2006, Number 3
Rev Med Hosp Gen Mex 2006; 69 (3)
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ABSTRACTThe laparoscopic surgery is practiced in the last decades, not only in adults without disease history, also there are high risk patients with significant preexisting pathology. In these patients, the understanding of the physiological consequences of the hemodynamic changes by the capnoperitoneum is essential. The alterations are more apparent in patients classified as ASA III - IV, elderly, with limited cardio-pulmonary reserve, in the obesity, cirrhotic and pregnancy, in whom the anesthetic risk is increased. Integral peri-operating procedure, with invasive monitoring, allows to make safely laparoscopic surgery and provides an alternative to the conventional treatment in high risk patients.