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APPLICATION OF LAPAROSCOPIC LIFTING SYSTEMS IN PATIENTS WITH HIGH CARDIORESPIRATORY RISK
Author(s) -
A. G. Khitaryan,
I. A. Miziev,
M. E. Provotorov,
К. С. Велиев,
E. E. Glumov,
С. А. Ковалев,
M. Kh. Abramyants,
S. T. Khubiev
Publication year - 2016
Publication title -
vestnik hirurgii im. i.i. grekova/vestnik hirurgii imeni i.i. grekova
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.136
H-Index - 7
eISSN - 2686-7370
pISSN - 0042-4625
DOI - 10.24884/0042-4625-2016-175-4-62-66
Subject(s) - cardiorespiratory fitness , medicine , pneumoperitoneum , stroke (engine) , complication , stroke volume , surgery , heart rate , laparoscopy , physical therapy , blood pressure , mechanical engineering , engineering
Intra-abdominal hypertension during laparoscopic operations increased the risk of complications from cardiovascular and respiratory systems. An application of laparolifting systems allowed doctors to avoid changes of pneumoperitoneum, although it was associated with technical difficulties in operation performance. The authors used a test in order to determine cardiorespiratory reserve in preoperative period. The reserve was characterized by decrease of stroke volume of the heart against the background of intra-abdominal hypertension. There was noted a reliable increase of complication rate in these patients in case of application of standard laparoscopic operation compared with operation using lifting systems.