E-ISSN 2367-699X | ISSN 2367-7414
 

Original Research 


Postoperative Pulmonary changes after laparoscopic cholecystectomy as measured by Spirometry

Shams ul Bari, Javaid Ahamd Malik, Ramees Mohiud din Mir, Ramees Mohiud din Mir.

Abstract
Background: Laparoscopic cholecystectomy compared to open cholecystectomy is associated with less postoperative pain and subsequent less reduction and faster recovery of postoperative pulmonary function.
Objectives: The study aimed to study the changes in spirometric parameters of the patients following laparoscopic cholecystectomy as compared to preoperative values.
Material and Methods: The study entitled “Postoperative Pulmonary changes after laparoscopic cholecystectomy as measured by Spirometry” was conducted in the department of general surgery SKIMS Medical College over a period of two years from June 2016 to May 2018. It was a prospective observational study, and the total number of patients studied was 56. The first pulmonary function test was carried a day before surgery. The second test was carried 48 hours after surgery, while the third test was carried on the 7th postoperative day.
Main outcome measures: The main outcome measures which were studied included Forced vital capacity (FVC), Forced expiratory volume in the first second (FEV1) and Peak expiratory flow rate between 25-75 % (PEFR 25-75%).
Results: Of the total 56 patients under study, 87.5% of patients had normal lung function preoperatively. On the second postoperative day, 32.1% of patients had normal lung function, 58.9% had a restrictive pattern, and 8.9% had an obstructive pattern of lung function. On the seventh postoperative day, 76.8% had normal lung function, 17.9% had a restrictive pattern, while 5.4% had an obstructive pattern.
Conclusion: Laparoscopic surgery causes less pulmonary function impairment and allows a quicker return to the preoperative state.

Key words: Cholecystectomy, obstructive, Pneumoperitoneum, restrictive Spirometry


 
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How to Cite this Article
Pubmed Style

Bari Su, Malik JA, Mir RMd, Mir RMd. Postoperative Pulmonary changes after laparoscopic cholecystectomy as measured by Spirometry. Int J Surg Med. 2021; 7(1): 31-37. doi:10.5455/ijsm.Postoperative-Pulmonary-changes-034


Web Style

Bari Su, Malik JA, Mir RMd, Mir RMd. Postoperative Pulmonary changes after laparoscopic cholecystectomy as measured by Spirometry. http://www.ejos.org/?mno=112702 [Access: March 03, 2021]. doi:10.5455/ijsm.Postoperative-Pulmonary-changes-034


AMA (American Medical Association) Style

Bari Su, Malik JA, Mir RMd, Mir RMd. Postoperative Pulmonary changes after laparoscopic cholecystectomy as measured by Spirometry. Int J Surg Med. 2021; 7(1): 31-37. doi:10.5455/ijsm.Postoperative-Pulmonary-changes-034



Vancouver/ICMJE Style

Bari Su, Malik JA, Mir RMd, Mir RMd. Postoperative Pulmonary changes after laparoscopic cholecystectomy as measured by Spirometry. Int J Surg Med. (2021), [cited March 03, 2021]; 7(1): 31-37. doi:10.5455/ijsm.Postoperative-Pulmonary-changes-034



Harvard Style

Bari, S. u., Malik, . J. A., Mir, . R. M. d. & Mir, . R. M. d. (2021) Postoperative Pulmonary changes after laparoscopic cholecystectomy as measured by Spirometry. Int J Surg Med, 7 (1), 31-37. doi:10.5455/ijsm.Postoperative-Pulmonary-changes-034



Turabian Style

Bari, Shams ul, Javaid Ahamd Malik, Ramees Mohiud din Mir, and Ramees Mohiud din Mir. 2021. Postoperative Pulmonary changes after laparoscopic cholecystectomy as measured by Spirometry. International Journal of Surgery and Medicine, 7 (1), 31-37. doi:10.5455/ijsm.Postoperative-Pulmonary-changes-034



Chicago Style

Bari, Shams ul, Javaid Ahamd Malik, Ramees Mohiud din Mir, and Ramees Mohiud din Mir. "Postoperative Pulmonary changes after laparoscopic cholecystectomy as measured by Spirometry." International Journal of Surgery and Medicine 7 (2021), 31-37. doi:10.5455/ijsm.Postoperative-Pulmonary-changes-034



MLA (The Modern Language Association) Style

Bari, Shams ul, Javaid Ahamd Malik, Ramees Mohiud din Mir, and Ramees Mohiud din Mir. "Postoperative Pulmonary changes after laparoscopic cholecystectomy as measured by Spirometry." International Journal of Surgery and Medicine 7.1 (2021), 31-37. Print. doi:10.5455/ijsm.Postoperative-Pulmonary-changes-034



APA (American Psychological Association) Style

Bari, S. u., Malik, . J. A., Mir, . R. M. d. & Mir, . R. M. d. (2021) Postoperative Pulmonary changes after laparoscopic cholecystectomy as measured by Spirometry. International Journal of Surgery and Medicine, 7 (1), 31-37. doi:10.5455/ijsm.Postoperative-Pulmonary-changes-034