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Lower-extremity venous stasis during laparoscopic cholecystectomy as assessed using color Doppler ultrasound.
- Source :
-
Surgical endoscopy [Surg Endosc] 1995 Mar; Vol. 9 (3), pp. 310-3. - Publication Year :
- 1995
-
Abstract
- Lower-extremity venous stasis during laparoscopic cholecystectomy was evaluated in 16 patients by monitoring the blood velocity in the femoral vein and the femoral vein size (cross-sectional area) using color Doppler ultrasonography. The blood velocity in the femoral vein decreased significantly after the start of 10-mmHg abdominal insufflation in the supine position. When the patients were placed in a reverse Trendelenburg position during 10-mmHg insufflation, blood velocity in the femoral vein further decreased. However, velocity returned to the baseline after deflation. The cross-sectional area of the femoral vein was significantly elevated after the start of 10 mm Hg insufflation in the supine position. When patients were placed in the reverse Trendelenburg position during 10-mmHg insufflation, this parameter was further elevated, but returned to the baseline soon after deflation. These results indicate that femoral vein stasis during laparoscopic cholecystectomy can be minimized by reducing the pressure of abdominal insufflation and avoiding elevation of the patient's head as much as possible.
- Subjects :
- Blood Flow Velocity
Female
Femoral Vein diagnostic imaging
Humans
Insufflation adverse effects
Male
Middle Aged
Monitoring, Intraoperative methods
Posture
Ultrasonography, Doppler, Color
Cholecystectomy, Laparoscopic
Intraoperative Complications diagnostic imaging
Venous Insufficiency diagnostic imaging
Venous Insufficiency etiology
Subjects
Details
- Language :
- English
- ISSN :
- 0930-2794
- Volume :
- 9
- Issue :
- 3
- Database :
- MEDLINE
- Journal :
- Surgical endoscopy
- Publication Type :
- Academic Journal
- Accession number :
- 7597605
- Full Text :
- https://doi.org/10.1007/BF00187775