Insufflation in minimally invasive surgery: Is there any advantage in staying low?

Minimally invasive repair of esophageal atresia with tracheoesophageal fistula (EA/TEF) and congenital diaphragmatic hernia (CDH) is feasible and confers benefits compared to thoracotomy or laparotomy. However, carbon dioxide (CO2) insufflation can lead to hypercapnia and acidosis. We sought to determine the effect of lower insufflation pressures on patients' surrogate markers for CO2 absorption — arterial partial pressure of CO2 (PaCO2), end tidal CO2 (EtCO2) and pH.

Source: Journal of Pediatric Surgery - February 23, 2020 Category: Surgery Authors: Martin Sidler, Zeng Hao Wong, Simon Eaton, Nargis Ahmad, Meydene Ong, Ahmed Morsi, Clare M Rees, Stefano Giuliani, Simon Blackburn, Joseph I Curry, Kate M Cross, Paolo De Coppi Source Type: research