Arterial blood gas alterations in retroperitoneal and transperitoneal laparoscopy

Gavrilovska-Brzanov, Aleksandra and Shosholcheva, Mirjana and Kuzmanovska, Biljana and Kartalov, Andrijan and Mojsova, Maja and Srceva, Marija and Panovska Petrusheva, Aleksandra and Kokareva, Anita and Stavridis, Sotir and Gjorchevska, Elena and Brzanov, Nikola (2019) Arterial blood gas alterations in retroperitoneal and transperitoneal laparoscopy. Macedonian Journal of Anaesthesia, 6. pp. 10-15. ISSN 2545-4366

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Abstract

Background: Due to its numerous benefits laparoscopic surgery become very popular
among physicians, hospitals and patients nowadays. In the urologic pathology laparoscopy can
be performed with retroperitoneal or transperitoneal approach. Insufflation of CO2 for achieving
visibility in both of the approaches can be absorbed in the vessels and can lead to alterations in
arterial blood gasses.
Material and Method: Study population was elective urologic patients scheduled for laparoscopic surgery. Investigated arterial blood gas variables were determined in three time points: T0
before induction – basal, T1 after one hour of CO2 insufflation, and T2
at the end of the surgery.
Results: Alterations in arterial blood gasses were seen in T1 and T2 for PaO2 in retroperitoneal vs transperitoneal group 173.3 ± 19 vs 196.6 ± 29 (p < 0.003) and 95.5 ± 5.4 vs 101.1 ±
8.2 (p < 0.001). The PaCO2 was also statistically significant in second observed time point T1 in
retroperitoneal vs transperitoneal group 45.9 ± 4.1 vs 38.2 ± 0.3 (p < 0.002).
Conclusion: The findings that we have presented can suggest that both approaches are safe
although hypercarbia is observed in retroperitoneal group.
Key Words: arterial blood gasses, retroperitoneal laparoscopy, transperitoneal laparoscopy,
urologic laparoscopy.
Corresponding author: Aleksandra Gavrilovska-Brzanov, University Clinic for Anesthesia,
Reanimation and Intensive Care, Skopje, Republic of North Macedonia

Item Type:	Article
Subjects:	Medical and Health Sciences > Clinical medicine
Divisions:	Faculty of Medical Science
Depositing User:	Maja Mojsova Mijovska
Date Deposited:	31 Mar 2023 10:07
Last Modified:	31 Mar 2023 10:07
URI:	https://eprints.ugd.edu.mk/id/eprint/31560

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