Chest ACCP Career Connection
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

Guest Access | Sign In via User Name/Password
This Article
Right arrow Full Text (PDF) Free
Right arrow Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when eLetters are posted
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Alert me to new issues of the journal
Right arrow Add to My Personal Article Archive
Right arrow Download to citation manager
Right arrow reprints & permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Shulman, S.
Right arrow Articles by Weissman, C
Right arrow Search for Related Content
PubMed
Right arrow Articles by Shulman, S.
Right arrow Articles by Weissman, C

Chest, Vol 103, 1173-1177, Copyright © 1993 by American College of Chest Physicians

ARTICLES

Dynamic respiratory patterns after laparoscopic cholecystectomy

SM Shulman, T Chuter and C Weissman
Department of Anesthesiology, College of Physicians and Surgeons, Columbia University, New York.

Important alterations in respiratory function have been observed after open cholecystectomy. These include a decrease in the abdominal tidal volume, forced vital capacity, and forced expiratory volume at 1 s. Laparoscopic cholecystectomy is a new procedure allowing removal of the gallbladder without a subcostal or midline incision. The result is less postoperative pain and earlier ambulation. This study sought to determine whether changes in rib cage and abdominal wall motion are different after laparoscopic than open cholecystectomy. Twelve otherwise healthy patients underwent respiratory inductive plethysmography prior to and one day after laparoscopic cholecystectomy. Frequency of resting breathing increased 29 percent after laparoscopic cholecystectomy (p = 0.03), while abdominal motion decreased 32 percent (p = 0.03). During coached abdominal breathing, rib cage tidal volume increased 70 percent (p = 0.005) and abdominal tidal volume decreased 29 percent (p = 0.01). These alterations in respiratory pattern after laparoscopic cholecystectomy were smaller in magnitude than those reported following the open procedure.


This article has been cited by other articles:


Home page
 Arch SurgHome page
G. D. Bablekos, S. A. Michaelides, T. Roussou, and K. A. Charalabopoulos
Changes in Breathing Control and Mechanics After Laparoscopic vs Open Cholecystectomy
Arch Surg, January 1, 2006; 141(1): 16 - 22.
[Abstract] [Full Text] [PDF]

Home page
 Am. J. Physiol. Heart Circ. Physiol.Home page
C.-E. Klopfenstein, D. R. Morel, F. Clergue, and C. M. Pastor
Effects of abdominal CO2 insufflation and changes of position on hepatic blood flow in anesthetized pigs
Am J Physiol Heart Circ Physiol, September 1, 1998; 275(3): H900 - H905.
[Abstract] [Full Text] [PDF]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
Copyright © 1993 by the American College of Chest Physicians.