The why and how of the minimally invasive pneumoperitoneum in present-day laparoscopic surgery

Technological improvement in laparoscopic surgery has mainly concerned image quality enhancement on one hand and surgical precision provided by robotic surgery on the other. Remarkably, the insufflation process has undergone very few changes over the years. Gas insufflation in the abdominal cavity, i.e., the pneumoperitoneum, generates a suitable workspace for the surgeon. Yet, conventional insufflation greatly impacts peritoneal homeostasis, causing impaired peritoneal blood flow, peritoneal acidosis, oxidative stress, mesothelial alterations, and adhesions.

Source: American Journal of Surgery - January 27, 2024 Category: Surgery Authors: Guido Mazzinari, Kim I. Albers-Warl é, Lucas Rovira, Michiel C. Warlé, Oscar Diaz−Cambronero, Maria Pilar Argente Navarro Tags: My Thoughts / My Surgical Practice Source Type: research