<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2444-054X</journal-id>
<journal-title><![CDATA[Cirugía y cirujanos]]></journal-title>
<abbrev-journal-title><![CDATA[Cir. cir.]]></abbrev-journal-title>
<issn>2444-054X</issn>
<publisher>
<publisher-name><![CDATA[Academia Mexicana de Cirugía A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2444-054X2022000600796</article-id>
<article-id pub-id-type="doi">10.24875/ciru.21000493</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Neumoperitoneo residual en laparoscopia: métodos de medición e implicaciones clínicas]]></article-title>
<article-title xml:lang="en"><![CDATA[Residual pneumoperitoneum in laparoscopy: measurement methods and clinical implications]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Garteiz-Martínez]]></surname>
<given-names><![CDATA[Denzil]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Weber-Sánchez]]></surname>
<given-names><![CDATA[Alejandro]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Ángeles Lomas Departamento de Cirugía General ]]></institution>
<addr-line><![CDATA[Estado de México ]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2022</year>
</pub-date>
<volume>90</volume>
<numero>6</numero>
<fpage>796</fpage>
<lpage>803</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S2444-054X2022000600796&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S2444-054X2022000600796&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S2444-054X2022000600796&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Antecedentes: La presencia de aire libre subdiafragmático en una radiografía de tórax es un hallazgo común después de un procedimiento laparoscópico y puede causar confusión clínica. La medición del volumen de gas puede ser una herramienta útil para determinar si éste pudiera corresponder a una complicación quirúrgica.  Objetivo: Describir la frecuencia con que se presenta neumoperitoneo residual en pacientes sometidos a laparoscopia y enfatizar la importancia de medir su volumen con un método sencillo.  Método: Estudio retrospectivo en el que se analizaron 42 radiografías de tórax de pacientes operados por laparoscopia. Se registraron los casos que presentaron neumoperitoneo residual y se midió el volumen de aire subdiafragmático en cada uno de ellos. Se calcularon el volumen promedio y su desviación estándar. Se calcularon las correlaciones entre las variables altura, longitud y volumen de las burbujas de aire medidas en las radiografías de tórax.  Resultados: La incidencia de neumoperitoneo residual fue de 0.55. La mediana del volumen fue de 4 cm3 (media de 9.5 cm3, desviación estándar de 14.8 cm3 y rango de 0.09 a 62 cm3). La altura y la longitud del arco tuvieron una correlación positiva con el volumen, con r = 0.74, p = 0.000, y r = 0.77, p = 0.000, respectivamente. Para la altura y la longitud, la correlación fue de r = 0.44, p = 0.03.  Conclusiones: Más de la mitad de los pacientes estudiados presentaron algún grado de neumoperitoneo residual. La correlación entre las variables altura, longitud y volumen fueron positivas. De acuerdo con los datos de esta serie, la presencia de un volumen de neumoperitoneo residual &gt; 40 cm3 puede considerarse como anormal.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Background: The presence of subdiaphragmatic air observed on a chest x-ray after a laparoscopic procedure is a common finding and can lead to clinical confusion. Measuring the volume of gas present may be a useful tool to determine if this could be associated to a surgical complication.  Objective: Describe the frequency of presentation of residual pneumoperitoneum in patients undergoing laparoscopy and emphasize the importance of measuring its volume with a simple method.  Method: This is a retrospective study where 42 chest x-rays of patients operated by laparoscopy were reviewed. Cases with residual pneumoperitoneum were registered and subdiaphragmatic gas volume measured for each of them. Mean and standard deviation for the volume were calculated. Correlations between the variables of height, length and volume of the gas bubbles seen on each x-ray were established.  Results: The incidence of residual pneumoperitoneum was 0.55. Median for volume was 4 cm3 (mean of 9.5 cm3 with standard deviation of 14.8 cm3 and range between 0.09 a 62 cm3). Height and length of the arc both had positive correlations with volume of r = 0.74, p = 0.000 and r = 0.77, p = 0.000, respectively. Height and length had a correlation of r = 0.44, p = 0.03.  Conclusions: More than 50% of the studied patients presented residual pneumoperitoneum. Correlation between the variables of height, length and volume were positive. According to the data in this study, the presence of &gt; 40 cm3 of gas may be considered as abnormal.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Neumoperitoneo residual]]></kwd>
<kwd lng="es"><![CDATA[Aire libre subdiafragmático]]></kwd>
<kwd lng="es"><![CDATA[Laparoscopia]]></kwd>
<kwd lng="es"><![CDATA[Complicaciones posoperatorias]]></kwd>
<kwd lng="en"><![CDATA[Residual pneumoperitoneum]]></kwd>
<kwd lng="en"><![CDATA[Subdiaphragmatic gas]]></kwd>
<kwd lng="en"><![CDATA[Laparoscopy]]></kwd>
<kwd lng="en"><![CDATA[Postoperative complications]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Chapman]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
<name>
<surname><![CDATA[Mcintosh]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<name>
<surname><![CDATA[Jones]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Post operative pneumoperitoneum:is it normal or pathologic?]]></article-title>
<source><![CDATA[J Surg Res]]></source>
<year>2015</year>
<volume>197</volume>
<page-range>107-11</page-range></nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Lee]]></surname>
<given-names><![CDATA[CH]]></given-names>
</name>
<name>
<surname><![CDATA[Kim]]></surname>
<given-names><![CDATA[JH]]></given-names>
</name>
<name>
<surname><![CDATA[Lee]]></surname>
<given-names><![CDATA[MR]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Postoperative pneumoperitoneum:guilty or not guilty?]]></article-title>
<source><![CDATA[JKSS]]></source>
<year>2012</year>
<volume>82</volume>
<page-range>227-31</page-range></nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Garteiz-Martínez]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Rodríguez-Ayala]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Weber-Sánchez]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Bravo-Torreblanca]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Carbo-Romano]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Pulmonary recruitment can reduce residual pneumoperitoneum and shoulder pain in conventional laparoscopic procedures:results of a randomized controlled trial]]></article-title>
<source><![CDATA[Surg Endosc]]></source>
<year>2021</year>
<volume>35</volume>
<page-range>4143-52</page-range></nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Shultz]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<name>
<surname><![CDATA[Altman]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Moher]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Research methods and reporting]]></article-title>
<source><![CDATA[BMJ]]></source>
<year>2010</year>
<volume>340</volume>
<page-range>c332</page-range></nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Jackson]]></surname>
<given-names><![CDATA[SA]]></given-names>
</name>
<name>
<surname><![CDATA[Laurence]]></surname>
<given-names><![CDATA[AS]]></given-names>
</name>
<name>
<surname><![CDATA[Hill]]></surname>
<given-names><![CDATA[JC]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Does post-laparoscopy pain relate to residual carbon dioxide?]]></article-title>
<source><![CDATA[Anaesthesia]]></source>
<year>1996</year>
<volume>51</volume>
<page-range>485-7</page-range></nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Shatari]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<name>
<surname><![CDATA[Clark]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Keighley]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Duration of pneumoperitoneum on ches radiograph after open colorectal surgery]]></article-title>
<source><![CDATA[Tech Coloproctol]]></source>
<year>2004</year>
<volume>8</volume>
<page-range>27-30</page-range></nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Millitz]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<name>
<surname><![CDATA[Moote]]></surname>
<given-names><![CDATA[DJ]]></given-names>
</name>
<name>
<surname><![CDATA[Sparrow]]></surname>
<given-names><![CDATA[RK]]></given-names>
</name>
<name>
<surname><![CDATA[Girotti]]></surname>
<given-names><![CDATA[MJ]]></given-names>
</name>
<name>
<surname><![CDATA[Holliday]]></surname>
<given-names><![CDATA[RL]]></given-names>
</name>
<name>
<surname><![CDATA[McLarty]]></surname>
<given-names><![CDATA[TD]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Pneumoperitoneum after laparoscopic cholecystectomy:frequency and duration as seen on upright chest radiographs]]></article-title>
<source><![CDATA[AJR Am J Roentgenol]]></source>
<year>1994</year>
<volume>163</volume>
<page-range>837-9</page-range></nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Song]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<name>
<surname><![CDATA[Kim]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<name>
<surname><![CDATA[Lee]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The intensity of postlaparoscopic shoulder pain is positively correlatad with the amount of residual pneumoperitoneum]]></article-title>
<source><![CDATA[J Minim Invasive Gynecol]]></source>
<year>2017</year>
<volume>24</volume>
<page-range>984-9</page-range></nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Kafali]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<name>
<surname><![CDATA[Karaoglanoglu]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Oksuzler]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Bozkurt]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Active intraperitoneal gas aspiration to reduce postoperative shoulder pain after laparoscopy]]></article-title>
<source><![CDATA[Pain Clin]]></source>
<year>2004</year>
<volume>16</volume>
<page-range>197-200</page-range></nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Stanley]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
<name>
<surname><![CDATA[Laurence]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Hill]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Disappearance of intraperitoneal gas following gynecological laparoscopy]]></article-title>
<source><![CDATA[Anesthesia]]></source>
<year>2002</year>
<volume>57</volume>
<page-range>57-61</page-range></nlm-citation>
</ref>
<ref id="B11">
<label>11</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Earls]]></surname>
<given-names><![CDATA[JP]]></given-names>
</name>
<name>
<surname><![CDATA[Dachman]]></surname>
<given-names><![CDATA[AH]]></given-names>
</name>
<name>
<surname><![CDATA[Colon]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Garrett]]></surname>
<given-names><![CDATA[MG]]></given-names>
</name>
<name>
<surname><![CDATA[Molloy]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Prevalence and duration of postoperative pneumoperitoneum:sensitivity of CT vs left lateral decubitus radiography]]></article-title>
<source><![CDATA[AJR Am J Roentgenol]]></source>
<year>1993</year>
<volume>161</volume>
<page-range>781-5</page-range></nlm-citation>
</ref>
<ref id="B12">
<label>12</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Miller]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Nelson]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The roentgenologic demonstration of tiny amounts of free intraperitoneal gas:experimental and clinical studies]]></article-title>
<source><![CDATA[Am J Roentgenol Radium Ther Nucl Med]]></source>
<year>1971</year>
<volume>112</volume>
<page-range>574-85</page-range></nlm-citation>
</ref>
<ref id="B13">
<label>13</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Bevan]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Incidence of postoperative pneumoperitoneum and its significance]]></article-title>
<source><![CDATA[Br Med J]]></source>
<year>1961</year>
<volume>2</volume>
<page-range>605-9</page-range></nlm-citation>
</ref>
<ref id="B14">
<label>14</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Bryant]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Wiot]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Kloecker]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[A study of the factors affecting the incidence and duration of postoperative pneumoperitoneum]]></article-title>
<source><![CDATA[Surg Gynecol Obs]]></source>
<year>1963</year>
<volume>117</volume>
<page-range>145-50</page-range></nlm-citation>
</ref>
<ref id="B15">
<label>15</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Schauer]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Page]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Ghiatas]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Miller]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Schwesinger]]></surname>
<given-names><![CDATA[W]]></given-names>
</name>
<name>
<surname><![CDATA[Sirinek]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Incidence and significance of subdiaphragmatic air following laparoscopic cholecystectomy]]></article-title>
<source><![CDATA[Am Surg]]></source>
<year>1997</year>
<volume>63</volume>
<page-range>132-6</page-range></nlm-citation>
</ref>
<ref id="B16">
<label>16</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[van der Voort]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Heijnsdijk]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Gouma]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Bowel injury as a complication of laparoscopy]]></article-title>
<source><![CDATA[BRJ Surg]]></source>
<year>2004</year>
<volume>91</volume>
<page-range>1253-8</page-range></nlm-citation>
</ref>
<ref id="B17">
<label>17</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Bishoff]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Allaf]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Kirkels]]></surname>
<given-names><![CDATA[W]]></given-names>
</name>
<name>
<surname><![CDATA[Moore]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Kavoussi]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Schroder]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Laparoscopic bowel injury:incidence and clinical presentation]]></article-title>
<source><![CDATA[J Urol]]></source>
<year>1999</year>
<volume>161</volume>
<page-range>887-90</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
