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Changes in urinary output during laparoscopic adrenalectomy
Author(s) -
Shunji Nishio,
Hiroyuki Takeda,
Minato Yokoyama
Publication year - 1999
Publication title -
bju international
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.773
H-Index - 148
eISSN - 1464-410X
pISSN - 1464-4096
DOI - 10.1046/j.1464-410x.1999.00098.x
Subject(s) - pneumoperitoneum , insufflation , medicine , oliguria , urinary system , adrenalectomy , laparoscopic surgery , laparoscopy , anesthesia , surgery , urology , renal function
Objective To better understand the physiological effects of pneumoperitoneum, by examining changes in urinary output during gaseous and gasless laparoscopic adrenalectomy. Patients and methods Laparoscopic adrenalectomy was performed with gas in six patients and without in three. Urinary output was measured during insufflation and after desufflation. Results In all patients who received gas, the urinary output was significantly decreased during insufflation and significantly increased after desufflation. However, there were no changes in urinary output in patients who did not receive gas. Conclusion For the safety of laparoscopic surgery it is important to recognise that oliguria occurs during pneumoperitoneum, although the changes in urinary output caused no complications in renal function.