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  • Haemodynamic monitoring during laparoscopic liver resection = Hemodinamski nadzor med laparoskopsko jetrno resekcijo
    Požar-Lukanovič, Neva ; Sojar, Valentin, dr. med. ; Stanisavljević, Dragoje
    Introduction. Minimally invasive surgery has been gaining popularity because of its clear advantages over open surgery, which include: lesser surgical trauma, shorter hospital stay, better cosmetical ... effect and improved patient satisfaction. Greater experience gained in both laparoscopy and liver surgery has made laparoscopy a technically feasible and safe treatment option for someliver resections. Patients and Methods. Haemodynamic monitoring during minimally invasive surgery: the term "minimally invasive surgery" does not imply that this surgical technique carries less perioperative risk for the patient. Perioperative hazards of laparoscopic liver resection are mostly the same as in open liver surgery. These include: massive bleeding, haemodynamic instability due to compression of the inferior vena cava anaphylactic reactionin patients with echinococcus disease. In addition, there may be haemodynamic effects of pneumoperitoneum, such as decreased preload, increasedsystemic vascular resistance, decreased cardiac output, and increasedrisk for CO2 embolism. The greatest benefits offered by the minimallyinvasive approach are the patients comfort and safety. From the standpoint of the anaesthesiologist this goal is best met by perioperative monitoring, which allows for timely detection of potentially dangerous events and for appropriate action. Results. Since January 1997, 31 patients with liver disease have been treated laparoscopicaly in this institution. In three cases, occlusion of the hepatoduodenal ligament was used to control the bleeding. In one patient-the only one who needed blood transfusion-conversion to open surgery was required because of bleeding. (Abstract truncated at 2000 characters)
    Vir: 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. 10, št. 24, okt. 2005, str. 89-94)
    Vrsta gradiva - članek, sestavni del
    Leto - 2005
    Jezik - angleški
    COBISS.SI-ID - 20599769

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    Digitalna knjižnica Slovenije - dLib.si

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