比较两种腹腔镜入路对泌尿系外科手术的影响

目的:比较两种腹腔镜入路对泌尿系外科手术的影响.方珐:选择腹腔镜下行泌尿外科手术的患者21例,其中经腹腔入路(经腹组)12例,经腹膜后入路(腹膜后组)9例,记录麻醉后充气前、充气后、气腹解除后血压(BP)、心率(HR)、平均动脉压(MAP)、呼气末二氧化碳(PETC02)、气道峰值压力(P,k)、分钟通气量(MV)和动脉血气(ABG);麻醉后充气前、充气后血糖(Glu)、血皮质醇(CORT)和促肾上腺皮质激素(ACTH).结果:两组充气后Ppeak、MV、PerCO2、Gu1、CORT和ACTH水平明显升高,但组间无统计学意义.结论:两种腹腔镜充气方式下呼吸、循环和应激反应的变化过程基本相似.

Comparison of two laparoscopic approaches for urinary tract surgery

Objective Compare laparoscopic approach on respiration and circulation and stress reaction.Methods Choose Laparoscopic urology patients in 21 cases, of which transperitoneal approach (abdominal) 12 cases, the retroperitoneal approach (retroperitoneal) nine cases recorded after anesthesia inflatable, inflatable, after the lifting of pneumoperitoneum blood pressure (BP), heart rate (HR), mean arterial pressure (MAP), at the end of respiratory CO2 partial pressure (PetCO2), peak airway pressure (Ppeak), minute ventilation (MV). Arterial blood gas (ABG); After anesthesia inflatable, inflatable after glucose (Glu), serum cortisol (CORT) and blood adrenocorticotropic hormone (ACTH).Results After two inflatable Ppeak, MV, PaCO, glucose, cortisol, adrenocorticotropic hormone was significantly increased not significantly different between groups. Conclusion Laparoscopic two inflatable manner breathing, circulation and stress response similar to the change process. If the patient normal heart and lung function, no major diseases, the two approaches are safe and feasible.