E-ISSN 2231-3206 | ISSN 2320-4672
 

Original Research 


An observational study on the effect of laparoscopic cholecystectomy over pulmonary function test

Amit Gushaiwal, Naresh Meena, Shivaji H Vidhyarthi, Hari Om Dhaker, Dhiraj Daga.

Abstract
Background: Inflammation of gallbladder bed, CO2 pneumoperitoneum, and intraoperative patient posture all plays a role in the etiology of pulmonary dysfunction during laparoscopic cholecystectomy.

Aims and Objectives: The goal of this study was to detect any changes in pulmonary function following laparoscopic cholecystectomy using a portable spirometry instrument, as well as to determine the degree of pulmonary function impairment and complications.

Materials and Methods: The pre-operative and post-operative spirometry of 150 patients undergoing laparoscopic cholecystectomy under general anesthesia were compared in this prospective observational study conducted at JLN medical college and attached group of hospitals after obtaining due permission from the Institutional Ethics Committee. Spirometry was performed preoperatively to determine baseline values forced vital capacity (FVC), forced expiratory volume in 1 s (FEV1), and peak expiratory flow rate (PEFR). Those who were unable to complete the required maneuvers were not included in the study. Pulmonary function testing was performed thrice after surgery, on days 1, 2, and 3 after surgery. To achieve a VAS score of <4, enough pain alleviation was provided. The paired t-test was used to compare spirometry values.

Results: Between the preoperative and immediate post-operative periods, significant changes in FVC, FEV1, and PEFR were detected, indicating restrictive ventilator dysfunction.

Conclusion: After laparoscopic cholecystectomy, light restrictive respiratory disturbances were noted with quick recovery of pulmonary function, potentially lowering post-operative pulmonary morbidity and mortality.

Key words: Laparoscopic Cholecystectomy; Pulmonary Function Test; Spirometry


 
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How to Cite this Article
Pubmed Style

Gushaiwal A, Meena N, Vidhyarthi SH, Dhaker HO, Daga D. An observational study on the effect of laparoscopic cholecystectomy over pulmonary function test. Natl J Physiol Pharm Pharmacol. 2022; 12(12): 2042-2045. doi:10.5455/njppp.2022.12.04172202216042022


Web Style

Gushaiwal A, Meena N, Vidhyarthi SH, Dhaker HO, Daga D. An observational study on the effect of laparoscopic cholecystectomy over pulmonary function test. https://www.njppp.com/?mno=1969 [Access: February 03, 2023]. doi:10.5455/njppp.2022.12.04172202216042022


AMA (American Medical Association) Style

Gushaiwal A, Meena N, Vidhyarthi SH, Dhaker HO, Daga D. An observational study on the effect of laparoscopic cholecystectomy over pulmonary function test. Natl J Physiol Pharm Pharmacol. 2022; 12(12): 2042-2045. doi:10.5455/njppp.2022.12.04172202216042022



Vancouver/ICMJE Style

Gushaiwal A, Meena N, Vidhyarthi SH, Dhaker HO, Daga D. An observational study on the effect of laparoscopic cholecystectomy over pulmonary function test. Natl J Physiol Pharm Pharmacol. (2022), [cited February 03, 2023]; 12(12): 2042-2045. doi:10.5455/njppp.2022.12.04172202216042022



Harvard Style

Gushaiwal, A., Meena, . N., Vidhyarthi, . S. H., Dhaker, . H. O. & Daga, . D. (2022) An observational study on the effect of laparoscopic cholecystectomy over pulmonary function test. Natl J Physiol Pharm Pharmacol, 12 (12), 2042-2045. doi:10.5455/njppp.2022.12.04172202216042022



Turabian Style

Gushaiwal, Amit, Naresh Meena, Shivaji H Vidhyarthi, Hari Om Dhaker, and Dhiraj Daga. 2022. An observational study on the effect of laparoscopic cholecystectomy over pulmonary function test. National Journal of Physiology, Pharmacy and Pharmacology, 12 (12), 2042-2045. doi:10.5455/njppp.2022.12.04172202216042022



Chicago Style

Gushaiwal, Amit, Naresh Meena, Shivaji H Vidhyarthi, Hari Om Dhaker, and Dhiraj Daga. "An observational study on the effect of laparoscopic cholecystectomy over pulmonary function test." National Journal of Physiology, Pharmacy and Pharmacology 12 (2022), 2042-2045. doi:10.5455/njppp.2022.12.04172202216042022



MLA (The Modern Language Association) Style

Gushaiwal, Amit, Naresh Meena, Shivaji H Vidhyarthi, Hari Om Dhaker, and Dhiraj Daga. "An observational study on the effect of laparoscopic cholecystectomy over pulmonary function test." National Journal of Physiology, Pharmacy and Pharmacology 12.12 (2022), 2042-2045. Print. doi:10.5455/njppp.2022.12.04172202216042022



APA (American Psychological Association) Style

Gushaiwal, A., Meena, . N., Vidhyarthi, . S. H., Dhaker, . H. O. & Daga, . D. (2022) An observational study on the effect of laparoscopic cholecystectomy over pulmonary function test. National Journal of Physiology, Pharmacy and Pharmacology, 12 (12), 2042-2045. doi:10.5455/njppp.2022.12.04172202216042022