PERIOPERATIVE PULMONARY-FUNCTION, PAIN AND STRESS-RESPONSE AFTER CHOLECYSTECTOMY PERFORMED VIA LAPAROTOMY OR LAPAROSCOPY - COMPARISON BETWEEN LAPAROSCOPY AND LAPAROTOMY

被引：9

作者：

AGNIFILI, A

VERZARO, R

COLANGELI, A

DEBERNARDINIS, G

IBI, I

机构：

[1] Department of Surgery, University of L'Aquila, L'Aquila

[2] Department of Pneumology, 'San Salvatore' Hospital, L'Aquila

来源：

MINIMALLY INVASIVE THERAPY & ALLIED TECHNOLOGIES | 1993年 / 2卷 / 06期

关键词：

LAPAROCHOLECYSTECTOMY; OPEN CHOLECYSTECTOMY; PULMONARY FUNCTION; SURGICAL STRESS;

D O I：

10.3109/13645709309152971

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Pulmonary function, pain and endocrine-metabolic response to surgical stress were compared in 50 patients with elective cholelithiasis who were randomly treated by laparoscopic cholecystectomy (LC) (group 1 = 29 patients) and by open cholecystectomy (OC) (group 2 = 21 patients). Data were stored in Dbse III and analysed using SPSS software. We compared the two groups using the unpaired t-test and by two-tailed chi-square test. No respiratory dysfunction was present after LC whilst in the OC group, pulmonary impairment lasted 5-7 days post-operatively. Pain evaluation by visual analogue scale confirmed that LC is less invasive and less harmful than OC. During surgery, hormonal response did not significantly differ in either group. In the post-operative period, an increase in prolactin and cortisol levels resulted in the OC group, which suggested stress. The findings of this study suggest that LC has more advantages than OC in the elective treatment of gallstones.

引用

页码：283 / 288

页数：6

共 18 条

[1]

Berci G., Sackier M., The Los Angeles Experience with laparo-scopic cholecystectomy, Am J Surg, 161, pp. 382-384, (1991)

[2]

Cuschieri A., Dubois F., Muiel J., Et al., The European experience with laparoscopic cholecystectomy, Am J Surg, 161, pp. 385-387, (1991)

[3]

Dubois F., Berthelot G., Levart H., Laparoscopic cholecystectomy: historic perspective and personal experience, Surg Lapar Endosc, 1, pp. 52-57, (1991)

[4]

Ganey J.B., Johnson P.A., Prillaman P.E., McSwain G.R., Cholecystectomy: clinical experience with a large series, Am J Surg, 151, pp. 352-357, (1986)

[5]

McSherry C.K., Cholecystectomy: the gold standard, Am J Surg, 158, pp. 174-178, (1989)

[6]

Morgenstern L., Wong L., Berci G., Twelve hundred cholecystec-tomies before the laparoscopic era. A standard for comparison, Arch Surg, 127, pp. 400-403, (1992)

[7]

Gadacz T.R., Talamini M.A., Traditional versus laparoscopic cholecystectomy. The European experience with laparoscopic cholecystectomy, Am J Surg, 161, pp. 336-338, (1991)

[8]

Grace P.A., Quereshi A., Coleman J., Et al., Reduced postoperative hospitalization after laparoscopic cholecystectomy, Br J Surg, 78, pp. 160-162, (1991)

[9]

Christensen E.F., Schultz P., Jensen O.V., Et al., Post-operative pulmonary complications and lung function in high-risk patients: a comparison of three physiotherapy regimens after upper abdominal surgery in general anaesthesia, Acta Anaesthesiol Scand, 35, pp. 97-104, (1991)

[10]

O'Connor M., Tattersal M.P., An evaluation of the incentive spirometer to improve lung function after cholecystectomy, Anaesthesia, 43, pp. 785-787, (1988)

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