Shoulder pain after abdominal laparoscopic operation: a multicenter study
Shoulder pain is the most common complication of laparoscopic operations) The incidence and severity of shoulder pain has been well documented.2 This complication was commonly regarded as the result of CO2 pneumoperitoneum,which induced extension and stimulation to the diaphragmatic muscle.The incidence and severity of shoulder pain was correlated to the pressure and duration of CO2 pneumoperitoneum.3,4 However,we noticed that in non-pneumoperitoneum laparoscopic operations,patients experienced a higher incidence and more severe post-operative shoulder pain.This was a challenge to the theory that pneumoperitoneum induces shoulder pain.Therefore a more detailed study was required to provide more objective data to explain this phenomenon.
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