Lymphocyte apoptosis after major abdominal surgery is not influenced by anesthetic technique: a comparative study of general anesthesia versus combined general and epidural analgesia.
OBJECTIVE
To examine the influence of abdominal colectomy with combined general anesthesia and epidural analgesia versus general anesthesia on apoptosis of circulating lymphocytes.


METHODS
Prospective, randomized, clinical comparison study.


METHODS
Tertiary-care general hospital.


METHODS
40 ASA physical status I and II patients undergoing elective open colectomy for nonmetastatic colon carcinoma.


METHODS
Patients were randomly allocated to two groups to receiver either general anesthesia alone (Group G) or general anesthesia combined with epidural analgesia (Group C). Group C comprised 21 patients while 19 patients constituted Group G. All patients underwent median longitudinal laparotomy.


METHODS
Blood samples were collected preoperatively and 24 hours postoperatively for measurement of lymphocyte apoptosis, serum cortisol, C-reactive protein (CRP), and erythrocyte sedimentation rate (ESR).


RESULTS
There were no differences between the two groups in age, weight, or duration of surgery. No significant alterations in total lymphocyte counts, as well as in lymphocyte subpopulations (early apoptotic, late apoptotic, viable, and necrotic), were observed between the general and combined anesthesia groups. Cortisol, ESR, and CRP were significantly increased postoperatively in both groups. Group C presented with lower serum cortisol levels postoperatively than Group G (b = -5.38, CI95%: -8.72 to -2.05, P = 0.002).


CONCLUSIONS
Epidural block could not suppress postoperative lymphocyte apoptosis, increases in cortisol, CRP, or ESR compared with general anesthesia.
Papadima
Artemisia
A
Laboratory of Surgical Research, 1st Department of Propaedeutic Surgery, Hippokrateio Hospital, University of Athens, 11527 Athens, Greece.
Boutsikou
Maria
M
Lagoudianakis
Emmanuel E
EE
Kataki
Agapi
A
Konstadoulakis
Manoussos
M
Georgiou
Loukas
L
Katergiannakis
Vaggelogiannis
V
Manouras
Andreas
A
D000368:Aged; D015360:Analgesia, Epidural / Q000379:methods*; D000768:Anesthesia, General / Q000379:methods*; D017209:Apoptosis / Q000187:drug effects*; D001799:Blood Sedimentation / Q000187:drug effects; D002097:C-Reactive Protein / Q000187:drug effects / Q000378:metabolism; D003082:Colectomy / Q000379:methods*; D003110:Colonic Neoplasms / Q000601:surgery; D005260:Female; D006801:Humans; D006854:Hydrocortisone / Q000097:blood; D008214:Lymphocytes / Q000187:drug effects / Q000378:metabolism; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies
D002097:C-Reactive Protein; D006854:Hydrocortisone