Comparison of the effect on renal and liver functions of low pressure versus standard pressure pneumoperitoneum in laparoscopic cholecystectomy

Anoop Kumar Jaiswal; Virendra Bahadur Singh; Imran Mohd. Ansari; Dhruv Mahajan

Volume : V, Issue : I, January - 2016

Comparison of the effect on renal and liver functions of low pressure versus standard pressure pneumoperitoneum in laparoscopic cholecystectomy

Anoop Kumar Jaiswal, Virendra Bahadur Singh, Imran Mohd. Ansari, Dhruv Mahajan

Abstract :

With advancement of medical practice in present era the introduction of laparoscopic surgeries has changed dramatically the management of gall bladder disease and establishing the laparoscopic cholecystectomy as the method of choice for treatment of uncomplicated cholelithiasis. This study is planned to evaluate the effect of low pressure versus standard pressure pneumoperitoneum in laparoscopic cholecystectomy on renal and liver function test and explore the physiological effect of both method of cholecystectomy. A total of 68 cases were enrolled; in the study group (LPP) n=33 cases were operated by creating low–pressure pneumoperitoneum and n=35 cases were operated under standard pressure pneumoperitoneum (SPP). Significant derangements in liver and renal functions were observed in SPP group where as LPP group showed non–significant changes in liver and renal functions. To conclude standard pressure pneumoperitoneum is associated with significant changes in liver and renal function test as compared to low–pressure pneumoperitoneum.