Effect of Two Different Surgical Positions on Pulmonary Functions in Laparoscopic Gastrectomies

NCT06402474 | Active Not Recruiting

• 1 other identifier: istinye ilke
• Study Type: observational
• Target: 50
• Locations: 1 country
• Sites: 1

Brief Summary

The primary purpose of the study is to investigate the effect of the 30° reverse trendelenburg position combined with the sunbed position on respiratory parameters in laparoscopic gastrectomies.

Conditions

Pulmonary Pathology

Outcome Measures

Primary Outcomes (1)

• inspiratory pressure

  effect on inspiratory pressure of two different position

  1 month

Study Arms (2)

sunbed position

30° reverse trendelenburg legs together 30° hip flexion (sunbed position)

Procedure: sunbed position

control

30° reverse trendelenburg

Procedure: sunbed position

Interventions

sunbed position PROCEDURE

30° reverse trendelenburg legs together 30° hip flexion (sunbed position)

control; sunbed position

Eligibility Criteria

• Age: 18 Years - 65 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

Patients aged 18-65 who underwent laparoscopic sleeve gastrectomy

You may qualify if:

• Patients who can tolerate general anesthesia and pneumoperitoneum.
• 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

You may not qualify if:

• Patients with serious underlying cardiovascular disease (e.g. congestive heart failure, conduction disorders and ischemic heart disease).
• 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

Sponsors & Collaborators

• Istinye University: lead

Study Sites (1)

Istinye Üniversity

Istanbul, Merkez Mahallesi, 34250, Turkey (Türkiye)

Location

Related Publications (6)

• 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.

  PMID: 10926070 BACKGROUND

• 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.

  PMID: 31168452 RESULT

• 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.

  PMID: 31770148 RESULT

• 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.

  PMID: 20054583 RESULT

• 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.

  PMID: 35284476 RESULT

• 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.

  PMID: 39838149 DERIVED

Study Design

• Study Type: observational
• Observational Model: CASE CONTROL
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Assoc. prof

Study Record Dates

• First Submitted: May 1, 2024
• First Posted: May 7, 2024
• Study Start: May 1, 2024
• Primary Completion: June 5, 2024
• Study Completion: July 15, 2024
• Last Updated: May 7, 2024

Record last verified: 2024-05

Locations

TU (1)