The effects of laparoscopic urologic surgery on cardiac functions: A pulse wave velocity study
- 1 July 2020
- journal article
- research article
- Published by AVES YAYINCILIK A.Ş. in Turkish Journal Of Urology
- Vol. 46 (4), 303-308
- https://doi.org/10.5152/tud.2020.19094
Abstract
Objective: The aim of this study is to evaluate the effects of laparoscopic urologic surgery on cardiac functions by the parameter pulse wave velocity (PWV), a noninvasive method. Material and methods: Between July 2012 and February 2013, a total of 47 patients were included in this prospective controlled study. Patients who have been scheduled for laparoscopic surgery (LS) (n=30) and open surgery (n=17) were enrolled in the study. Preoperative, perioperative, and postoperative cardiovascular parameters were measured by a PWV instrument, and the results were compared between laparoscopic (L) group and open (C) group. Results: In the L group, compared to preoperative values, perioperative systolic arterial pressure, diastolic arterial pressure, and mean arterial pressure increased considerably, by 2.6%, 7.9%, and 4.7%, respectively. This was in contrary to reductions in these parameters by 9.5%, 5.7%, and 10%, respectively, in the C group. For the I. group, cardiac output (CO) and cardiac index (CI) were increased in the perioperative period and decreased in the postoperative period. For the C group, there were no changes in measurements of perioperative and postoperative CO and CI. However, these changes in CO and CI were not significantly different between the L and C groups. Postoperative large artery elasticity index decreased in both groups. However, these changes did not represent significant difference between groups. Conclusion: Compared to open surgery, LS may cause increases in perioperative blood pressures. In addition, increased blood pressures may last even on the first postoperative day. These effects may be more important for patients with high cardiovascular risk.Keywords
This publication has 16 references indexed in Scilit:
- Laparoscopic Colorectomy for Colorectal Cancer: Retrospective Analysis of 889 Patients in a Single CenterThe Tohoku Journal of Experimental Medicine, 2012
- Hemodynamic Perturbations During Robot-Assisted Laparoscopic Radical Prostatectomy in 45° Trendelenburg PositionAnesthesia & Analgesia, 2011
- Pulmonary edema after da Vinci-assisted laparoscopic radical prostatectomy: a case reportJournal of Clinical Anesthesia, 2010
- Diastolic function: the influence of pneumoperitoneum and Trendelenburg positioning during laparoscopic hysterectomyEuropean Journal of Anaesthesiology, 2009
- Pulse Contour Analysis and Transesophageal Echocardiography: A Comparison of Measurements of Cardiac Output During Laparoscopic Colon SurgeryAnesthesia & Analgesia, 2009
- The association between serum urate levels and arterial stiffness/endothelial function in stroke survivorsAtherosclerosis, 2008
- Effects of Posture and Prolonged Pneumoperitoneum on Hemodynamic Parameters during LaparoscopyWorld Journal of Surgery, 2008
- Cardiac function during steep Trendelenburg position and CO2 pneumoperitoneum for robotic‐assisted prostatectomy: a trans‐oesophageal Doppler probe studyInternational Journal of Medical Robotics and Computer Assisted Surgery, 2007
- Effect of long-term treatment with rosiglitazone on arterial elasticity and metabolic parameters in patients with Type 2 diabetes mellitus: a 2-year follow-up studyDiabetic Medicine, 2007
- The duration of hemodynamic depression during laparoscopic cholecystectomySurgical Endoscopy, 2002