BACKGROUND: Intraoperative endoscopy (IOE) is a useful adjunct during laparoscopic gastrointestinal (GI) surgery. However, one potential hazard of IOE is a @entity1162 due to insufflated air, which may cause obstructed surgical exposure and @entity282 . Recently, @entity544 ( @entity515 ), with its rapid absorptive nature, has been proven effective to minimize @entity1162 in ambulatory/intraoperative colonoscopy. The objectives were to assess the feasibility, safety, and efficacy of @entity515 -insufflating @entity344 during laparoscopic surgery. METHODS: A historical comparison study was performed on the initial ten consecutive @entity1 who underwent @entity515 -insufflating @entity344 ( @entity515 -IOE) during laparoscopic surgery. The control group consisted of the past 12 consecutive @entity1 who underwent conventional air-insufflating @entity344 (air-IOE) during laparoscopic surgery. The following parameters were compared between the two groups: (1) @entity1 demographics; (2) feasibility (% completion of IOE); (3) safety (complications related to IOE, impacts on cardiopulmonary status, including systemic blood pressure, heart rate, and end-tidal @entity515 ); (4) efficacy (postoperative residual intestinal gas, time to resume oral intake, and bowel movement). The amounts of post-IOE residual intestinal gas were evaluated and classified on the immediate postoperative abdominal radiographs in a blinded manner. RESULTS: @entity1 demographics were comparable between the two groups. IOE was completed in both groups without complications. Adverse effects on cardiopulmonary status were not observed during simultaneous intraperitoneal and intraluminal @entity515 insufflation. In the air-IOE group, one @entity1 was converted to open surgery because of inadequate surgical exposure from prolonged distension of the downstream bowel. The @entity1 in the @entity515 -IOE group had significantly lower grade of @entity86 than the control group. Postoperative oral intake was resumed earlier in the @entity515 -IOE group. CONCLUSION: @entity515 -insufflating @entity344 during laparoscopic surgery is feasible, safe, and has a practical advantage in minimizing @entity29 compared with conventional air-insufflating @entity344 .

The role of intraoperative XXXX insufflating upper @entity344 during laparoscopic surgery.

@entity1 :: ('9606', 'Species') :: ['patients', 'patient', 'Patient'] @entity344 :: ('MESH:D005767', 'Disease') :: ['upper GI IOE'] @entity29 :: ('MESH:D015212', 'Disease') :: ['post-IOE bowel distension'] @entity515 :: ('CHEBI:29334', 'Chemical') :: ['CO(2)'] @entity86 :: ('MESH:D019106', 'Disease') :: ['postoperative bowel distension'] @entity544 :: ('MESH:D002245', 'Chemical') :: ['carbon dioxide'] @entity1162 :: ('MESH:D008133', 'Disease') :: ['prolonged bowel distension'] @entity282 :: ('MESH:D010149', 'Disease') :: ['increased postoperative abdominal pain']
@entity544 :: (MESH:D002245,Chemical) :: ['carbon dioxide']
