal":{"name":"Journal of Minimal Access Surgery","volume":" ","pages":"441-447"},"PeriodicalIF":1.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144692173","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Effect of 4-point transversus abdominal plane block on diaphragm thickness in patients undergoing laparoscopic cholecystectomy. 4点腹横面阻滞对腹腔镜胆囊切除术患者膈膜厚度的影响。

IF 1.2 4区医学

Journal of Minimal Access Surgery Pub Date : 2026-10-01 Epub Date: 2025-10-08 DOI: 10.4103/jmas.jmas_151_25

Nuran Akinci Ekinci, Mehmet Akif Yazar, Yasin Tire, Esma Karaarslan, Betül Kozanhan, Yusuf Mutluay

{"title":"Effect of 4-point transversus abdominal plane block on diaphragm thickness in patients undergoing laparoscopic cholecystectomy.","authors":"Nuran Akinci Ekinci, Mehmet Akif Yazar, Yasin Tire, Esma Karaarslan, Betül Kozanhan, Yusuf Mutluay","doi":"10.4103/jmas.jmas_151_25","DOIUrl":"10.4103/jmas.jmas_151_25","url":null,"abstract":"Introduction: This study investigates the effect of a 4-point transversus abdominis plane (TAP) block on diaphragm thickness (DT) and post-operative recovery following laparoscopic cholecystectomy (LC). This study aims to evaluate whether the 4-point TAP block preserves DT closer to baseline values and enhances post-operative pain control and recovery quality.Patients and methods: This prospective randomised controlled trial was conducted at a tertiary care hospital. A total of 86 American Society of Anesthesiologists I-II patients aged 18-65 years undergoing elective LC were randomly assigned into two groups. Group B received a 4-point TAP block postoperatively, whereas Group C received no interventional analgesia. In Group B, 10 mL of 0.25% bupivacaine was administered bilaterally under ultrasound guidance to the upper abdominal (Th6-Th9) and typical TAP (T10-T12) regions. DT, the primary outcome, was measured by ultrasonography preoperatively and at 5 and 30 min post-extubation. Secondary outcomes included Visual Analogue Scale pain scores and Quality of Recovery-15 (QoR-15) scores. Statistical analysis was performed using SPSS v22.0. The Shapiro-Wilk test, Chi-square, independent samples t -test, Mann-Whitney U -test and repeated-measures ANOVA were used. P < 0.05 was considered statistically significant. Based on power analysis, 86 patients were sufficient.Results: Group B demonstrated significantly better preservation of inspiratory DT, lower post-operative pain scores and higher QoR-15 scores compared to Group C ( P < 0.05).Conclusions: The 4-point TAP block improves DT preservation and enhances post-operative pain control and recovery following LC. Further large-scale studies are warranted to support these findings.","PeriodicalId":48905,"journal":{"name":"Journal of Minimal Access Surgery","volume":" ","pages":"397-403"},"PeriodicalIF":1.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145253308","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

How to train knot-tying in the thoracic cavity for residents: A cost-effective simulator. 如何训练住院医师在胸腔打结：一个具有成本效益的模拟器。

IF 1.2 4区医学

Journal of Minimal Access Surgery Pub Date : 2026-10-01 Epub Date: 2026-02-26 DOI: 10.4103/jmas.jmas_367_25

Jaejun Jeong, Min Kyun Kang

引用次数: 0

Laparoscopic mesohepatectomy with situs inversus totalis: A case report. 腹腔镜肝系膜全反位切除术1例。

IF 1.2 4区医学

Journal of Minimal Access Surgery Pub Date : 2026-10-01 Epub Date: 2026-04-07 DOI: 10.4103/jmas.jmas_172_24

Tao Jiang, Xujian Huang, Zixiang Tang, Miaogang Xiong, Zheng Li, Jingdong Li, Yongfu Xiong

{"title":"Laparoscopic mesohepatectomy with situs inversus totalis: A case report.","authors":"Tao Jiang, Xujian Huang, Zixiang Tang, Miaogang Xiong, Zheng Li, Jingdong Li, Yongfu Xiong","doi":"10.4103/jmas.jmas_172_24","DOIUrl":"10.4103/jmas.jmas_172_24","url":null,"abstract":"Abstract: Situs inversus totalis (SIT) is a rare congenital anomaly characterised by a mirror-image transposition of intra-abdominal and intrathoracic organs. SIT renders surgical procedures more complicated, but few studies have described laparoscopic surgery for hepatocellular carcinoma (HCC) in such patients, especially the resection of centralised HCC involving intrahepatic vessels. In this report, we present the case of a 55-year-old male who experienced recurring pain in the right upper abdomen. Radiological investigations unveiled intriguing inversions of thoracoabdominal organs and the presence of a centrally located liver tumour, measuring 5 cm × 7 cm × 6 cm. The patient underwent laparoscopic mesohepatectomy (LMH) treatment, leading to the successful resection of the tumour. Subsequent follow-ups showed no signs of recurrence. Our article delves into a comprehensive analysis of the surgical approach employed, alongside an exploration of the anatomical abnormalities associated with SIT. Furthermore, we review similar literature to summarise the challenges and risks of LMH and share experiences and methods aimed at reducing the difficulty of the procedure. LMH can be considered as a feasible and effective surgical alternative to centralised HCC in patients with SIT if appropriate imaging techniques and careful perioperative strategies are employed.","PeriodicalId":48905,"journal":{"name":"Journal of Minimal Access Surgery","volume":" ","pages":"424-432"},"PeriodicalIF":1.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147634721","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Minimally invasive liver surgery for malignancy: A systematic review and meta-analysis comparing robotic and laparoscopic approaches. 微创肝脏手术治疗恶性肿瘤：比较机器人和腹腔镜方法的系统回顾和荟萃分析。

IF 1.2 4区医学

Journal of Minimal Access Surgery Pub Date : 2026-10-01 Epub Date: 2026-08-10 DOI: 10.4103/jmas.jmas_109_26

Rohith Kodali, Anjani Mahesh Kumar Cherukuri, Rajendran Theakarajan, Bharath Velineni, Reena Reddy Alumula, Partha Sri Mallipeddi, Greeshma Naga Koduru, Divya Sri Narla, Pavani Garikapati, Aishwaraya Kanagaraj

{"title":"Minimally invasive liver surgery for malignancy: A systematic review and meta-analysis comparing robotic and laparoscopic approaches.","authors":"Rohith Kodali, Anjani Mahesh Kumar Cherukuri, Rajendran Theakarajan, Bharath Velineni, Reena Reddy Alumula, Partha Sri Mallipeddi, Greeshma Naga Koduru, Divya Sri Narla, Pavani Garikapati, Aishwaraya Kanagaraj","doi":"10.4103/jmas.jmas_109_26","DOIUrl":"10.4103/jmas.jmas_109_26","url":null,"abstract":"Background: Minimally invasive liver resection is increasingly used for hepatic malignancies, with laparoscopic liver resection (LLR) achieving outcomes similar to open surgery. Limitations of laparoscopy in complex resections have led to the growing adoption of robotic liver resection (RLR). This meta-analysis compares peri-operative outcomes between laparoscopic and robotic approaches in hepatic resections.Patients and methods: This Preferred Reporting Items for Systematic Reviews and Meta-Analyses-compliant meta-analysis was conducted with a comprehensive search in February 2025 across PubMed, Cochrane, Scopus, CINAHL and Google Scholar for studies comparing RLR and LLR in adults undergoing hepatic resection. Primary outcomes included R0 resection rate, major complications (Clavien-Dindo ≥III), and conversion to open surgery. Secondary outcomes included operative time, blood loss and length of stay.Results: Twenty-nine studies comprising 7678 patients (LLR: 5025 and RLR: 2653) were included. R0 resection and post-operative complications were comparable between approaches LLR was associated with a higher risk of conversion to open surgery (risk ratio: 1.83; 95% confidence interval [CI], 1.28-2.61) and shorter operative time (mean difference: -20.95 min; 95% CI, -40.53 to -1.38). RLR demonstrated lower intra-operative blood loss (mean difference: 68.22 mL; 95% CI, 38.05-98.38), while the length of hospital stay was similar between groups.Conclusion: Robotic and LLRs yield comparable oncologic and peri-operative outcomes, with robotics showing lower conversion rates and less blood loss but longer operative times.","PeriodicalId":48905,"journal":{"name":"Journal of Minimal Access Surgery","volume":" ","pages":"337-345"},"PeriodicalIF":1.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148800393","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Current practices and outcomes in inguinal hernia management: A multi-centric prospective analysis of 2679 cases comparing open and laparoscopic repair in the Indian patients. 腹股沟疝治疗的当前实践和结果：2679例印度患者的多中心前瞻性分析，比较开放和腹腔镜修复。

IF 1.2 4区医学

Journal of Minimal Access Surgery Pub Date : 2026-10-01 Epub Date: 2026-09-03 DOI: 10.4103/jmas.jmas_330_25

Tarun Mittal, Ashish Dey, Anmol Ahuja, Ramesh Agarwalla, Pallawi Priya

{"title":"Current practices and outcomes in inguinal hernia management: A multi-centric prospective analysis of 2679 cases comparing open and laparoscopic repair in the Indian patients.","authors":"Tarun Mittal, Ashish Dey, Anmol Ahuja, Ramesh Agarwalla, Pallawi Priya","doi":"10.4103/jmas.jmas_330_25","DOIUrl":"10.4103/jmas.jmas_330_25","url":null,"abstract":"Introduction: Inguinal hernia repair is one of the most commonly performed surgical procedures worldwide, yet limited large-scale data exist comparing open and laparoscopic approaches in the Indian population. This study aimed to compare outcomes between these surgical techniques across multiple centres in India.Patients and methods: This multi-centric prospective observational study was conducted by Sir Ganga Ram Hospital in collaboration with the Indian Association of Gastrointestinal Endo Surgeons. Data on all groin hernia surgeries performed over 3 months were collected, with patient outcomes assessed at 30 and 90 days postoperatively using the Clavien-Dindo classification system.Results: A total of 2679 patients underwent inguinal hernia repair: 1592 underwent open surgery and 1087 underwent laparoscopic surgery. The laparoscopic group was significantly older with higher body mass index, and bilateral hernias were more common. Laparoscopic repair demonstrated significantly lower post-operative day-one pain scores, reduced major medical complications and lower surgical site infection rates at 30 days. Chronic groin pain at 90 days was significantly less common in the laparoscopic group. No significant differences in recurrence rates were observed at 90 days.Conclusion: This large-scale Indian study demonstrates that laparoscopic inguinal hernia repair offers significant advantages, including reduced post-operative pain, lower complication rates and decreased chronic groin pain compared to open repair. The findings support selective laparoscopic application for bilateral hernias, obese patients and those with metabolic comorbidities while highlighting the need for standardised protocols in Indian healthcare settings.","PeriodicalId":48905,"journal":{"name":"Journal of Minimal Access Surgery","volume":" ","pages":"358-370"},"PeriodicalIF":1.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148907792","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Video-assisted thoracic surgery management of giant pulmonary bullae: Insights from a single-centre series of 53 patients. 视频辅助胸外科治疗巨大肺大泡：来自53例单中心患者的见解。

IF 1.2 4区医学

Journal of Minimal Access Surgery Pub Date : 2026-10-01 Epub Date: 2026-02-26 DOI: 10.4103/jmas.jmas_275_25

Sumit Bangeria, Harsh Vardhan Puri, Sukhram Bishnoi, Mohan Venkatesh Pulle, Ms Belal Bin Asaf, Deepika Bhardwaj, Arvind Kumar

{"title":"Video-assisted thoracic surgery management of giant pulmonary bullae: Insights from a single-centre series of 53 patients.","authors":"Sumit Bangeria, Harsh Vardhan Puri, Sukhram Bishnoi, Mohan Venkatesh Pulle, Ms Belal Bin Asaf, Deepika Bhardwaj, Arvind Kumar","doi":"10.4103/jmas.jmas_275_25","DOIUrl":"10.4103/jmas.jmas_275_25","url":null,"abstract":"Introduction: Giant bullae (GB) of the lung are emphysematous air spaces occupying at least one-third of the hemithorax. GB may lead to progressive dyspnoea, compression of adjacent lung and pneumothorax, necessitating surgery as the definitive management in symptomatic patients.Patients and methods: We conducted a retrospective analysis of 53 cases of GB operated at a tertiary care centre in India from December 2020 to December 2024.Results: The study cohort included 42 males and 11 females, with a mean age of 49.8 years (range: 12-74). GB occurred unilaterally in 38 patients (right lung - 20, left - 18), bilateral in 15 patients and 6 patients had extensive emphysematous changes also. The primary procedures performed to take care of the bulla included video-assisted thoracic surgery (VATS) bullectomy (30 patients), VATS bullectomy with wedge resection of additional bullae (8 patients) and lobectomy (15 patients). The adjunct procedures performed included talc pleurodesis (24 patients), pleurectomy (13 patients) and decortication in one patient. Median chest drain duration was 6-7 days with an average hospital stay of 6.4 days. Post-operative complications occurred in 12 patients, including prolonged air leak (8), atrial fibrillation (2), ileus (1) and urinary retention (1). No wound infections or deaths were reported, and there were no recurrences of GB during the follow-up period of 48 months.Conclusions: VATS is a safe and effective surgical approach for treating symptomatic GB. It has minimal complications, leads to a quick recovery and has very low chances of recurrence.","PeriodicalId":48905,"journal":{"name":"Journal of Minimal Access Surgery","volume":" ","pages":"412-417"},"PeriodicalIF":1.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147311418","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Outcomes of various bailout strategies for managing different categories of difficult laparoscopic cholecystectomy - An experience of over two decades from a single surgical unit at a tertiary care teaching hospital. 管理不同类型困难腹腔镜胆囊切除术的各种救助策略的结果-来自三级护理教学医院单一外科单位的二十多年经验。

IF 1.2 4区医学

Journal of Minimal Access Surgery Pub Date : 2026-10-01 Epub Date: 2025-07-22 DOI: 10.4103/jmas.jmas_163_25

Asuri Krishna, Sanjeet Kumar Rai, Mayank Jain, Om Prakash, Mahesh C Misra, Subodh Kumar, Virinder Kumar Bansal

{"title":"Outcomes of various bailout strategies for managing different categories of difficult laparoscopic cholecystectomy - An experience of over two decades from a single surgical unit at a tertiary care teaching hospital.","authors":"Asuri Krishna, Sanjeet Kumar Rai, Mayank Jain, Om Prakash, Mahesh C Misra, Subodh Kumar, Virinder Kumar Bansal","doi":"10.4103/jmas.jmas_163_25","DOIUrl":"10.4103/jmas.jmas_163_25","url":null,"abstract":"Introduction: A difficult laparoscopic cholecystectomy (LC), if not handled appropriately, can lead to devastating complications. We hereby describe our experience and outcomes of patients with difficult LC over the last two decades, with various bailout strategies to achieve a very low conversion rate and bile duct injury rate.Patients and methods: This study was a retrospective analysis of patients labelled as difficult LC in a single surgical unit at a tertiary care teaching hospital from January 2004 to December 2020. The pre-operative, peri-operative and follow-up data of all these patients were obtained from a prospectively maintained electronic database.Results: Between January 2004 and December 2020, 3726 patients underwent elective LC, of which 649 (17.4%) cholecystectomies were deemed difficult. Using the various bailout strategies, we were able to achieve a conversion rate of 4.9% and bile duct injury rate of 0.1% with an overall morbidity of 8%.Conclusion: When a difficult situation occurs, the benefit of removing the complete gall bladder is outweighed by the risk of a major injury, so a bailout strategy needs to be used. The present series reiterates the use of bailout strategies to not only decrease conversion but also achieve a minimal BDI rate.","PeriodicalId":48905,"journal":{"name":"Journal of Minimal Access Surgery","volume":" ","pages":"384-388"},"PeriodicalIF":1.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144692169","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Comparison of fast and slow CO 2 insufflation on hemodynamic parameters in elective laparoscopic cholecystectomy. 择期腹腔镜胆囊切除术中快、慢CO2注入对血流动力学参数的影响。

IF 1.2 4区医学

Journal of Minimal Access Surgery Pub Date : 2026-10-01 Epub Date: 2026-04-07 DOI: 10.4103/jmas.jmas_356_24

Raheef Pazhaya Pattillath, Naiji S James, Ramesh Rajan, Roby Das, V R Anantha Krishna

{"title":"Comparison of fast and slow CO 2 insufflation on hemodynamic parameters in elective laparoscopic cholecystectomy.","authors":"Raheef Pazhaya Pattillath, Naiji S James, Ramesh Rajan, Roby Das, V R Anantha Krishna","doi":"10.4103/jmas.jmas_356_24","DOIUrl":"10.4103/jmas.jmas_356_24","url":null,"abstract":"Introduction: Laparoscopic cholecystectomy (LC) uses carbon dioxide (CO 2 ) insufflation to create pneumoperitoneum, which can affect haemodynamic stability. This study compares the effects of fast versus slow CO 2 insufflation on haemodynamic parameters and post-operative pain in elective LC patients.Patients and methods: An observational study was conducted on American Society of Anestheisology category 1/2 patients undergoing elective LC from October 2023 to August 2024, consecutively assigned to Group A (slow insufflation, 2-4 L/min) or Group B (fast insufflation, 8-10 L/min). Intraoperative monitoring of mean arterial pressure (MAP), heart rate (HR) and end-tidal CO 2 was performed immediately after induction of anaesthesia. Post-operative pain was assessed using the Visual Analogue Scale, with the first reading recorded 4 hours after extubation, followed by two additional readings taken at 12-hour intervals thereafter.Results: Sixty-eight patients were analysed. Fast insufflation led to higher HRs at several time points and higher MAP at T4 and T5. Post-operative shoulder pain was more frequent with fast insufflation at 4 h ( P = 0.001) and 12 h after the 1 st reading ( P = 0.002). No significant complications were noted in either group.Conclusion: Fast CO 2 insufflation resulted in higher HRs, MAPs at certain time intervals, increased post-operative shoulder pain and surgical site pain at 4 h, while other haemodynamic parameters and surgical site pain at two subsequent 12-h intervals were comparable.","PeriodicalId":48905,"journal":{"name":"Journal of Minimal Access Surgery","volume":" ","pages":"418-423"},"PeriodicalIF":1.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147634763","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0