Abstract | PURPOSE: Previous studies have suggested that retroperitoneal laparoscopy is associated with greater carbon dioxide absorption and related postoperative morbidity, such as subcutaneous emphysema and pneumothorax. We prospectively compared the effects of carbon dioxide absorption during transperitoneal and retroperitoneal laparoscopic renal and adrenal surgery at our institution. MATERIALS AND METHODS: Data were collected prospectively on 51 patients who underwent laparoscopic renal (26) or adrenal (25) surgery via the transperitoneal (18) or retroperitoneal (33) approach from September 1997 to February 1998. RESULTS: CONCLUSIONS: In contrast to previous reports our prospective nonrandomized study suggests that retroperitoneoscopy is not associated with greater carbon dioxide absorption compared to transperitoneal laparoscopy. Patients with subcutaneous emphysema exhibited only transient increases in carbon dioxide absorption above control levels.
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Authors | C S Ng, I S Gill, G T Sung, D G Whalley, R Graham, D Schweizer |
Journal | The Journal of urology
(J Urol)
Vol. 162
Issue 4
Pg. 1268-72
(Oct 1999)
ISSN: 0022-5347 [Print] United States |
PMID | 10492177
(Publication Type: Journal Article)
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Chemical References |
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Topics |
- Absorption
- Carbon Dioxide
(pharmacokinetics)
- Female
- Humans
- Incidence
- Laparoscopy
(adverse effects)
- Male
- Middle Aged
- Prospective Studies
- Retroperitoneal Space
- Subcutaneous Emphysema
(epidemiology, etiology)
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