LOWER-EXTREMITY VENOUS STASIS DURING LAPAROSCOPIC CHOLECYSTECTOMY AS ASSESSED USING COLOR DOPPLER ULTRASOUND

被引：22

作者：

IDO, K ^{[1
]}

SUZUKI, T ^{[1
]}

KIMURA, K ^{[1
]}

TANIGUCHI, Y ^{[1
]}

KAWAMOTO, C ^{[1
]}

ISODA, N ^{[1
]}

NAGAMINE, N ^{[1
]}

IOKA, T ^{[1
]}

KUMAGAI, M ^{[1
]}

HIRAYAMA, Y ^{[1
]}

机构：

[1] JICHI MED SCH,DEPT ENDOSCOPY,MINAMI KAWACHI,TOCHIGI 32904,JAPAN

来源：

SURGICAL ENDOSCOPY-ULTRASOUND AND INTERVENTIONAL TECHNIQUES | 1995年 / 9卷 / 03期

关键词：

LAPAROSCOPIC CHOLECYSTECTOMY; COLOR DOPPLER ULTRASOUND; LOWER-EXTREMITY VENOUS STASIS; DEEP VEIN THROMBOSIS;

D O I：

暂无

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Lower-extremity venous stasis during laparoscopic cholecystectomy was evaluated in 16 patients by monitoring the blood velocity in the femoral vein and the femoral vein size (cross-sectional area) using color Doppler ultrasonography. The blood velocity in the femoral vein decreased significantly after the start of 10-mmHg abdominal insufflation in the supine position. When the patients were placed in a reverse Trendelenburg position during 10-mmHg insufflation, blood velocity in the femoral vein further decreased. However, velocity returned to the baseline after deflation, The cross-sectional area of the femoral vein was significantly elevated after the start of 10 mm Hg insufflation in the supine position. When patients were placed in the reverse Trendelenburg position during IO-mmHg insufflation, this parameter was further elevated, but returned to the baseline soon after deflation. These results indicate that femoral vein stasis during laparoscopic cholecystectomy can be minimized by reducing the pressure of abdominal insufflation and avoiding elevation of the patient's head as much as possible.

引用

页码：310 / 313

页数：4