Artigo
Cardiorespiratory evaluation in pre and post operative moments of laparoscopic cholecystectomy
Registro en:
Acta Cirurgica Brasileira. Sociedade Brasileira para o Desenvolvimento da Pesquisa em Cirurgia, v. 29, n. 6, p. 394-399, 2014.
0102-8650
10.1590/S0102-86502014000600008
S0102-86502014000600394
WOS:000338015900008
S0102-86502014000600394.pdf
Autor
Khenaifes, Tatiana Eing Granado
Lima, Juliana Ferreira De
Pereira, Rodrigo Severo De Camargo
Cataneo, Daniele Cristina [UNESP]
Resumen
PURPOSE: To analyze the changes in both respiratory function and cardiopulmonary exercise tests results in patients subjected to laparoscopic cholecystectomy. METHODS: Fifty patients were evaluated (76% women) and the average age was 47.8±14.2 years. All individuals underwent the measurement of spirometry, manovacuometry, 6-minute walk test (6MWT) and stair-climbing test (SCT). All tests were performed at the first (PO1), fifth (PO5) and thirtieth (PO30) postoperative days. RESULTS: BMI average was 28.8±4.8 kg/m2. Sample comprised 68% non-smokers, 20% current smokers, and 12% former smokers. There was no incidence of postoperative complication whatsoever. There was a significant decrease in spirometric values at PO1, but values were similar to the ones of PRE at PO30. Manovacuometry showed alterations at PO1 displaying values that were similar to the ones of PRE at PO30. 6MWT was significantly shorter at until PO5, but at PO30 values were similar to ones of PRE. As for SCT, values were significantly compromised at PO5 and PO30 since they were similar to the ones of PRE. CONCLUSION: Patients submitted to laparoscopic cholecystectomy present a decrease in cardiorespiratory function on the first postoperative moments but there is a rapid return to preoperative conditions. Sao Paulo State University Botucatu School of Medicine UNESP Botucatu School of Medicine Sao Paulo State University Botucatu School of Medicine UNESP Botucatu School of Medicine