* It has been known that the recent application of a goal-directed fluid therapy (GDFT) to the intraoperative fluid infusion in patients contributes to decreasing the prevalence of postoperative complications and shortening the length of study in the intensive care unit as well as hospital stay compared with conventional methods. * Laparoscopic surgery is in a trend that its application is being expanded recently, but there has been no report on the application of GDFT to laparoscopic surgery so far. * To this end, this study aims to apply the intraoperative GDFT protocol in patients undergoing laparoscopic hepatobiliary or pancreatic surgery and to find out whether there is any difference in postoperative recovery and incidences of postoperative complications, by comparing with patients applied with the fluid therapy using existing conventional methods
Study Type
OBSERVATIONAL
Enrollment
375
a continuous arterial pressure monitoring was performed via EV1000/ FloTrac (Edwards Lifesciences, Irvine, CA, USA) (Fig 1) with the continuous monitoring of cardiac index (CI), stroke volume index (SVI) and stroke volume (SV).
Seoul National University Bundang Hospital
Seongnam-si, Gyeonggi-do, South Korea
Pulmonary complication
Time frame: Postoperative 90 day
Wound complication
Time frame: Postoperative 90 day
Acute kidney injury
Time frame: Postoperative 90 day
Delirium
Time frame: Postoperative 90 day
Deep vein thrombosis
Time frame: Postoperative 90 day
Myocardiac infarction
Time frame: Postoperative 90 day
Stroke
Time frame: Postoperative 90 day
Sepsis
Time frame: Postoperative 90 day
Urinary tract infection
Time frame: Postoperative 90 day
Death
Time frame: Postoperative 90 day
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