Postoperative Respiratory Complications and Peak Airway Pressure During Laparoscopic Colectomy in Patients With Colorectal Cancer

作者：Choi Sang Bong; Park Hye Kyeong; Hong Joon Hwa; Kim Beom Gyu; Kang Hyun^*

来源：Surgical Laparoscopy Endoscopy & Percutaneous Techniques, 2015, 25(1): 83-88.

DOI：10.1097/sle.0000000000000052

• colorectal neoplasms
• laparoscopy
• pneumoperitoneum
• pulmonary complications
• respiratory mechanics

To determine whether the incidence of postoperative pulmonary complications increases in patients with high peak airway pressure (>= 30 cm H2O) 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 H2O (an overload group). Compared with a nonoverload group (peak airway pressure <30cm H2O), 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 O-2 differences, greater alveolar dead spaceto- tidal volume ratios, and lower PaO2 measurements. Body mass index and preoperative alveolar-arterial O-2 difference significantly affect higher peak airway pressure occurring during laparoscopic colectomy. Patients who had peak airway pressures >= 30 cm H2O during laparoscopic colectomy for colorectal cancer had higher incidence of postoperative respiratory complications than those whose peak airway pressures remained <30cm H2O.

• 出版日期2015-2