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Intraoperative thermal regulation in patients undergoing laparoscopic vs open surgical procedures

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Abstract

Background

Although perioperative hypothermia is a well-known consequence of general anesthesia, it has been hypothesized that laparoscopic surgery exacerbates hypothermia to a greater extent than open surgery. The aim of this study was to demonstrate that laparoscopic surgery does not represent an increased risk for hypothermia.

Methods

A case-controlled retrospective study was conducted on 45 patients, 25 undergoing laparoscopic chole-cystectomy and 20 undergoing parathyroid surgery under endotracheal general anesthesia. Data were collected regarding age, sex, weight, height, American Society of Anesthesiologists (ASA) status, length of surgery, and anesthesia. In addition, we analyzed the type of intraoperative intravenous fluids, anesthetics and perioperative drugs, and temperature, blood pressure, and heart rate recordings during anesthesia.

Results

There was no significant difference between the two groups with respect to age, sex, body mass index (BMI), ASA status, type or amount of intravenous fluids infused, length of anesthesia or surgery, changes in mean blood pressure, or heart rate. Core body temperatures in both groups decreased significantly over time (p < 0.001). However, the core body temperature changes at all measurement points and the rate of temperature drop were similar in both laparoscopic and parathyroidectomy groups (p > 0.05). There was no difference between the groups in terms of maximum drop in temperature (lowest temperature recorded vs baseline temperature) (1.1 ∓ 0.7 vs 1.0 ∓ 0.7°C, p > 0.05).

Conclusion

This study demonstrates that patients who undergo laparoscopic and open procedures of similar duration under endotracheal general anesthesia have similar profiles in terms of perioperative hypothermia.

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Authors and Affiliations

  1. Department of General Surgery, The Cleveland Clinic Foundation, 9500 Euclid Avenue, 44195, Cleveland, OH, USA

    E. Berber & A. E. Siperstein

  2. Department of Surgery, University of California San Francisco, Mount Zion Medical Center, 94145, San Francisco, CA, USA

    A. String, A. Garland, K. L. Engle, K. M. Kim & P. Ituarte

Authors
  1. E. Berber
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  2. A. String
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  3. A. Garland
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  4. K. L. Engle
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  5. K. M. Kim
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  6. P. Ituarte
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  7. A. E. Siperstein
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Berber, E., String, A., Garland, A. et al. Intraoperative thermal regulation in patients undergoing laparoscopic vs open surgical procedures. Surg Endosc 15, 281–285 (2001). https://doi.org/10.1007/s004640000330

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  • DOI: https://doi.org/10.1007/s004640000330

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