Liječnički vjesnik, Vol. 132 No. 9-10, 2010.
Review article
EFFECTS OF PNEUMOPERITONEUM ON LIVER FUNCTION
Višnja Nesek Adam
Žarko Rašić
Viviana Mršić
Elvira Grizelj Stojčić
Zoran Čala
Abstract
Effects of pneumoperitoneum on liver function during laparoscopic procedures in most patients have no clinical relevance. However, with increasing number and types of surgical procedures the laparoscopic operation is now performed in high-risk patients, including patients with pre-existing liver disease. In these patients laparoscopic procedures may lead to serious complication, including acute liver failure. Because postoperative liver damage induced by pneumoperitoneum has been underestimated, the aim of this article is to review the numerous factors influencing liver damage during laparoscopy and review of therapeutic options for their reduction
Keywords
Pneumoperitoneum, artificial – adverse effects; Liver – physiopathology; Liver circulation; Postoperative complications – prevention and control; Laparoscopy
Hrčak ID:
171122
URI
Publication date:
31.10.2010.
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