Postoperative fatigue after laparoscopic surgery.
Postoperative fatigue (POF) appears to be less following laparoscopic surgery but this has not been proven previously. This study compared a group of patients who had undergone open cholecystectomy with a group undergoing laparoscopic cholecystectomy. Postoperative fatigue was found to be decreased in duration in the patients having laparoscopic surgery, returning to pre-operative fatigue levels by 14 days, compared to 28 days for open surgery. Postoperative pain in the first 24 h and the early metabolic response to surgery were similar for both groups. The authors conclude that laparoscopic surgery is associated with decreased POF and that this is unlikely to be accounted for by a decrease in the early metabolic response to surgery.
Hill
A G
AG
Department of Surgery, Waikato Hospital, Hamilton, New Zealand.
Finn
P
P
Schroeder
D
D
D000328:Adult; D000368:Aged; D000704:Analysis of Variance; D001786:Blood Glucose / Q000032:analysis; D002395:Catecholamines / Q000652:urine; D002763:Cholecystectomy / Q000706:statistics & numerical data; D017081:Cholecystectomy, Laparoscopic / Q000706:statistics & numerical data; D005221:Fatigue / Q000453:epidemiology / Q000209:etiology* / Q000378:metabolism; D005260:Female; D006801:Humans; D006854:Hydrocortisone / Q000097:blood; D008875:Middle Aged; D009520:New Zealand / Q000453:epidemiology; D010149:Postoperative Pain / Q000453:epidemiology / Q000209:etiology / Q000378:metabolism; D011183:Postoperative Complications / Q000453:epidemiology / Q000209:etiology* / Q000378:metabolism; D011446:Prospective Studies; D013997:Time Factors
D001786:Blood Glucose; D002395:Catecholamines; D006854:Hydrocortisone