caa a22 4500 475779193 CHVBK 20180406123639.0 cr unu---uuuuu 170329e20000901xx s 000 0 eng 10.1007/s004640010060 doi (NATIONALLICENCE)springer-10.1007/s004640010060 The clinical impact of warmed insufflation carbon dioxide gas for laparoscopic cholecystectomy [Elektronische Daten] [S Saad, I. Minor, T. Mohri, M. Nagelschmidt] Background: Reports suggest that the insufflation of cold gas to produce a pneumoperitoneum for laparoscopic surgery can lead to an intraoperative decrease in core body temperature and increased postoperative pain. Methods: In a randomized controlled trial with 20 patients undergoing laparoscopic cholecystectomy, the effect of insufflation using carbon dioxide gas warmed to 37°C (group W) was compared with insufflation using room-temperature cold (21°C) gas (group C). Intraoperative body core and intra-abdominal temperatures were determined at the beginning and end of surgery. Postoperative pain intensity was evaluated using a visual analog scale and recording the consumption of analgesics. Results: There were no significant group-specific differences during the operation, neither in body temperature (group W: 36.1 ± 0.4°C vs group C: 35.7 ± 0.6°C) nor in intra-abdominal temperature (group W: 35.9 ± 0.3°C vs group C: 35.6 ± 0.6°C). Postoperatively, the two groups did not differ in pain susceptibility and need of analgesics. Conclusion: The use of carbon dioxide gas warmed to body temperature to produce a pneumoperitoneum during short-term laparoscopic surgery has no clinically important effect. Springer-Verlag New York Inc., 2000 Key words: Cholecystectomy — Hypothermia — Laparoscopy — Pneumoperitoneum nationallicence Saad S. Second Department of Surgery, University of Cologne, Ostmerheimer Strasse 200, 51109 Cologne, Germany, Germany aut Minor I. Division of Surgical Research, Department of Surgery, University of Bonn, Sigmund-Freud-Strasse 25, 53127 Bonn, Germany, Germany aut Mohri T. Second Department of Surgery, University of Cologne, Ostmerheimer Strasse 200, 51109 Cologne, Germany, Germany aut Nagelschmidt M. Second Department of Surgery, University of Cologne, Ostmerheimer Strasse 200, 51109 Cologne, Germany, Germany aut Surgical Endoscopy Springer-Verlag 14/9(2000-09-01), 787-790 0930-2794 14:9<787 2000 14 464 https://doi.org/10.1007/s004640010060 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s004640010060 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Saad S. Second Department of Surgery, University of Cologne, Ostmerheimer Strasse 200, 51109 Cologne, Germany, Germany aut NATIONALLICENCE 700 1- Minor I. Division of Surgical Research, Department of Surgery, University of Bonn, Sigmund-Freud-Strasse 25, 53127 Bonn, Germany, Germany aut NATIONALLICENCE 700 1- Mohri T. Second Department of Surgery, University of Cologne, Ostmerheimer Strasse 200, 51109 Cologne, Germany, Germany aut NATIONALLICENCE 700 1- Nagelschmidt M. Second Department of Surgery, University of Cologne, Ostmerheimer Strasse 200, 51109 Cologne, Germany, Germany aut NATIONALLICENCE 773 0- Surgical Endoscopy Springer-Verlag 14/9(2000-09-01), 787-790 0930-2794 14:9<787 2000 14 464 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer