COMPARISON OF METABOLIC RESPONSES TO LAPAROSCOPIC AND MINILAPAROTOMY CHOLECYSTECTOMY

被引:77
作者
MCMAHON, AJ
ODWYER, PJ
CRUIKSHANK, AM
MCMILLAN, DC
OREILLY, DSJ
LOWE, GDO
RUMLEY, A
LOGAN, RW
BAXTER, JN
机构
[1] HULL ROYAL INFIRM,DEPT SURG,KINGSTON HULL HU3 2JZ,N HUMBERSIDE,ENGLAND
[2] HULL ROYAL INFIRM,DEPT MED,KINGSTON HULL HU3 2JZ,N HUMBERSIDE,ENGLAND
[3] UNIV GLASGOW,DEPT BIOCHEM,GLASGOW G12 8QQ,SCOTLAND
[4] YORKHILL HOSP,DEPT BIOCHEM,GLASGOW,SCOTLAND
关键词
D O I
10.1002/bjs.1800801011
中图分类号
R61 [外科手术学];
学科分类号
摘要
This randomized study compared the metabolic responses to laparoscopic cholecystectomy (n = 10) and minilaparotomy cholecystectomy with a 5-7-cm incision (n = 10). Venous blood samples were taken before operation and at 3, 6, 9, 12, 18, 24, 48, 72 and 168 h after incision and analysed for levels of C-reactive protein, interleukin 6, cortisol, albumin, transferrin, iron, fibrinogen, fibrin degradation products and polymorphonuclear elastase, and for neutrophil and lymphocyte counts. Urine samples (24 h) were analysed for urea, creatinine, 3-methylhistidine and catecholamines. The magnitude of the metabolic changes from baseline levels was quantified by calculating areas under each individual curve. A significant metabolic response with a similar time course and magnitude of changes occurred after laparoscopic and minilaparotomy cholecystectomy but with wide variation in magnitude between individuals.
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收藏
页码:1255 / 1258
页数:4
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