Adverse cardiovascular changes induced by positive pressure pneumoperitoneum

  title={Adverse cardiovascular changes induced by positive pressure pneumoperitoneum},
  author={Alfred Cuschieri},
  journal={Surgical Endoscopy},
This and upcoming issues of Surgical Endoscopy: Ultrasound and Interventional Techniques contain a number of articles that document the adverse consequences of a positive pressure pneumoperitoneum. Jakimowicz et al. [1] report a pressure-related substantial reduction of portal flow in patients; Knolmayer et al. [2], reduction of gastric blood flow in pigs; Taura et al. [3], a significant lactic acidosis in patients undergoing laparoscopic sigmoid colectomy with high intraabdominal pressure (15… CONTINUE READING

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Prolonged pneumoperitoneum at 15 mmHg causes lactic acidosis

Surgical Endoscopy • 1998
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