Proinflammatory cytokines in open versus laparoscopic cholecystectomy.
OBJECTIVE
Laparoscopic cholecystectomy, a minimal access surgery, is fast replacing open cholecystectomy and is being associated with less trauma. The objective of this study was to compare the proinflammatory cytokine levels in both laparoscopic cholecystectomy and open cholecystectomy.


METHODS
This study was carried out at Aseer Central Hospital, Aseer region, Abha Private Hospital and the College of Medicine and Medical Sciences, King Khalid University, Abha, Kingdom of Saudi Arabia, during the time period October 1998 through to November 2000. Sixty-one patients were included in the study, 27 of them had laparoscopic cholecystectomy and 34 had open cholecystectomy. Cytokines [Interleukin-6 Interleukin-1b, Tumor necrosis factor -a and Interleukin- 8] were measured in blood samples collected from the patients before, at and 24 hours post surgery, using commercially available kits.


RESULTS
Interleukin-6 levels were significantly increased at 24 hours post surgery in the open cholecystectomy group of patients compared to the laparoscopic cholecystectomy group (P<0.04). No differences were found in the other cytokines levels (Interleukin-1b, tumor necrosis factor -a and Interleukin-8) between the open cholecystectomy and laparoscopic cholecystectomy groups.


CONCLUSIONS
Laparoscopic cholecystectomy, a minimal access surgery, is associated with lower levels of the proinflammatory interleukin-6 cytokine compared to open cholecystectomy.
Abu-Eshy
Saeed A
SA
Department of Surgery, College of Medicine and Medical Sciences, King Khalid University and Aseer Central Hospital, Abha, Kingdom of Saudi Arabia. saeed@kku.edu.sa
Moosa
Riyad A
RA
Al-Rofaidi
Abdalla A
AA
Al-Faki
Ahmed S
AS
Sadik
Ali A
AA
Salati
Mohammad I
MI
Ghalib
Hashim W
HW
Al-Rofaidi
Abdallah A
AA
D002763:Cholecystectomy; D017081:Cholecystectomy, Laparoscopic; D016207:Cytokines / Q000097:blood*; D006801:Humans; D007375:Interleukin-1 / Q000097:blood; D015850:Interleukin-6 / Q000097:blood; D014409:Tumor Necrosis Factor-alpha / Q000032:analysis
D016207:Cytokines; D007375:Interleukin-1; D015850:Interleukin-6; D014409:Tumor Necrosis Factor-alpha