Minimally-invasive volaemic monitoring through stroke volume variation leads to better intraoperative outcomes in laparoscopic hepatic surgery

Objectives: Intraoperative volaemic control is a mainstay of protocols aiming at faster functional recovery after surgery. In particular, hypovolaemia has major positive effects in laparoscopic liver surgery, with reduced morbidity and mortality rate due to lower bleeding and consequent conversion rate to open surgery. Central venous pressure (CVP) has traditionally been used as a marker of cardiac preload, but its liability in laparoscopy is uncertain due to pneumoperitoneum and patient’s position.
Source: Clinical Nutrition ESPEN - Category: Nutrition Authors: Source Type: research