Postoperative Respiratory Complications and Peak Airway Pressure During Laparoscopic Colectomy in Patients With Colorectal Cancer. Issue 1 (February 2015)

• Record Type: Journal Article
• Authors: Choi, Sang Bong; Park, Hye Kyeong; Hong, Joon Hwa; Kim, Beom Gyu; Kang, Hyun
• Is Part Of: Surgical laparoscopy endoscopy & percutaneous techniques. Volume 25:Issue 1(2015)
• Publication Date: 2015-02
• Subjects: colorectal neoplasms -- laparoscopy -- pneumoperitoneum -- pulmonary complications -- respiratory mechanics; Endoscopic surgery -- Periodicals; Laparoscopic surgery -- Periodicals; Endoscopy -- Periodicals; Laparoscopy -- Periodicals; 617.550597
• DOI: 10.1097/SLE.0000000000000052
• Languages: English
• ISSNs: 1530-4515

Abstract

Abstract : To determine whether the incidence of postoperative pulmonary complications increases in patients with high peak airway pressure (≥30 cm H2 O) during laparoscopic colectomy, we investigated consecutive patients with colorectal cancer who had undergone laparoscopic colectomy. Of the 115 enrolled patients, 34 patients (30%) had peak airway pressure ≥30 cm H2 O (an overload group). Compared with a nonoverload group (peak airway pressure <30 cm H2 O), the overload group had a 5-fold greater incidence of postoperative respiratory complications and operations of longer duration, longer postanesthesia care unit stays, greater alveolar-arterial O2 differences, greater alveolar dead space-to-tidal volume ratios, and lower PaO2 measurements. Body mass index and preoperative alveolar-arterial O2 difference significantly affect higher peak airway pressure occurring during laparoscopic colectomy. Patients who had peak airway pressures ≥30 cm H2 O during laparoscopic colectomy for colorectal cancer had higher incidence of postoperative respiratory complications than those whose peak airway pressures remained <30 cm H2 O.