Effect of Two Different Surgical Positions on Pulmonary Functions in Laparoscopic Gastrectomies
NCT ID: NCT06402474
Last Updated: 2024-05-07
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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ACTIVE_NOT_RECRUITING
50 participants
OBSERVATIONAL
2024-05-01
2024-07-15
Brief Summary
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Detailed Description
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Conditions
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Study Design
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CASE_CONTROL
PROSPECTIVE
Study Groups
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sunbed position
30° reverse trendelenburg legs together 30° hip flexion (sunbed position)
sunbed position
30° reverse trendelenburg legs together 30° hip flexion (sunbed position)
control
30° reverse trendelenburg
sunbed position
30° reverse trendelenburg legs together 30° hip flexion (sunbed position)
Interventions
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sunbed position
30° reverse trendelenburg legs together 30° hip flexion (sunbed position)
Eligibility Criteria
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Inclusion Criteria
* Patients who can give informed consent for surgery.
* Patients over 18 years of age
* patients with body mass index (BMI) \> 30 kg/m2
* Patients with American Society of Anesthesiologists (ASA) physical status I and II
Exclusion Criteria
* Patients with chronic kidney disease stage 3 or greater (creatinine clearance less than 60 mL/min).
* patients with a history of cerebrovascular disease such as intracranial hypertension, cerebral infarction, cerebral hemorrhage, carotid artery stenosis or cerebral ischemia;
* Patients with a history of chronic lung diseases such as chronic obstructive pulmonary disease, asthma, pulmonary bullae or respiratory failure;
* Patients who have had previous abdominal surgery, including resection of the esophagus, stomach, liver and pancreas.
* Surgeries lasting longer than 90 minutes
* Patients with ASA class IV
* patients with psychiatric disorders
* pregnant or breastfeeding patients
* patients with a history of seizures
18 Years
65 Years
ALL
No
Sponsors
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Istinye University
OTHER
Responsible Party
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İlke Dolgun
Assoc. prof
Locations
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Istinye Üniversity
Istanbul, Merkez Mahallesi, Turkey (Türkiye)
Countries
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References
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Casati A, Comotti L, Tommasino C, Leggieri C, Bignami E, Tarantino F, Torri G. Effects of pneumoperitoneum and reverse Trendelenburg position on cardiopulmonary function in morbidly obese patients receiving laparoscopic gastric banding. Eur J Anaesthesiol. 2000 May;17(5):300-5. doi: 10.1046/j.1365-2346.2000.00662.x.
Wang Y, Wang H, Wang H, Zhao X, Li S, Chen L. Exploring the intraoperative lung protective ventilation of different positive end-expiratory pressure levels during abdominal laparoscopic surgery with Trendelenburg position. Ann Transl Med. 2019 Apr;7(8):171. doi: 10.21037/atm.2019.03.45.
Shono A, Katayama N, Fujihara T, Bohm SH, Waldmann AD, Ugata K, Nikai T, Saito Y. Positive End-expiratory Pressure and Distribution of Ventilation in Pneumoperitoneum Combined with Steep Trendelenburg Position. Anesthesiology. 2020 Mar;132(3):476-490. doi: 10.1097/ALN.0000000000003062.
Mulier JP, Dillemans B, Van Cauwenberge S. Impact of the patient's body position on the intraabdominal workspace during laparoscopic surgery. Surg Endosc. 2010 Jun;24(6):1398-402. doi: 10.1007/s00464-009-0785-8. Epub 2010 Jan 7.
Gao D, Sun L, Wang N, Shi Y, Song J, Liu X, Yang Q, Su Z. Impact of 30 degrees Reserve Trendelenburg Position on Lung Function in Morbidly Obese Patients Undergoing Laparoscopic Sleeve Gastrectomy. Front Surg. 2022 Feb 24;9:792697. doi: 10.3389/fsurg.2022.792697. eCollection 2022.
Seyit H, Dolgun I, Bayram E, Sener FN, Cicek M. The effect of two different surgical positions on pulmonary functions in laparoscopic sleeve gastrectomies: reverse Trendelenburg vs beach chair. Surg Endosc. 2025 Mar;39(3):1829-1838. doi: 10.1007/s00464-025-11538-2. Epub 2025 Jan 21.
Other Identifiers
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istinye ilke
Identifier Type: -
Identifier Source: org_study_id
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