AUTHOR : Park Jin il,Yoon Haesang
INFORMATION : page. 76~85 / 2017 Vol.19 No.2
복강경 수술은 도입 초기에 여성의 불임시술, 충수돌기절제술과 담낭절제술 등의 단시간 수술에 이용하였지만 최근에는 3시간 이상 소요되는 대장절제술에 이용될 정도로 적용 범위가 확대되고 있다. 복강경 수술은 개복술과 비교하여 통증이 적고, 회복이 신속하여 재원기간이 짧고, 수술 후 일상생활에의 복귀가 신속하다
Purpose: The purpose of this study was to compare the effects of 21˚C CO2 and 37˚C CO2 pneumoperitoneum on body temperature, blood pressure, heart rate, and acid-base balance. Methods: Data were collected at a 1300-bed university hospital in Incheon, from February through September 2012. A total of 74 patients who underwent laparoscopic colectomy under general anesthesia with desflurane were randomly allocated to either a control group or an experimental group. The control group received 21˚C CO2 pneumoperitoneum; the experimental group received 37˚C CO2 pneumoperitoneum. The pneumoperitoneum of the two groups was under abdominal pressure 15 mmHg. Body temperature, systolic blood pressure, heart rate and acid-base balance were assessed at 30 minutes and 90 minutes after pneumoperitoneum, and again at 30 minutes after arriving at the Post Anesthesia Care Unit. Results: Body temperature in the 37˚C CO2 pneumoperitoneum group was significantly higher (F=9.43, p<.001) compared to the 21˚C CO2 group. However, there were no statistically significant differences in systolic blood pressure (p=.895), heart rate (p=.340), pH (p=.231), PaCO2 (p=.490) and HCO3- (p=.768) between the two groups. Conclusion: Pneumoperitoneum of 37˚C CO2 is effective for the increase of body temperature compared to pneumoperitonium of 21˚C CO2, and it does not result in a decrease of blood pressure, heart rate or acid-base imbalance.