전신 마취하 복강경 수술 시 복강 내압과 체위 변동이 안압에 미치는 영향

• 영문명: The Effect of Positional Change During Laparoscopic Surgery on Intraocular Pressure
• 발행기관: 대한안과학회
• 저자명: 송해윤 최종우 권정도,Hae Yoon Song, MD, Jong Woo Choi, MD, Jeong Do Kwon, MD
• 간행물 정보: 『대한안과학회지』Ophthalmological Society,volume52,number10, 1208~1214쪽, 전체 7쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2011.10.15

영문 초록

Purpose: The present study proposes to examine the change of IOP in response to the rise of abdominal pressure and in response to position change during laparoscopic surgery. Methods: The subjects of the present study included 28 patients who had laparoscopic appendectomy and 20 patients who had laparoscopic cholecystectomy. In both groups, the IOP was measured before surgery, after general anesthesia, after the occurrence of pneumoperitoneum, after position change according to operative method, after the removal of pneumoperitoneum and under general anesthesia. Results: When comparing the IOP before and after the occurrence of pneumoperitoneum, the IOP after the occurrence increased by 3.70 ± 0.96 mm Hg in the appendectomy group and by 3.15 ± 0.5 mm Hg in the cholecystectomy group. After the occurrence of pneumoperitoneum, the IOP measured in the head-low position was 3.25 ± 0.16 mm Hg higher than measured in the level position in the appendectomy group, and the IOP measured in the head-high position was 2 ± 0.12 mm Hg lower than measured in the level position in the cholecystectomy group. Between the 2 groups, there was a significant difference of 6.5 mm Hg in IOP according to the change of head position. Conclusions: In the present study, the occurrence of pneumoperitoneum in laparoscopic surgery increased IOP, and position change according to operative method also changed IOP. In addition, IOP was significantly different between the 2 groups. In order to prevent the patient from being exposed to high IOP for a long period during laparoscopic surgery, keeping the duration of pneumoperitoneum and a head-low position to a minimum may be helpful. J Korean Ophthalmol Soc 2011;52(10):1208-1214

키워드

Abdominal pressure, Intraocular pressure, Laparoscopic surgery, Positional change