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Laparoscopic cholecystectomy and time-course changes in renal function

The effect of the retraction method on renal function

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Abstract

Background: Recently, the retraction method has been used to reduce intraabdominal pressure (IAP) during laparoscopic surgery. The purpose of this study was to determine the serial changes in renal function during laparoscopic cholecystectomy (LC) using the retraction method.

Methods: Urine output, effective renal plasma flow (ERPF), and glomerular filtration rate (GFR) were measured serially in seven patients who underwent LC with 12 mmHg pneumoperitoneum (High-IAP group) and five who underwent LC using the retraction method with 4 mmHg pneumoperitoneum (Low-IAP group).

Results: Urine output, ERPF, and GFR were decreased during pneumoperitoneum in the High-IAP group, whereas no significant changes in any of these parameters were observed in the Low-IAP group.

Conclusions: Our findings demonstrate that reduction of IAP to 4 mmHg using the retraction method prevents the transient renal dysfunction caused by prolonged 12 mmHg pneumoperitoneum during LC, suggesting that the retraction method reduces the risk of perioperative renal dysfunction during laparoscopic surgery.

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Authors and Affiliations

  1. Department of Surgery, Kinan General Hospital, Wakayama 646, Japan, JP

    Y. Miki, J. Sumimura & I. Nagai

  2. First Department of Surgery, Osaka University Medical School, 2-2 Yamadaoka, Suita, Osaka 565, Japan, JP

    K. Iwase, W. Kamiike, E. Taniguchi & H. Matsuda

  3. Department of Medicine, Sumitomo Hospital, Japan, JP

    K. Sakaguchi

Authors
  1. Y. Miki
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  2. K. Iwase
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  3. W. Kamiike
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  4. E. Taniguchi
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  5. K. Sakaguchi
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  6. J. Sumimura
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  7. H. Matsuda
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  8. I. Nagai
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Additional information

Received: 26 March 1996/Accepted: 27 July 1996

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Miki, Y., Iwase, K., Kamiike, W. et al. Laparoscopic cholecystectomy and time-course changes in renal function. Surg Endosc 11, 838–841 (1997). https://doi.org/10.1007/s004649900466

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  • DOI: https://doi.org/10.1007/s004649900466

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