[General stress response in laparoscopic and conventional cholecystectomy].
To objectify perioperative stress response to laparoscopic (LCE) and conventional cholecystectomy (CCE) a prospective, controlled trial was planned and biochemical stress parameters were measured in the blood of patients, who underwent elective surgery because of symptomatic cholecystolithiasis. Patients with acute cholecystitis, pancreatitis, choledocholithiasis or malignant disease were excluded from the study. Values from 40 patients after LCE and from 18 patients after CCE were compared. Both groups had statistically similar patient characteristics and perioperative care. The LCE group showed a significantly lower stress response with respect to interleukin 1 beta, interleukin 6, epinephrine, norepinephrine and glucose.
Glaser
F
F
Chirurgische Universitätsklinik, Heidelberg.
Kuntz
C
C
Sannwald
G A
GA
Mayer
H
H
Herfarth
C
C
D000328:Adult; D000368:Aged; D001786:Blood Glucose / Q000032:analysis; D002763:Cholecystectomy / Q000523:psychology*; D017081:Cholecystectomy, Laparoscopic / Q000523:psychology*; D002769:Cholelithiasis / Q000601:surgery; D004837:Epinephrine / Q000097:blood; D006801:Humans; D007378:Interleukins / Q000097:blood; D008875:Middle Aged; D009638:Norepinephrine / Q000097:blood; D011184:Postoperative Period; D011446:Prospective Studies; D013312:Stress, Physiological / Q000097:blood*
D001786:Blood Glucose; D007378:Interleukins; D009638:Norepinephrine; D004837:Epinephrine
Allgemeine Stressreaktion bei laparoskopischer und konventioneller Cholezystektomie.