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首页> 外文期刊>Surgical Endoscopy >Laparoscopic surgery in children is associated with an intraoperative hypermetabolic response.
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Laparoscopic surgery in children is associated with an intraoperative hypermetabolic response.

机译：儿童腹腔镜手术与术中代谢亢进有关。

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BACKGROUND: Laparoscopic surgery is thought to be associated with a reduced metabolic response compared to open surgery. Oxygen consumption (VO2) and energy metabolism during laparoscopic surgery have not been characterized in children. METHODS: We measured respiratory gas exchange intraoperatively in children undergoing 19 open and 20 laparoscopic procedures. Premature infants and patients with metabolic, renal, and cardiac abnormalities were excluded. Anesthesia was standardized. Unheated carbon dioxide was used for insufflation. VO2 was measured by indirect calorimetry. Core temperature was measured using an esophageal temperature probe. RESULTS: We found a steady increase in VO2 during laparoscopy. The increase in VO2 was more marked in younger children and was associated with a significant rise in core temperature. Open surgery was not associated with significant changes in core temperature or VO2. CONCLUSIONS: Laparoscopy in children is associated with an intraoperative hypermetabolic response characterized by increased oxygen consumption and core temperature. These changes are more marked in younger children.
机译：背景：与开放手术相比，腹腔镜手术被认为与新陈代谢降低有关。儿童腹腔镜手术期间的耗氧量（VO2）和能量代谢尚未确定。方法：我们测量了接受19例腹腔镜手术和20例腹腔镜手术的儿童的术中呼吸气体交换情况。排除了早产儿和患有代谢，肾脏和心脏异常的患者。麻醉是标准化的。未加热的二氧化碳用于吹入。通过间接量热法测量VO2。使用食道温度探针测量核心温度。结果：我们发现腹腔镜检查期间VO2稳定增加。 VO2的增加在年幼的儿童中更为明显，并且与核心温度的显着升高有关。开放手术与核心温度或VO2的明显变化无关。结论：儿童腹腔镜检查与术中代谢亢进反应有关，其特点是耗氧量和核心温度增加。这些变化在年幼的儿童中更为明显。

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