The effect of two different surgical positions on pulmonary functions ın laparoscopic sleeve gastrectomies: reverse Trendelenburg vs beach chair

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dc.authorscopusidHakan Seyit / 36125356800
dc.authorscopusidErkan Bayram / 59538611600
dc.authorscopusidFevkiye Nur Şener / 59538178500
dc.authorscopusidMüslüm Çiçek / 59538611700
dc.authorwosidHakan Seyit / AAJ-7050-2020
dc.authorwosidErkan Bayram / GXN-3475-2022
dc.authorwosidFevkiye Nur Şener / MEB-0229-2025
dc.authorwosidMüslüm Çiçek / P-5252-2019
dc.contributor.authorSeyit, Hakan
dc.contributor.authorDolğun, İlke
dc.contributor.authorBayram, Erkan
dc.contributor.authorŞener, Fevkiye Nur
dc.contributor.authorÇiçek, Müslüm
dc.date.accessioned2025-04-17T14:42:24Z
dc.date.available2025-04-17T14:42:24Z
dc.date.issued2025
dc.departmentİstinye Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü
dc.description.abstractBackground: The aim of our study is to compare the effect of the 30° reverse Trendelenburg position combined with the beach chair position on respiratory parameters in laparoscopic sleeve gastrectomy (LSG) with the 30° reverse Trendelenburg position alone. Material and method: Fifty patients with body mass index > 30 were included in the study. The patients were divided into two groups; in the control group, the standard 30° reverse Trendelenburg. In the beach chair group, the feet were positioned at 30° flexion from the hips after a 30° RTP. For both positions, blood pressures, pulses, saturations, EtCO2, respiratory rate, inspiratory pressure (Pins), positive end-expiratory pressure (PEEP), minute volume, tidal volume, peak airway pressure (Ppeak), and dynamic compliance were recorded. In addition, the general surgeon was asked about his satisfaction with the intra-abdominal operation site view and whether he was uncomfortable with the position. Results: Regardless of the group, the average age of the cases was 36.7 ± 12.1 years. There was no difference between the groups in terms of age, gender, BMI, operation time, blood pressures, heart rates, EtCO2, respiratory rate, PEEP, minute volume, tidal volume, and postoperative oxygen saturation (p > 0.05). Inspiratory and peak pressure were lower and dynamic compliance was higher in the beach chair position (p < 0.05). It was observed that the beach chair position decreased inspiratory and peak pressures and increased dynamic compliances in patients with a BMI between 35.1 and 40 (p < 0.05). Surgical satisfaction was high for both positions and there was no discomfort with the position. Conclusion: It was determined that the beach chair position in LSGs reduced inspiratory and peak pressures and increased dynamic compliance. These parameters were related to BMI, and the beach chair position was more positive in terms of intraoperative lung pressures and dynamic compliance, especially in patients with a BMI between 35.1 and 40. ClinicalTrials.gov ID: NCT06402474.
dc.identifier.citationSeyit, H., Dolğun, İ., Bayram, E., Şener, F. N., & Çiçek, M. (2025). The effect of two different surgical positions on pulmonary functions ın laparoscopic sleeve gastrectomies: reverse Trendelenburg vs beach chair. Surgical Endoscopy, 1-10.
dc.identifier.doi10.1007/s00464-025-11538-2
dc.identifier.issn0930-2794
dc.identifier.issn1432-2218
dc.identifier.pmid39838149
dc.identifier.scopus2-s2.0-85216636388
dc.identifier.scopusqualityQ1
dc.identifier.urihttp://dx.doi.org/10.1007/s00464-025-11538-2
dc.identifier.urihttps://hdl.handle.net/20.500.12713/6305
dc.identifier.wosWOS:001402134100001
dc.identifier.wosqualityQ1
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorSeyit, Hakan
dc.institutionauthorBayram, Erkan
dc.institutionauthorŞener, Fevkiye Nur
dc.institutionauthorÇiçek, Müslüm
dc.institutionauthoridHakan Seyit / 0000-0003-3708-5370
dc.institutionauthoridErkan Bayram / 0000-0002-8527-8321
dc.institutionauthoridFevkiye Nur Şener / 0000-0002-0187-715X
dc.institutionauthoridMüslüm Çiçek / 0000-0001-9187-8342
dc.language.isoen
dc.publisherSpringer
dc.relation.ispartofSurgical endoscopy
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectBeach Chair
dc.subjectLaparoscopic Sleeve Gastrectomies
dc.subjectPulmonary Functions
dc.subjectReverse Trendelenburg
dc.titleThe effect of two different surgical positions on pulmonary functions ın laparoscopic sleeve gastrectomies: reverse Trendelenburg vs beach chair
dc.typeArticle

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