Journal of Hepato-Biliary-Pancreatic Surgery

, Volume 13, Issue 6, pp 567–570 | Cite as

The effects of isothermic and hypothermic carbon dioxide pneumoperitoneum on respiratory function test results

  • Ali Uzunkoy
  • Abdullah Ozgonul
  • Erkan Ceylan
  • Mehmet Gencer



This study investigated the effects of isothermic and hypothermic carbon dioxide, used for pneumoperitoneum during laparoscopic cholecystectomy, on respiratory function test results.


Thirty patients who underwent elective laparoscopic cholecystectomy were enrolled in this prospective randomized study. The patients were divided into two groups. Carbon dioxide at 37 °C (isothermic) was used in the isothermic group, and carbon dioxide at 21 °C (hypothermic) was used in the hypothermic group. Respiratory function tests were performed in the preoperative period and at 12 h after the operation.


Mean forced vital capacity (FVC), forced expiratory volume (FEV1), maximum peak expiratory flow (PEF), and the FEV1/FVC ratio were significantly higher in the isothermic group than in the hypothermic group (P < 0.05).


Using isothermic carbon dioxide for pneumoperitoneum has fewer negative effects than hypothermic carbon dioxide on respiratory function tests results. Isothermic carbon dioxide may be preferable for patients with respiratory problems.

Key words

Laparoscopy Pneumoperitoneum Hypothermia Isothermia Pulmonary function test 


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Copyright information

© Springer-Verlag Tokyo 2006

Authors and Affiliations

  • Ali Uzunkoy
    • 1
  • Abdullah Ozgonul
    • 1
  • Erkan Ceylan
    • 2
  • Mehmet Gencer
    • 2
  1. 1.Department of Surgery, Faculty of MedicineHarran UniversitySanliurfaTurkey
  2. 2.Department of Chest Diseases, Faculty of MedicineHarran UniversitySanliurfaTurkey

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