THE INFLUENCE OF LAPAROSCOPIC SURGERY ON PERIOPERATIVE HEAT-LOSS IN INFANTS

Perioperative heat loss is a potentially serious complication of surge ry in infants. The influence of laparoscopic surgery on perioperative hypothermia has not previously been documented. We reviewed heat loss in 26 infants undergoing laparoscopic pyloromyotomies compared with 42 control patients having the standard open procedure over the same tim e period. The mean fall in temperature in the laparoscopic group was - 0.69 degrees C compared with -0.47 degrees C in the open group. This d ifference was not significant, with a P value of 0.077. This may refle ct the small sample size and the relatively short duration of this pro cedure with few instrument changes. There was a trend for increased he at loss in the laparoscopic group, which might have implications for l onger and more complex laparoscopic procedures in infants.