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Effect of laparoscopic abdominal surgery on splanchnic circulation: Historical developments

World Journal of Gastroenterology 2014年第48期20卷 18165-18176页

作者： Sinan Hatipoglu Sami Akbulut Filiz Hatipoglu Ruslan Abdullayev Department of surgery Adiyaman University Faculty of Medicine 02040 Adiyaman Turkey Department of surgery and Liver TransplanInstitute Inonu University Faculty of Medicine 44280 Malatya Turkey Department of Obstetrics and Gynecology Adiyaman University Faculty of Medicine 02040 Adiyaman Turkey Department of Anesthesiology and Reanimation Adiyaman University Faculty of Medicine 02040 Adiyaman Turkey

With the developments in medical technology and increased surgical experience, advanced laparoscopic surgical procedures are performed successfully. laparoscopic abdominal surgery is one of the best examples of advanced laparoscopic surgery (LS). Today, laparoscopic abdominal surgery in general surgery clinics is the basis of all abdominal surgical interventions. laparoscopic abdominal surgery is associated with systemic and splanchnic hemodynamic alterations. Inadequate splanchnic perfusion in critically ill patients is associated with increased morbidity and mortality. The underlying pathophysiological mechanisms are still not well understood. With experience and with an increase in the number and diversity of the resulting data, the pathophysiology of laparoscopic abdominal surgery is now better understood. The normal physiology and pathophysiology of local and systemic effects of laparoscopic abdominal surgery is extremely important for safe and effective LS. Future research projects should focus on the interplay between the physiological regulatory mechanisms in the splanchnic circulation (SC), organs, and diseases. In this review, we discuss the effects of laparoscopic abdominal surgery on the SC.

关键词： laparoscopic abdominal surgery Splanchnic circulation Intra-abdominal pressure abdominal compartment syndrome Safe laparoscopic surgery

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