Journal of the American College of Surgeons
The most recent articles from:
J. Am. Coll. Surg.
-
Review Comparative Study
Carbon dioxide absorption during laparoscopic pelvic operation.
Several factors may influence the degree of carbon dioxide (CO2) absorption during laparoscopy. Hypercapnia as a result of excessive CO2 absorption may have adverse clinical effects. ⋯ The risk factors for hypercapnia can be identified. Careful consideration of the patient's ability to tolerate hypercapnia should be made when planning extraperitoneal laparoscopy, especially if the procedure is likely to be prolonged. The clinical development of subcutaneous emphysema should alert the surgeon to the possibility of subsequent hypercapnia.