Effect of laparoscopic abdominal surgery on splanchnic circulation: Historical developments

Hatipoglu S., Akbulut S., Hatipoglu F., Abdullayev R.

WORLD JOURNAL OF GASTROENTEROLOGY, cilt.20, sa.48, ss.18165-18176, 2014 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Derleme
  • Cilt numarası: 20 Sayı: 48
  • Basım Tarihi: 2014
  • Doi Numarası: 10.3748/wjg.v20.i48.18165
  • Dergi Adı: WORLD JOURNAL OF GASTROENTEROLOGY
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.18165-18176
  • Anahtar Kelimeler: Laparoscopic abdominal surgery, Splanchnic circulation, Intra-abdominal pressure, Abdominal compartment syndrome, Safe laparoscopic surgery, HEPATIC BLOOD-FLOW, CARBON-DIOXIDE PNEUMOPERITONEUM, ELEVATED INTRAABDOMINAL PRESSURE, ACUTE MESENTERIC ISCHEMIA, COMPARTMENT SYNDROME, PERITONEAL INSUFFLATION, NITRIC-OXIDE, PORTAL-HYPERTENSION, CARDIAC-OUTPUT, RENAL-FUNCTION
  • İnönü Üniversitesi Adresli: Evet

Özet

With the developments in medical technology and increased surgical experience, advanced laparoscopic surgical procedures are performed successfully. Laparoscopic abdominal surgery is one of the best examples of advanced laparoscopic surgery (LS). Today, laparoscopic abdominal surgery in general surgery clinics is the basis of all abdominal surgical interventions. Laparoscopic abdominal surgery is associated with systemic and splanchnic hemodynamic alterations. Inadequate splanchnic perfusion in critically ill patients is associated with increased morbidity and mortality. The underlying pathophysiological mechanisms are still not well understood. With experience and with an increase in the number and diversity of the resulting data, the pathophysiology of laparoscopic abdominal surgery is now better understood. The normal physiology and pathophysiology of local and systemic effects of laparoscopic abdominal surgery is extremely important for safe and effective LS. Future research projects should focus on the interplay between the physiological regulatory mechanisms in the splanchnic circulation (SC), organs, and diseases. In this review, we discuss the effects of laparoscopic abdominal surgery on the SC. (C) 2014 Baishideng Publishing Group Inc. All rights reserved.