Surgical stress after open and transumbilical laparoscopic-assisted appendectomy in children.
Eur J Pediatr Surg
; 24(2): 174-8, 2014 Apr.
Article
em En
| MEDLINE
| ID: mdl-23444071
ABSTRACT
INTRODUCTION:
The transumbilical laparoscopic-assisted appendectomy (TULAA) effects on the surgical stress response in children have not been studied. Our aim is to investigate the stress response in TULAA.METHODS:
A total of 35 children underwent the appendectomy by open approach (OA) or TULAA approach. Interleukins (ILs)-6, -18, and -10 were measured before (T0), at the beginning (T1a), and at the end of surgery (T1b) and 24 hours after (T2).RESULTS:
An increase in IL-6 levels at T1b and T2 and in IL-18 at T2 was observed after OA. A significant increase of both IL-6 and IL-18 were observed at T2 but values were less compared with OA (11.6 ± 4.4 vs. 31.9 ± 8.9 pg/mL for IL-6, p = 0.0006; 145.6 vs. 174.9 pg/mL for IL-18, p = NS).CONCLUSIONS:
A significant reduction in the postoperative cytokines in TULAA group suggests that this approach causes less surgical trauma in children.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Apendicectomia
/
Apendicite
/
Estresse Fisiológico
/
Laparoscopia
Tipo de estudo:
Observational_studies
Limite:
Adolescent
/
Child
/
Female
/
Humans
/
Male
Idioma:
En
Revista:
Eur J Pediatr Surg
Assunto da revista:
PEDIATRIA
Ano de publicação:
2014
Tipo de documento:
Article