title: Inflammatory response in open and laparoscopic cholecystectomy.
abstract: The modifications of IL-6. CRP, ceruloplasmin, alpha 1 antitrypsin, fibrinogen, transferrin, albumin and leukocytes counts have been evaluated after traditional open cholecystectomy (OC) or laparoscopic cholecystectomy (LC). Forty-two patients were included in this study, 20 underwent to OC and 22 underwent to LC. Serum samples were performed before surgery and at distance of 6, 24, 48 and 168 hours. The results show a more significant increase in acute phase inflammatory response after OC compared with LC as attested by highest values of leukocytosis, IL-6, CRP, fibrinogen and alpha 1 antitrypsin and lower levels of albumin. In conclusion, after LC, the phase acute response is attenuate and it can explain the reduced period of convalescence of patients treated with LC.
authors.affiliation: I Divisione di Chirurgia Generale, Università degli Studi di Palermo. gaediv@tin.it
authors.forename: G
authors.initials: G
authors.lastname: Di Vita
authors.forename: C
authors.initials: C
authors.lastname: Sciumè
authors.forename: S
authors.initials: S
authors.lastname: Milano
authors.forename: R
authors.initials: R
authors.lastname: Patti
authors.forename: G L
authors.initials: GL
authors.lastname: Lauria
authors.forename: G
authors.initials: G
authors.lastname: Di Bella
authors.forename: R
authors.initials: R
authors.lastname: Caruso
authors.forename: P
authors.initials: P
authors.lastname: Leo
authors.forename: E
authors.initials: E
authors.lastname: Cillari
mesh_terms: D000209:Acute-Phase Proteins / Q000032:analysis; D000210:Acute-Phase Reaction / Q000097:blood / Q000209:etiology*; D000328:Adult; D017081:Cholecystectomy, Laparoscopic / Q000009:adverse effects*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged
chemical_list: D000209:Acute-Phase Proteins