RESUMO
OBJECTIVE: to evaluate the pulmonary function of women submitted to conventional and single-port laparoscopic cholecystectomy. METHODS: forty women with symptomatic cholelithiasis, aged 18 to 70 years, participated in the study. We divided the patients into two groups: 21 patients underwent conventional laparoscopic cholecystectomy, and 19, single-port laparoscopic cholecystectomy. We assessed pulmonary function through forced vital capacity (FVC), forced expiratory volume in the first second (FEV1), and the FEV1/FVC ratio, measured before and 24 hours after the procedure. RESULTS: in both groups, FVC and FEV1 were lower in the postoperative period than those obtained in the preoperative period, with a greater reduction in the group undergoing conventional laparoscopic cholecystectomy. Regarding the FEV1/FVC (%) values, there was no statistically significant difference in any of the groups or times analyzed. CONCLUSION: there was a greater decline in FVC and FEV1 in the postoperative group of patients submitted to conventional laparoscopic cholecystectomy.
Assuntos
Colecistectomia Laparoscópica/métodos , Volume Expiratório Forçado , Capacidade Vital , Adolescente , Adulto , Idoso , Estudos Transversais , Feminino , Humanos , Pessoa de Meia-Idade , Período Pós-Operatório , Período Pré-Operatório , Estudos Prospectivos , Adulto JovemRESUMO
ABSTRACT Objective: to evaluate the pulmonary function of women submitted to conventional and single-port laparoscopic cholecystectomy. Methods: forty women with symptomatic cholelithiasis, aged 18 to 70 years, participated in the study. We divided the patients into two groups: 21 patients underwent conventional laparoscopic cholecystectomy, and 19, single-port laparoscopic cholecystectomy. We assessed pulmonary function through forced vital capacity (FVC), forced expiratory volume in the first second (FEV1), and the FEV1/FVC ratio, measured before and 24 hours after the procedure. Results: in both groups, FVC and FEV1 were lower in the postoperative period than those obtained in the preoperative period, with a greater reduction in the group undergoing conventional laparoscopic cholecystectomy. Regarding the FEV1/FVC (%) values, there was no statistically significant difference in any of the groups or times analyzed. Conclusion: there was a greater decline in FVC and FEV1 in the postoperative group of patients submitted to conventional laparoscopic cholecystectomy.
RESUMO Objetivo: avaliar a função pulmonar, através da capacidade vital forçada (CVF) e volume expiratório forçado no primeiro segundo (VEF1), e a relação VEF1/CVF% de mulheres submetidas à colecistectomia laparoscópica convencional e por portal único, antes e 24 horas depois do procedimento. Métodos: quarenta mulheres com colelitíase sintomática, com idades entre 18 e 70 anos, participaram do estudo. As pacientes foram distribuídas em dois grupos: 21 pacientes foram submetidas à colecistectomia laparoscópica convencional e 19 à colecistectomia laparoscópica por portal único. Resultados: nos dois grupos submetidos aos procedimentos cirúrgicos os valores espirométricos da CVF e da VEF1 no pós-operatório foram inferiores aos valores obtidos no pré-operatório, com redução maior no grupo submetido à colecistectomia laparoscópica convencional. Quanto aos valores da VEF1/CVF (%) não houve diferença estatisticamente significativa em nenhum dos grupos ou tempos analisados. Conclusão: houve maior declínio na CVF e no VEF1 no pós-operatório do grupo de pacientes submetidas à colecistectomia laparoscópica convencional.
