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Catecholamine Release caused by Carbon Dioxide Insufflation during Laparoscopic Surgery

1996; Lippincott Williams & Wilkins; Volume: 155; Issue: 4 Linguagem: Inglês

10.1016/s0022-5347(01)66268-2

1527-3792

Osamu Mikami, Shigenari Kawakita, Kumiko Fujise, Koh Shingu, Hakuo Takahashi, Tadashi Matsuda,

Pituitary Gland Disorders and Treatments

No AccessJournal of UrologyClinical Urology: Original Article1 Apr 1996Catecholamine Release caused by Carbon Dioxide Insufflation during Laparoscopic Surgery Osamu Mikami, Shigenari Kawakita, Kumiko Fujise, Koh Shingu, Hakuo Takahashi, and Tadashi Matsuda Osamu MikamiOsamu Mikami , Shigenari KawakitaShigenari Kawakita , Kumiko FujiseKumiko Fujise , Koh ShinguKoh Shingu , Hakuo TakahashiHakuo Takahashi , and Tadashi MatsudaTadashi Matsuda View All Author Informationhttps://doi.org/10.1016/S0022-5347(01)66268-2AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: We evaluated plasma catecholamine levels during pneumoperitoneum in laparoscopic surgery. Materials and Methods: Plasma epinephrine and norepinephrine were evaluated in 29 patients who underwent laparoscopic retroperitoneal surgery in a half lateral decubitus position (group 1) or laparoscopic varicocelectomy in a Trendelenburg position (group 2). Results: The levels of epinephrine and norepinephrine increased significantly 5 minutes after carbon dioxide insufflation compared to levels after Veress needle insertion and just before insufflation. The elevation of catecholamine levels during laparoscopic procedures was greater in group 1. Conclusions: Our results indicate that carbon dioxide insufflation may cause catecholamine release during laparoscopic surgery. Careful monitoring of hemodynamics is mandatory at the beginning of the procedure. References 1 : Laparoscopic urology: past, present, and future. World J. Surg.1993; 17: 57. Google Scholar 2 : Laparoscopic adrenalectomy: the surgical technique and initial results of 13 cases. Min. Invasive Ther.1993; 2: 123. Google Scholar 3 : Physiologic considerations in laparoscopy. In: Urologic Laparoscopy. Edited by . Philadelphia: W. B. Saunders Co1994: 17. chapt. 2. Google Scholar 4 : Vasopressin release during laparoscopy: role of increased intra-abdominal pressure. Lancet1982; 1: 175. Google Scholar 5 : Plasma arginine vasopressin concentration during laparoscopy. Hepatogastroenterology1989; 36: 499. Google Scholar 6 : Hormonal responses to graded surgical stress. Arch. Intern. Med.1987; 147: 1273. Google Scholar 7 : Laparoscopic nephrectomy with lymphadenectomy for renal cell carcinoma: initial two cases. Min. Invasive Ther.1993; 2: 221. Google Scholar 8 : Smaller ports result in shorter convalescence after laparoscopic varicocelectomy. J. Urol.1995; 153: 1175. Abstract, Google Scholar 9 : The relative effects of hypoxia and hypercarbia on adrenal medullary secretion in anesthetized dogs. J. Surg. Res.1965; 5: 560. Google Scholar 10 : Effects of carbon dioxide on the cardiovascular system. Anesthesiology1960; 21: 652. Google Scholar 11 : Anesthetic management of laparoscopy. In: Anesthesia. Edited by . New York: Churchill Livingstone1990: 2011. chapt. 60. Google Scholar 12 : Hemodynamic changes during laparoscopic cholecystectomy. Anesth. Analg.1993; 76: 1067. Google Scholar 13 : Hemodynamic changes associated with various surgical positions. J.A.M.A.1963; 185: 1. Google Scholar 14 : Cardiac output and arterial blood-gas tension during laparoscopy. Brit. J. Anaesth.1972; 44: 1155. Google Scholar Departments of Urology, Anesthesiology, Clinical Sciences and Laboratory Medicine, Kansai Medical University, Moriguchi, Osaka, Japan© 1996 by American Urological Association, Inc.FiguresReferencesRelatedDetails Volume 155Issue 4April 1996Page: 1368-1371 Advertisement Copyright & Permissions© 1996 by American Urological Association, Inc.MetricsAuthor Information Osamu Mikami More articles by this author Shigenari Kawakita More articles by this author Kumiko Fujise More articles by this author Koh Shingu More articles by this author Hakuo Takahashi More articles by this author Tadashi Matsuda More articles by this author Expand All Advertisement PDF downloadLoading ...