Influence of surgical position and pneumoperitoneum pressure on post-operative shoulder pain following laparoscopy

Abstract

Objective To explore the effect of surgical position and pneumoperitoneum pressure on shoulder pain following laparoscopy. Methods A total of 277 patients underwent laparoscopy were randomly selected as the subjects for study. 142 patients underwent laparoscopic cholecystectomy (LC) ( heM-high and foot-low) were divided into two groups: Group A with a pneumoporitoneum pressure of 14 mm Hg CO2 pressure, and Group B with a pneumoperitoneum pressure of 10 mmHg CO2 pressure. 135 patients underwent laparoscopic gynecologic surgery (head-low and foot-high ) were randomly divided into two groups: Group C with 14 mmHg pneumoperitoneum pressure, and Group D with 10 mm Hg pressure. The incidence of shoulder pain after laparoscopy was compared and analyzed. Results The incidence of postoperative shoulder pain was significantly high in Groups C and D, compared with Groups A and B, respectively. If compared with Groups B and D respectively, Groups A and C with a higher CO2 pressure have more shoulder pain patients. Conclusions Laparoscopic CO2 pressure and surgical position have significantly effects on postoperative shoulder pain. Key words: Surgical position; Pneumoperitoneum pressure; Laparoscopy; Shoulder pain