Laparoscopic Surgery Lacunar Different Inflatable Comparative Study Of Carbon Dioxide Absorption

Objective:Laparoscopic surgery lacunar different inflatable Comparison carbon dioxide absorption.Methods:Choose February2011-2013in February, laparoscopic surgery in60patients, according to different inflatable compartment divided into four groups, â…  group laparoscopic resection of thyroid adenoma, using subcutaneous tissue gap inflated; â…¡ group was intraperitoneally mirror partial hepatectomy patients, the use of the upper abdomen abdominal inflated; â…¢ group laparoscopic hysterectomy patients, the use of lower abdominal peritoneal inflated; â…£ group of patients with laparoscopic hernia repair, using the extraperitoneal space inflated. Four groups of anesthesia, and the application of antibiotics kind and amount of the same. The onset underwent positive pressure ventilation, record inflation front, inflatable10,30,60min,15min after deflation of CO2absorption and subcutaneous emphysema incidence and timing of extubation.Results:Inflatable in four groups at each time point than inflation rises before CO2absorption, blood PH lower, the difference was statistically significant; deflated inflatable15minCO2absorption recovery level before. Group IV in inflatable CO2absorbed each time point than group I, II group, III group, PH is lower than the other three groups, the high incidence of subcutaneous emphysema, extubation time is long, and the three groups, the difference was statistically significant. Conclusion:Laparoscopic surgery, due to the operation of different types, different cavities created by inflatable, inflated extraperitoneal space highest carbon dioxide absorption, the highest incidence of subcutaneous emphysema.