Review
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World J Gastroenterol. Dec 28, 2014; 20(48): 18165-18176
Published online Dec 28, 2014. doi: 10.3748/wjg.v20.i48.18165
Effect of laparoscopic abdominal surgery on splanchnic circulation: Historical developments
Sinan Hatipoglu, Sami Akbulut, Filiz Hatipoglu, Ruslan Abdullayev
Sinan Hatipoglu, Department of Surgery, Adiyaman University Faculty of Medicine, 02040 Adiyaman, Turkey
Sami Akbulut, Department of Surgery and Liver Transplant Institute, Inonu University Faculty of Medicine, 44280 Malatya, Turkey
Filiz Hatipoglu, Department of Obstetrics and Gynecology, Adiyaman University Faculty of Medicine, 02040 Adiyaman, Turkey
Ruslan Abdullayev, Department of Anesthesiology and Reanimation, Adiyaman University Faculty of Medicine, 02040 Adiyaman, Turkey
Author contributions: Hatipoglu S, Akbulut S and Abdullayev R contributed to writing the paper and review of the literature; Hatipoglu S, Hatipoglu F and Akbulut S contrıbuted to the final review and submission of the manuscript.
Correspondence to: Sami Akbulut, Assistant Professor, FICS, FACS, Department of Surgery and Liver Transplant Institute, Inonu University Faculty of Medicine, Turgut Ozal Medical Center, 44280 Malatya, Turkey. akbulutsami@gmail.com
Telephone: +90-422-3410660 Fax: +90-422-3410036
Received: May 13, 2014
Revised: July 19, 2014
Accepted: September 5, 2014
Published online: December 28, 2014
Processing time: 238 Days and 4.5 Hours
Abstract

With the developments in medical technology and increased surgical experience, advanced laparoscopic surgical procedures are performed successfully. Laparoscopic abdominal surgery is one of the best examples of advanced laparoscopic surgery (LS). Today, laparoscopic abdominal surgery in general surgery clinics is the basis of all abdominal surgical interventions. Laparoscopic abdominal surgery is associated with systemic and splanchnic hemodynamic alterations. Inadequate splanchnic perfusion in critically ill patients is associated with increased morbidity and mortality. The underlying pathophysiological mechanisms are still not well understood. With experience and with an increase in the number and diversity of the resulting data, the pathophysiology of laparoscopic abdominal surgery is now better understood. The normal physiology and pathophysiology of local and systemic effects of laparoscopic abdominal surgery is extremely important for safe and effective LS. Future research projects should focus on the interplay between the physiological regulatory mechanisms in the splanchnic circulation (SC), organs, and diseases. In this review, we discuss the effects of laparoscopic abdominal surgery on the SC.

Keywords: Laparoscopic abdominal surgery; Splanchnic circulation; Intra-abdominal pressure; Abdominal compartment syndrome; Safe laparoscopic surgery

Core tip: With the developments in medical technology and increased surgical experience, advanced laparoscopic surgical procedures are performed successfully. Laparoscopic abdominal surgery is one of the best examples of advanced laparoscopic surgery (LS). However, it is associated with systemic and splanchnic hemodynamic alterations. Inadequate splanchnic perfusion in critically ill patients is associated with increased morbidity and mortality. For a safe and effective approach in LS, the anatomy and pathophysiology of the splanchnic circulation (SC), and surgical outcomes should be understood. The aim of this review was to evaluate the effects of LS on the SC.