{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,3]],"date-time":"2026-06-03T22:07:45Z","timestamp":1780524465934,"version":"3.54.1"},"reference-count":13,"publisher":"SAGE Publications","issue":"11","license":[{"start":{"date-parts":[[2015,11,1]],"date-time":"2015-11-01T00:00:00Z","timestamp":1446336000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Laparoendoscopic & Advanced Surgical Techniques"],"published-print":{"date-parts":[[2015,11,1]]},"abstract":"Abstract<\/jats:title>\n \n Objective:<\/jats:title>\n \n To determine the effect of lavage with adrenaline solution on CO\n 2<\/jats:sub>\n absorption during retroperitoneal laparoscopic surgery.\n <\/jats:p>\n <\/jats:sec>\n \n Materials and Methods:<\/jats:title>\n \n Sixty patients scheduled to undergo retroperitoneal laparoscopic surgery were divided into an AD group (lavage with normal saline containing adrenaline [1:500,000],\n n<\/jats:italic>\n \u2009=\u200930) and an NS group (lavage with normal saline only,\n n<\/jats:italic>\n \u2009=\u200930). After the establishment of artificial pneumoperitoneum and before the start of the operation, the retroperitoneal space was irrigated with 300\u2009mL of normal saline with or without adrenaline, depending on the group. The lavage fluid was aspirated after 3 minutes. Heart rate (HR), mean arterial pressure (MAP), blood oxygen saturation (SpO\n 2<\/jats:sub>\n ), partial pressure of O\n 2<\/jats:sub>\n (PaO\n 2<\/jats:sub>\n ), partial pressure of CO\n 2<\/jats:sub>\n (PaCO\n 2<\/jats:sub>\n ), and end-tidal CO\n 2<\/jats:sub>\n partial pressure (P\n ET<\/jats:sub>\n CO\n 2<\/jats:sub>\n ) were recorded before the lavage (\n T<\/jats:italic>\n 0<\/jats:sub>\n ) and at 10, 30, 60, 90, and 120 minutes (\n T<\/jats:italic>\n 1<\/jats:sub>\n \u2013\n T<\/jats:italic>\n 5<\/jats:sub>\n , respectively) after the lavage. The CO\n 2<\/jats:sub>\n output (VCO\n 2<\/jats:sub>\n ) was calculated, and the incidence of intraoperative arrhythmia and postoperative complications (e.g., headache, palpitations, irritation) was determined.\n <\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n \n HR, MAP, SpO\n 2<\/jats:sub>\n , PaO\n 2<\/jats:sub>\n , PaCO\n 2<\/jats:sub>\n , P\n ET<\/jats:sub>\n CO\n 2<\/jats:sub>\n , and VCO\n 2<\/jats:sub>\n at\n T<\/jats:italic>\n 0<\/jats:sub>\n did not significantly differ between the groups (\n P<\/jats:italic>\n \u2009>\u2009.05). HR, PaCO\n 2<\/jats:sub>\n , P\n ET<\/jats:sub>\n CO\n 2<\/jats:sub>\n , and VCO\n 2<\/jats:sub>\n at\n T<\/jats:italic>\n 1<\/jats:sub>\n \u2013\n T<\/jats:italic>\n 5<\/jats:sub>\n were lower in the AD group than in the NS group (\n P\u2009<\u2009<\/jats:italic>\n .05). The incidence of intraoperative arrhythmia and postoperative complications was lower in the AD group than in the NS group (\n P\u2009<\u2009<\/jats:italic>\n .05).\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions:<\/jats:title>\n \n Lavage with normal saline containing adrenaline (1:500,000) reduced CO\n 2<\/jats:sub>\n absorption during retroperitoneal laparoscopic surgery, prevented hypercapnia, and decreased intra- and postoperative complications.\n <\/jats:p>\n <\/jats:sec>","DOI":"10.1089\/lap.2015.0215","type":"journal-article","created":{"date-parts":[[2015,11,17]],"date-time":"2015-11-17T14:59:52Z","timestamp":1447772392000},"page":"903-907","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Effect of Retroperitoneal Lavage with Normal Saline Containing Adrenaline on Carbon Dioxide Absorption in Patients Undergoing Retroperitoneal Laparoscopic Surgery"],"prefix":"10.1177","volume":"25","author":[{"given":"Yong-Feng","family":"Zhu","sequence":"first","affiliation":[{"name":"People's Hospital of Zhengzhou University","place":["People's Republic of China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fan-Min","family":"Meng","sequence":"additional","affiliation":[{"name":"People's Hospital of Zhengzhou University","place":["People's Republic of China"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2015,11,1]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1111\/ases.12150"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1093\/bja\/aeg270"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(01)66943-X"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1093\/bja\/86.5.731"},{"key":"e_1_3_3_6_2","first-page":"71","article-title":"\u201cLow-pressure\u201d laparoscopic cholecystectomy in high risk patients (ASA Ill and IV): Our experience [in Italian]","volume":"56","author":"Catani M","year":"2004","unstructured":"Catani M, , Guerricchio R, , De Milito R, et al. \u201cLow-pressure\u201d laparoscopic cholecystectomy in high risk patients (ASA Ill and IV): Our experience [in Italian]. Chir Ital, 2004; 56:71\u201380.","journal-title":"Chir Ital"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00402-011-1389-z"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(05)68262-6"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1002\/rcs.165"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1399-6576.2005.00623.x"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.ccm.0000281445.77223.31"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.1177\/147323000603400511"},{"key":"e_1_3_3_13_2","unstructured":"Moss J Renz CL. The autonomic nervous system. In: Miller RD: Anesthesia 5th ed. New York: Churchill Livingstone 2000 pp. 523\u2013577."},{"key":"e_1_3_3_14_2","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-197963060-00010"}],"container-title":["Journal of Laparoendoscopic & Advanced Surgical Techniques"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1089\/lap.2015.0215","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1089\/lap.2015.0215","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1089\/lap.2015.0215","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T19:47:19Z","timestamp":1777664839000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1089\/lap.2015.0215"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,11,1]]},"references-count":13,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2015,11,1]]}},"alternative-id":["10.1089\/lap.2015.0215"],"URL":"https:\/\/doi.org\/10.1089\/lap.2015.0215","relation":{},"ISSN":["1092-6429","1557-9034"],"issn-type":[{"value":"1092-6429","type":"print"},{"value":"1557-9034","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,11,1]]}}}