Immunological advantages of advanced laparoscopy

被引：76

作者：

Sylla, P ^{[1
]}

Kirman, I ^{[1
]}

Whelan, RL ^{[1
]}

机构：

[1] Columbia Univ Coll Phys & Surg, Dept Surg, New York, NY 10032 USA

来源：

SURGICAL CLINICS OF NORTH AMERICA | 2005年 / 85卷 / 01期

关键词：

D O I：

10.1016/j.suc.2004.09.005

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Surgical trauma causes significant alterations in host immune function. Compared with open surgery, laparoscopic surgery is associated with reduced postoperative pain and more rapid return to normal activity. Experimental data have also shown more aggressive tumor establishment and growth rates following open surgery than laparoscopic surgery. Surgery-related immunosuppression may be partly responsible for the differences in cancer growth and outcome noted. It is clear that the choice of abdominal surgical approach has immunologic consequences. Further studies are needed to better define the time course and extent of surgery-related alterations in the immune system and their clinical importance. A better understanding of the impact of surgery on the immune system may provide opportunities for pharmacologic manipulation of postoperative immune function to improve clinical results.

引用

页码：1 / +

页数：19

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