Laparoskopik kolesistektomi, üst abdominal cerrahi, solunum fonksiyon testleri.

Objective: The aim of this study was to investigate the probable changes which may occur on the respiratory functions of the female patients undergone laparoscopic cholecystectomy. Methods: Twenty laparoscopic cholecystectomy applied patients aged 18 to 50 (average 34.6 ± 10.0) years were taken into this study. Pre- and postoperative first and seventh day respiratory function tests were performed with Sensormedics PFT System 2400. PCA (patient controlled analgesia) apparatus was used to determine the pain feelings of the patients during the first postoperative 24 hours. Meperidin was used for analgesia. Analyses of the results were evaluated with variance analyses of the differences betvveen measurements and repeated measurements. Bonferroni corrected paired t test at 0.05 level was used for the determination of the difference betvveen dublicate measurements. Results: On the first postoperative day compared to the preoperative levels a reduction on FVC, FEVj, PEF, MVV, VC, TLC, FRC and DLCO values and an increase on RV values of the patients were observed. On the seventh day of the operation compared to the first day an increase on FVC, FEVj, PEF, MVV, VC, TLC, FRC and DLCO values and a reduction on RV values of the patients were observed. VVhile PEF values on the seventh day compared to preoperative value were decreased there was no important change on the other PFT values. Conclusion: İt is concluded that the changes on the respiratory function tests of the female patients follovving laparoscopic cholecystectomy mostly returns to normal on the 7th day of the application.