A. Klockgetherradke, ANESTHESIOLOGICAL ASPECTS OF MINIMAL INVA SIVE SURGERY - PREOPERATIVEASSESSMENT, Zentralblatt fur Chirurgie, 118(10), 1993, pp. 588-591
Laparoscopic surgery may be associated with increased perioperative mo
rbidity due to respiratory and cardiocirculatory problems. Preoperativ
e assessment requires a diagnostic program including laboratory tests
and noninvasive diagnostic studies, and a physical status classificati
on. High-risk patients are those with intracardial right-to-left shunt
s (increased risk of gas embolism) and patients in shock. Increased in
traoperative morbidity is expected in patients with manifest cardiac f
ailure or severely restricted pulmonary function. In patients with mod
erate pulmonary dysfunction laparoscopic procedures seem to be associa
ted with the benefit of a better postoperative pulmonary function.