Factors Affecting Abdominal Compliance During CO2 Insufflation in Laparoscopic Abdominal Surgery

Ankara University

Status: Completed

Conditions: Laparoscopic Surgery

Treatments: Procedure: Laparoscopic surgery

Study type: Observational

Funder types: Other

Identifiers

NCT06396351

İ07-432-22

Details and patient eligibility

About

The authors aimed to evaluate factors influencing abdominal compliance in laparoscopic abdominal surgery.

Full description

During laparoscopic surgery, pneumoperitoneum is achieved by insufflating carbon dioxide (CO2) gas into the abdominal cavity to create a safe working space. Pneumoperitoneum-induced elevation in intra-abdominal pressure (IAP) can result in various complications. Abdominal compliance (AC), represents the slope of the P-V curve of the abdominal cavity and is a measure of the ease of abdominal dilatation, is important to balance between surgical safety and complications. The aim of this study was to determine the effect of demographic and anatomic variables on AC.

The study included 90 patients who underwent laparoscopic abdominal surgery. Subcutaneous adipose tissue and abdominal muscle thickness were measured ultrasonographically. Mean AC was calculated during insufflation using the formula (ΔV/ΔP). The relationship between demographic and anatomic variables and AC was investigated

Enrollment: 90 patients

Sex: All

Ages: 18 to 82 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

Aged between 18 and 82 years ASA class I-III Elective abdominal surgery with laparoscopic technique

Exclusion criteria

Aged below 18 and above 82 ASA IV-V