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Anestezija za laparoskopske operacije pri gastroezofagealni refluksni bolezni - retrospektivna analiza = Anaesthesia for laparoscopic procedures for gastroesophageal reflux disease - a retrospective analysisPotočnik, Iztok, 1971- ...Introduction. Laparoscopy began to develop as a diagnostic instrumental examination of the abdominal cavity. It enables surgeons to perform examination and oriented biopsy in a patient friendly ... manner. The examination has evolved into a minimally invasive surgical technique, which is effectivelyused in an ever-widening range of procedures. The paper presents anaesthesia-related and surgical intra- and postoperative complications, the percentage of conversions from laparoscopy to laparatomy, the length of hospital stay and some specifics of anaesthesia related to pneumoperitoneum. Patients and methods. The authors analysed retrospectively all patients who underwent laparoscopic surgery at the Department of Thoracic Surgery, University Medical Centre Ljubljana from the beginning of 2003 to the end of 2004. The patients received a standard anaesthetic technique: anaesthesia was induced with propofol, fentanyl and vecuronium and was maintained with sevoflurane, fentanyl and vecuronium. After the operation the patients were trasferred to the intensive care unit. Postoperatively, the majority of patients received "patient controlled intravenous analgesia" (PCIA) with piritramide. In the remainder pain relief was provided by diclofenac with orphenadrine by intra-venous infusion or morphine, bupivacaine and clonidine by "patient controlled epidural analgesia" (PCEA). The data were analysed using SPSS for Windows or MS Excel. Results. Laparoscopic approach was used in48 patients, mainly for gastro-oesophageal reflux disease. An equal number of females and males were operated on. The patients were of normal build; mostof them were in American Society of Anesthesiology (ASA) II class. The coversion rate was 2.1% and the average time of hospital stay 5.5 days. The only intraoperative surgical complications were bleeding and oesophageal perforation. (Abstract truncated at 2000 characters)Source: Endoskopska revija : glasilo Sekcije za endoskopsko kirurgijo in Sekcije za gastroenterološko endoskopijo Slovenije = Endoscopic review : journal of Slovenian Society of Endoscopic Surgery and Society of Gastroenterologic Endoscopy. - ISSN 1318-8941 (Letn. 11, št. 25, 2006, str. 41-48)Type of material - article, component partPublish date - 2006Language - slovenianCOBISS.SI-ID - 21156313
Author
Potočnik, Iztok, 1971- |
Srpčič, Matevž |
Sok, Mihael |
Novak-Jankovič, Vesna
Topics
Gastroesophageal Reflux |
Surgery |
Premedication |
Laparoscopy |
Anesthesia |
Pneumoperitoneum, Artificial |
Pain, Postoperative |
Drug Therapy |
Anestezija |
Gastroezofagealni refluks |
Laparoskopija |
Pnevmoperitonej umetni |
Predoperacijsko zdravljenje |
Bolečina pooperativna
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Database name | Field | Year |
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Potočnik, Iztok, 1971- | 26332 |
Srpčič, Matevž | 27934 |
Sok, Mihael | 09763 |
Novak-Jankovič, Vesna | 14939 |
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