1、 第三十二章第三十二章The field of abdominal surgery has been radically changed with the introduction of laparoscopy Recent advance in robotic and video technology have made the use of laparoscopic procedures more widely applicable.With the evolution of laparoscopy，a substantial number of abdominal procedures
2、are being performed using this approach,including ,and so on.Compared with the traditional open abdominal approach.the laparoscopic approach is:However,it is important that the benefits of laparoscopic procedures be weighed against associated complications.A thorough knowledge of potential periopera
3、tive complications is necessary to provide optimal patient carePart I Physiological changes Part I Physiological changes during laparoscopic surgery during laparoscopic surgery Part I Physiological changes Part I Physiological changes during laparoscopic surgery during laparoscopic surgeryI.Cardiova
4、scular systemI.Cardiovascular systemI.Cardiovascular systemI.Cardiovascular systemI.Cardiovascular systemI.Cardiovascular systemI.Cardiovascular systemI.Cardiovascular system2.The patients were placed in 2.The patients were placed in different body position(Table1)different body position(Table1)2.Th
5、e patients were placed in 2.The patients were placed in different body position(Table1)different body position(Table1)Table-1 Hemodynamic measurements before and during pneumoperitoneum（PP）during laparoscopic cholecystectomy in healthy patients3.Carbon dioxide absorption3.Carbon dioxide absorption3.
6、Carbon dioxide absorption3.Carbon dioxide absorption 3.Carbon dioxide absorption3.Carbon dioxide absorption II.II.Pulmonary functionPulmonary function II.II.Pulmonary functionPulmonary function II.II.Pulmonary functionPulmonary function Hepatic blood flow is decreased.Part II Part II Anesthesia for
7、Anesthesia for laparoscopic surgerylaparoscopic surgeryPreoperative evaluation and Preoperative evaluation and preparation for anesthesia.preparation for anesthesia.Preoperative evaluation and Preoperative evaluation and preparation for anesthesia.preparation for anesthesia.The choice of anesthesiaT
8、he choice of anesthesia The choice of anesthesiaThe choice of anesthesiaThe choice of anesthesiaThe choice of anesthesiaThe choice of anesthesiaThe choice of anesthesiaThe choice of anesthesiaThe choice of anesthesiaThe choice of anesthesiaThe choice of anesthesiaThe choice of anesthesiaThe choice o
9、f anesthesia .Special considerations in.Special considerations in the anesthesia the anesthesia.Special considerations in.Special considerations in the anesthesia the anesthesia .Special considerations in.Special considerations in the anesthesia the anesthesia *Enhance respiratory management during
10、operation *The use of neuromuscular blockers and complete muscle relaxation are required.Special considerations in.Special considerations in the anesthesia the anesthesia.Special considerations in.Special considerations in the anesthesia the anesthesia.Special considerations in.Special considerations in the anesthesia the anesthesiaPART PART.COMPLICATION.COMPLICATION1.Cardiovescular system PART PART.COMPLICATION.COMPLICATIONPART PART.COMPLICATION.COMPLICATIONPART PART.COMPLICATION.COMPLICATIONPART PART.COMPLICATION.COMPLICATION
