Why the study?
Does laparoscopy reduce postoperative pulmonary complications compared to open surgical procedures in patients with chronic obstructive pulmonary disease undergoing abdominal surgery?
Does laparoscopy reduce postoperative pulmonary complications compared to open surgical procedures in patients with chronic obstructive pulmonary disease undergoing abdominal surgery?
In patients with COPD undergoing abdominal surgery, laparoscopy may reduce postoperative pulmonary complications compared to open surgery, while bronchodilators require caution in those with cardiac comorbidities.
May support laparoscopy in COPD abdominal surgery to reduce pulmonary complications; hypothesis-generating, needs randomized confirmation.
The patients with chronic obstructive pulmonary disease had high ratio of the pulmonary and cardiac complications. The complication rate was higher for surgical sites closer to the diaphragm such as the upper abdomen. Laparoscopy will reduce the risk for postoperative pulmonary complications compared with open surgical procedures. Based on our preliminary data and considering the lack of controlled trials, bronchodilators should be used with great caution particularly in the individuals with chronic obstructive pulmonary disease and cardiac comorbidity.
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Atalay et al. (2011) studied this question.
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