Tan J, Bao CM, Chen XY. Lung ultrasound score evaluation of the effect of pressure-controlled ventilation volume-guaranteed on patients undergoing laparoscopic-assisted radical gastrectomy. World J Gastrointest Surg 2024; 16(6): 1717-1725 [PMID: 38983317 DOI: 10.4240/wjgs.v16.i6.1717]
Corresponding Author of This Article
Xiao-Yuan Chen, BSc, Doctor, Department of Ultrasound Medicine, Lishui District People's Hospital, No. 86 Chongwen Road, Yongyang Street, Lishui District, Nanjing 211200, Jiangsu Province, China. chenjian-01@sohu.com
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Retrospective Study
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Gastrointest Surg. Jun 27, 2024; 16(6): 1717-1725 Published online Jun 27, 2024. doi: 10.4240/wjgs.v16.i6.1717
Lung ultrasound score evaluation of the effect of pressure-controlled ventilation volume-guaranteed on patients undergoing laparoscopic-assisted radical gastrectomy
Jian Tan, Cheng-Ming Bao, Xiao-Yuan Chen
Jian Tan, Department of Critical Care Medicine, Lishui District People's Hospital, Nanjing 211200, Jiangsu Province, China
Cheng-Ming Bao, Xiao-Yuan Chen, Department of Ultrasound Medicine, Lishui District People's Hospital, Nanjing 211200, Jiangsu Province, China
Co-first authors: Jian Tan and Cheng-Ming Bao.
Author contributions: Tan J and Bao CM contributed equally to this work and are co-first authors; Tan J and Bao CM designed the research and wrote the first manuscript; Tan J, Bao CM and Chen XY contributed to conceiving the research and analyzing data; Tan J and Bao CM conducted the analysis and provided guidance for the research; all authors reviewed and approved the final manuscript.
Institutional review board statement: This study was approved by the Ethic Committee of Lishui District People's Hospital (Approval No. 2024KY0227-01).
Informed consent statement: Patients were not required to give informed consent to the study because the analysis used anonymous clinical data that were obtained after each patient agreed to treatment by written consent.
Conflict-of-interest statement: Dr. Chen has nothing to disclose.
Data sharing statement: All data and materials are available from the corresponding author.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Xiao-Yuan Chen, BSc, Doctor, Department of Ultrasound Medicine, Lishui District People's Hospital, No. 86 Chongwen Road, Yongyang Street, Lishui District, Nanjing 211200, Jiangsu Province, China. chenjian-01@sohu.com
Received: March 5, 2024 Revised: May 21, 2024 Accepted: May 24, 2024 Published online: June 27, 2024 Processing time: 116 Days and 22.3 Hours
Core Tip
Core Tip: This study mainly analyzed the effects of pressure-controlled ventilation volume-guaranteed (PCV-VG) and volume-controlled ventilation (VCV) on blood gas analysis and pulmonary ventilation in patients with gastric carcinoma (GC) undergoing laparoscopic-assisted radical gastrectomy (LARG) based on the lung ultrasound score (LUS). We performed validation analyses by evaluating the peak airway pressure (Ppeak), plateau pressure (Pplat), mean airway pressure (Pmean), dynamic pulmonary compliance (Cdyn), occurrence of postoperative pulmonary complications (PPCs), and levels of serum interleukin (IL)-1β, IL-6, and tumor necrosis factor-α before and after surgery. We confirmed that LUS can indicate non-uniformity and postural changes in lung ventilation under the two ventilation modes. However, PCV-VG is superior to VCV in significantly alleviating lung injury and inflammatory responses in patients undergoing LARG for GC, improving lung ventilation, and exerting a protective effect against PPCs. Thus, PCV-VG is a practical ventilation option in clinical practice.
