{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T16:59:15Z","timestamp":1790269155377,"version":"4.1.0"},"reference-count":0,"publisher":"Ovid Technologies (Wolters Kluwer Health)","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Postoperative shoulder-tip pain (STP) remains a common complication following laparoscopic cholecystectomy. It is primarily attributed to phrenic nerve irritation caused by carbon dioxide pneumoperitoneum.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim:<\/jats:title>\n                    <jats:p>This study aimed to evaluate whether low-pressure pneumoperitoneum reduces postoperative STP without compromising surgical safety.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>A prospective, single-blind randomized controlled trial was conducted on 80 patients undergoing laparoscopic cholecystectomy. Patients were divided into low-pressure (8 mmHg) and standard-pressure (14 mmHg) groups. Pain scores, analgesic requirement, operative time, and surgeon satisfaction were assessed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      The low-pressure group demonstrated significantly lower STP scores at 12 h (2.1 \u00b1 0.8 vs. 4.3 \u00b1 1.2,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001) and reduced analgesic requirement (15% vs. 42.5%,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.012). Operative time was slightly longer in the low-pressure group.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Low-pressure pneumoperitoneum significantly reduces postoperative STP and analgesic requirements and is recommended for elective uncomplicated cases.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/aam.aam_655_26","type":"journal-article","created":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T16:00:14Z","timestamp":1790265614000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Impact of Low-pressure versus Standard-pressure Pneumoperitoneum on Postoperative Shoulder-tip Pain in Laparoscopic Cholecystectomy: A Randomized Controlled Trial"],"prefix":"10.4103","author":[{"given":"Kuldip Annasaheb","family":"Patil","sequence":"first","affiliation":[{"name":"Department of General Surgery, Dr. D. Y. Patil Medical College, Hospital and Research Centre, Pune, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,9,24]]},"container-title":["Annals of African Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/aam.aam_655_26","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T16:00:14Z","timestamp":1790265614000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/aam.aam_655_26"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,24]]},"references-count":0,"URL":"https:\/\/doi.org\/10.4103\/aam.aam_655_26","relation":{},"ISSN":["1596-3519","0975-5764"],"issn-type":[{"value":"1596-3519","type":"print"},{"value":"0975-5764","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,24]]},"assertion":[{"value":"2026-05-21","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-08-11","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}