Article (Scientific journals)
Metabolic and respiratory changes after cholecystectomy performed via laparotomy or laparoscopy.
Joris, Jean; Cigarini, I.; Legrand, Marc et al.
1992In British Journal of Anaesthesia, 69 (4), p. 341-5
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Keywords :
Acute-Phase Reaction/blood; Adult; Aged; Analgesics/administration & dosage; Cholecystectomy/methods; Cholecystectomy, Laparoscopic; Drug Administration Schedule; Female; Humans; Interleukin-6/metabolism; Lung/physiopathology; Male; Middle Aged; Pain Measurement; Pain, Postoperative; Postoperative Period
Abstract :
[en] We have compared metabolic and respiratory changes after laparoscopic cholecystectomy (n = 15) with those after open cholecystectomy (n = 15). The durations of postoperative i.v. therapy, fasting and hospital stay were significantly shorter in the laparoscopy group. During the first and second days after operation, analgesic consumption but not pain scores (visual analogue scale) were significantly smaller after laparoscopy, while vital capacity, forced expiratory volume in 1 s, and PaO2 were significantly greater. The metabolic and acute phase responses (glucose, leucocytosis, C-reactive protein) were less after laparoscopy compared with laparotomy. Although plasma cortisol and catecholamine concentrations were not significantly different between the two groups, after surgery interleukin-6 concentrations were less in the laparoscopy group.
Disciplines :
Anesthesia & intensive care
Author, co-author :
Joris, Jean ;  Centre Hospitalier Universitaire de Liège - CHU > Anesthésie et réanimation
Cigarini, I.
Legrand, Marc ;  Centre Hospitalier Universitaire de Liège - CHU > Chirurgie abdominale- endocrinienne et de transplantation
Jacquet, N.
De Groote, D.
Franchimont, P.
Lamy, Maurice ;  Université de Liège - ULiège > Département des sciences cliniques > Département des sciences cliniques
Language :
English
Title :
Metabolic and respiratory changes after cholecystectomy performed via laparotomy or laparoscopy.
Publication date :
1992
Journal title :
British Journal of Anaesthesia
ISSN :
0007-0912
eISSN :
1471-6771
Publisher :
Oxford University Press, Oxford, United Kingdom
Volume :
69
Issue :
4
Pages :
341-5
Peer reviewed :
Peer Reviewed verified by ORBi
Available on ORBi :
since 27 October 2009

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