[Do pulmonary changes appear after elective laparoscopic cholecystectomy?].
30 patients without history of pulmonary disease who underwent elective laparoscopic cholecystectomy were examined on the day before and on the 2nd day after operation. Investigations included physical examination, chest X-ray and a spirometry. In case of postoperative pathological findings the same examinations were repeated 14 days after operation. On the chest X-ray 5 patients had postoperative alterations which disappeared within 14 days. The spirometry showed a slight decrease of VC, FRC and FEV1 which after 2 weeks had almost regained normal values. Therefore we do not consider it necessary to perform routine respiratory prophylaxis in patients undergoing elective laparoscopic cholecystectomy.