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Table 43-5

  • Urine output reduced during laparoscopy
    • Decreased renal blood flow
    • Compression of renal parenchyma
    • Neuroendocrine
  • Factors that influence urine output
    • Pre-existing renal compromise
    • Longer insufflation times
    • High IAP
  • Intraoperative oliguria reversible within 2 h postoperatively
  • IAP <15 mm Hg safe even in patients with renal disease

IAP = intra-abdominal pressure.