Journal ArticleDOI
Use of the valveless trocar system reduces carbon dioxide absorption during laparoscopy when compared with standard trocars.
Amin S. Herati,Sero Andonian,Soroush Rais-Bahrami,Mohamed A. Atalla,Arun K. Srinivasan,Lee Richstone,Louis R. Kavoussi +6 more
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TLDR
Use of a valveless trocar significantly reduced CO(2) consumption during transperitoneal laparoscopy and demonstrated significantly reduced carbon dioxide elimination and absorption when compared with the standard trocar.About:
This article is published in Urology.The article was published on 2011-05-01. It has received 52 citations till now.read more
Citations
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Journal ArticleDOI
Subcutaneous emphysema--beyond the pneumoperitoneum.
TL;DR: New additional risks factors that may act to increase the risk of subcutaneous emphysema include total gas volume, gas flow rate, valveless trocar systems, and robotic fulcrum forces.
Journal ArticleDOI
Prospective comparison between the AirSeal® System valve-less Trocar and a standard Versaport™ Plus V2 Trocar in robotic-assisted radical prostatectomy.
TL;DR: In the present study, the AirSeal Trocar offered a more stable pneumocavity and facilitated specimen retrieval and needle extraction and no appreciable differences regarding overall operating time, blood loss, camera cleaning, or overall CO2 consumption were observed.
Journal ArticleDOI
Advances in laparoscopic surgery in urology.
Jens Rassweiler,Dogu Teber +1 more
TL;DR: All technical improvements of laparoscopic surgery are extremely valuable to further simplify the use of classical laparoscopy.
Journal ArticleDOI
Low pressure gynecological laparoscopy (7 mmHg) with AirSeal® System versus a standard insufflation (15 mmHg): A pilot study in 60 patients
TL;DR: LP (7mmHg) laparoscopy with AirSeal® platform allows laparoscopic surgery with less postoperative shoulder pain, and these results could facilitate the development of ambulatory laparoscope.
Journal ArticleDOI
Total intravenous anaesthesia versus inhalational anaesthesia for adults undergoing transabdominal robotic assisted laparoscopic surgery
TL;DR: Low-quality evidence suggests that propofol reduces postoperative nausea and vomiting (PONV) over the short term (one to six hours after surgery) after RALRP compared with inhalational anaesthesia, but it is unclear whether this surrogate outcome translates directly to clinical avoidance of ocular complications during surgery.
References
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Journal ArticleDOI
Laparoscopic Entry: A Review of Techniques, Technologies, and Complications
TL;DR: This guideline should optimize the decision-making process in choosing a particular technique to enter the abdomen during laparoscopy, and there is no evidence that the open entry technique is superior to or inferior to the other entry techniques currently available.
Journal ArticleDOI
The Physiologic Effects of Pneumoperitoneum in the Morbidly Obese
Ninh T. Nguyen,Bruce M. Wolfe +1 more
TL;DR: Morbidly obese patients undergoing laparoscopic bariatric surgery are at risk for intraoperative complications relating to the use of CO2 pneumoperitoneum, and surgeons performing laparoscopy should understand the physiologic effects of carbon dioxide (CO2) pneum operitoneum in the morbidly obese.
Journal ArticleDOI
Cardiovascular effects and acid-base and blood gas changes during laparoscopy
Martin Motew,Anthony D. Ivankovich,Joseph Bieniarz,Ronald F. Albrecht,Behrooz Zahed,Antonio Scommegna +5 more
TL;DR: Laroscopy in 10 women with intraperitoneal carbon dioxide insufflation up to 20 mm was accompanied by circulatory stimulation with elevated arterial and central venous blood pressures, tachycardia, hypercarbia, and decrease in pH, suggesting inhibited venous return.
Book
Smith's Textbook of Endourology
TL;DR: Two Volumes: BASIC PRINCIPLES: Optics of Flexible and Rigid Endoscopes: Physical Principles and Complications, and Basic Laparoscopy: Patient Prepara Tion and Operating Room Setup.
Journal ArticleDOI
Renal effects of CO2 insufflation: Oliguria and acute renal dysfunction in a rat pneumoperitoneum model
Andrew J. Kirsch,Terry W. Hensle,David T. Chang,Mark L. Kayton,Carl A. Olsson,Ihor S. Sawczuk +5 more
TL;DR: Oliguria can be produced in rats undergoing pneumoperitoneum and is most likely related to renal vascular insufficiency from central venous compression.