Влияние пролонгированной эпидуральной анальгезии на показатели функции внешнего дыхания после обширных лапароскопических операций

The article deals with a study of role of epidural analgesia, used as a part of intraand postoperative analgesia in patients underwent major laparoscopic surgery (gastric resections, pancreas and duodenal resections, hemicolectomy, resections of colon). Patients and methods: The study included 127 patients aged 65 ± 13 years. Main group patients who had undergone extensive and prolonged laparoscopic surgery; comparison group patients after traditional open surgery. Terms of laparoscopic and open surgeries was similar. Postoperatively, we assessed dynamics ofpostoperative pain and physical activity (using appropriate scales), dynamics of respiratory function (spirometry) in with and without use of epidural analgesia. Conclusion: major laparoscopic surgery accompanied with lower decreasing of speed and volume figures of spirometry if epidural analgesia is used as a part of intraand postoperative analgesia.