Zusammenfassung
Mit der Einführung endoskopischer Techniken hat die Chirurgie eine Revolution erfahren. Viele Operationen, die für die Patienten früher eine außergewöhnliche Belastung darstellten, können nun endoskopisch mit minimaler körperlicher und psychischer Beeinträchtigung durchgeführt werden. Dies führte zu einer immer breiteren Anwendung der endoskopischen Chirurgie, nicht zuletzt bei Risikopatienten. Gegenüber konventionellen chirurgischen Verfahren hat die endoskopische Chirurgie folgende Vorteile aufzuweisen: geringerer perioperativer Streß für den Patienten, minimale postoperative Beeinträchtigung aufgrund kleinerer Inzisionen, in der Mehrzahl der Fälle nur mäßige postoperative Schmerzen, deutlich vorteilhafteres kosmetisches Ergebnis, kurze Hospitalisationszeiten, Möglichkeit der ambulanten Durchführung der Eingriffe, raschere Wiederaufnahme der gewohnten Tätigkeiten und Kostenersparnis [6, 10, 15].
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
Literatur
Beebe DS, McNevin MP, Belani KG, Letourneau JG, Crain MR, Goodale RL (1992) Evidence of venous stasis after abdominal insufflation for laparoscopic cholecystectomy [Abstract]. Anesthesiology [Suppl 3A] 77: A148
Benumof JL (1987) Anesthesia for thoracic surgery. Saunders, Philadelphia, pp 284–285
Cheney FW, Colley PS (1980) The effect of cardiac output on arterial blood oxygenation. Anesthesiology 52: 496–503
Cheney FW, Posner KL, Caplan RA (1991) Adverse respiratory events infrequently leading to malpractice suits. A closed claims analysis. Anesthesiology 75: 932–939
Collins KM, Docherty PW, Plantevin OM (1984) Postoperative morbidity following gynaecological outpatient laparoscopy. A reappraisal of the service. Anaesthesia 39:819–822
Cunningham AJ, Brull SJ (1993) Laparoscopic cholecystectomy: anaesthetic implications. Anesth Analg 76: 1120–1133
Cuschieri A (1992) General principles of thoracoscopic surgery. In: Cuschieri A, Buess G, Périssat J (eds) Operative manual of endoscopic surgery. Springer, Berlin Heidelberg New York, pp 105–109
Cuschieri A, Buess G (1992) Nature and scope of endoscopic surgery. In: Cuschieri A, Buess G, Périssat J (eds) Operative manual of endoscopic surgery. Springer, Berlin Heidelberg New York, pp 9–13
Deem S, Shapiro HM, Marshall LF (1991) Quadraplegia in a patient with cervical spondylosis after thoracolumbar surgery in the prone position. Anesthesiology 75:527–528
Fisher KS, Reddick EJ, Olsen DO (1991) Laparoscopic cholecystectomy: cost analysis. Surg Lap Endosc 1:77–81
Fletcher R (1990) The arterial-end-tidal C02 difference during cardiothoracic surgery. J Cardiothorac Anesth 4:105–117
Gild WM, Posner KL, Caplan RA, Cheney FW (1992) Eye injuries associated with anesthesia. A closed claims analysis. Anesthesiology 76:204–208
Guyton DC (1991) Oral, nasopharyngeal, and gastrointestinal systems. In: Gravenstein N (ed) Manual of complications during anesthesia. Lippincott, Philadelphia, pp 619–662
Hasan A, Low DE, Ganado AL, Norton R, Watson DCT (1992) Tracheal rupture with disposable polyvinylchloride double-lumen endotracheal tubes. J Cardiothorac Vase Anesth 6:208–211
Hasnain JU, Matjasko MJ (1991) Practical anesthesia for laparoscopic procedures. In: Zucker KA, Bailey RW, Reddick EJ (eds) Surgical laparoscopy. Quality Medical Publishing, St. Louis, pp 77–86
Hasnain JU, Krasna MJ, Barker SJ, Weiman DS, Whitman GJR (1992) Anesthetic considerations for thoracoscopic procedures. J Cardiothorac Vase Anesth 6: 624–627
Hovagim AR, Backus WW, Manecke G, Lagasse R, Sidhu U, Poppers PJ (1989) Pulse oximetry and patient positioning: a report of eight cases. Anesthesiology 71:454–456
Hyduke JF, Pineda JJ, Smith CE, Rice TW (1989) Severe intraoperative myocardial ischemia following manipulation of the heart in a patient undergoing esophagogastrectomy. Anesthesiology 71:154–158
Johannsen G, Andersen M, Juhl B (1989) The effect of general anaesthesia on the haemodynamic events during laparoscopy with C02-insufflation. Acta Anaesthesiol Scand 33:132–136
Johnston RV, Lawson NW, Nealon WH (1992) Lower extremity neuropathy after laparoscopic cholecystectomy. Anesthesiology 77:835
Kenefick JP, Leader A, Maltby JR, Taylor PJ (1987) Laparoscopy: blood-gas values and minor sequelae associated with three techniques based on isoflurane. Br J Anaesth 59:189–194
Krasna M, Flowers JL (1991) Diagnostic thoracoscopy in a patient with a pleural mass. Surg Lap Endosc 1:94–97
Lenz RJ, Thomas TA, Wilkins DG (1976) Cardiovascular changes during laparoscopy. Anaesthesia 31:4–12
Lewis JW, Serwin JP, Gabriel FS, Bastanfar M, Jacobsen G (1992) The utility of a double-lumen tube for one-lung ventilation in a variety of noncardiac thoracic surgical procedures. J Cardiothorac Vase Anesth 6:705–710
Luiz T, Huber T, Hartung HJ (1992) Veränderungen der Ventilation während laparoskopischer Cholezystektomie. Anaesthesist 41:520–526
Mahla ME (1991) Nervous system. In: Gravenstein N (ed) Manual of complications during anesthesia. Lippincott, Philadelphia, pp 383–419
Marco AP, Yeo CJ, Rock P (1990) Anesthesia for a patient undergoing laparoscopic cholecystectomy. Anesthesiology 73:1268–1270
McKinstry LJ, Perverseff RA, Yip RW (1992) Arterial and end-tidal carbon dioxide in patients undergoing laparoscopic cholecystectomy [Abstract]. Anesthesiology [Suppl 3A] 77:A108
Montgomery CJ, Ready LB (1991) Epidural opioid analgesia does not obscure diagnosis of compartment syndrome resulting from prolonged lithotomy position. Anesthesiology 75:541–543
Mowschenson PM, Weinstein ME (1992) Why catheterize the bladder for laparoscopic cholecystectomy? J Laparoendosc Surg 2:215–217
Neuman GG, Sidebotham G, Negoianu E, Bernstein J, Kopman AF, Hicks RG, West ST, Haring L (1993) Laparoscopy explosion hazards with nitrous oxide. Anesthesiology 78:875–879
Oh S, Fabrick J, Pagulayan G (1992) Evaluation of toradol for pain control after laparoscopic cholecystectomy [Abstract]. Anesthesiology [Suppl 3A] 77:A440
Oza KN, O’Donnell N, Fisher JB (1992) Aortic laceration: a rare complication of laparoscopy. J Laparoendosc Surg 2:235–237
Putensen-Himmer G, Putensen C, Lammer H, Lingnau W, Aigner F, Benzer H (1992) Comparison of postoperative respiratory function after laparoscopy or open laparotomy for cholecystectomy. Anesthesiology 77: 675–680
Schwed DA, Edoga JK, McDonnell TE (1992) Ventilatory impairment during laparoscopic cholecystectomy in a patient with a ventriculoperitoneal shunt. J Laparoendosc Surg 2:57–59
Shantha TR, Harden J (1991) Laparoscopic cholecystectomy: anesthesia-related complications and guidelines. Surg Lap Endosc 1:173–178
Smith I, Ding Y, White PF (1992) Post-laparoscopic myalgias: effect of propofol, succinylcholine, and atracurium [Abstract]. Anesthesiology [Suppl 3A] 77:A951
Stow PJ (1986) Retinal haemorrhage following laparoscopy. Anaesthesia 41:965–966
Taylor E, Feinstein R, White PF, Soper N (1992) Anesthesia for laparoscopic cholecystectomy. Is nitrous oxide contraindicated? Anesthesiology 76:541–543
Tolksdorf W, Strang CM, Schippers E, Simon HB, Truong S (1992) Die Auswirkungen des Kohlendioxid-Pneumoperitoneums zur laparoskopischen Cholezystektomie auf die postoperative Spontanatmung. Anaesthesist 41:199–203
Wadhwa RK, McKenzie R, Wadhwa SR, Katz DL, Byers JF (1978) Gas embolism during laparoscopy. Anesthesiology 48:74–76
Warner MA, Martin JT (1992) Incidence of lower extremity nerve injury in the lithotomy position [Abstract]. Anesthesiology [Suppl 3A] 77:A1130
Winter R, Munro M (1989) Lingual and buccal nerve neuropathy in a patient in the prone position: a case report. Anesthesiology 71:452–454
Wurst H, Finsterer U (1990) Pathophysiologische und klinische Aspekte der Laparoskopie. Anästh Intensiv- med 31:187–197
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1995 Springer-Verlag Berlin Heidelberg
About this chapter
Cite this chapter
Kottler, B., Lenz, G., Buess, G. (1995). Die Anästhesie in der endoskopischen Chirurgie. In: Buess, G., Cuschieri, A., Périssat, J. (eds) Operationslehre der Endoskopischen Chirurgie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-79733-0_3
Download citation
DOI: https://doi.org/10.1007/978-3-642-79733-0_3
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-642-79734-7
Online ISBN: 978-3-642-79733-0
eBook Packages: Springer Book Archive