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首页> 外文期刊>Surgical Endoscopy >Comparison of surgical stress between laparoscopic and open colonic resections.
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Comparison of surgical stress between laparoscopic and open colonic resections.

机译：腹腔镜和开放性结肠切除术之间的手术压力比较。

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BACKGROUND: The magnitude of surgical trauma after laparoscopic and open colonic resection was evaluated by examining postoperative serum values of interleukin-6 (IL-6), IL-10, C-reactive protein (CRP), and granulocyte elastase (GE) for further evidence of the benefit realized with minimally invasive approaches in colonic surgery. METHODS: Altogether, 42 patients with Crohn's disease (n = 20) or colon carcinomas/adenomas (n = 22) were matched by age, gender, body mass index (BMI), and Crohn's Disease Activity Index for either a laparoscopic (n = 21) or an open colonic resection (n = 21). In both groups the postoperative serum levels of IL-6, IL-10, C-RP, and granulocyte elastase were determined, as indicators of surgical stress. RESULTS: Laparoscopic and open colonic resection caused a significant increase in serum IL-6, IL-10, CRP, and granulocyte elastase levels. The comparison between laparoscopic and open colonic resections, however, showed significantly lower serum IL-6, IL-10, CRP, and granulocyte elastase levels after laparoscopic colonic resection, which was most evident for IL-6 and granulocyte elastase. CONCLUSIONS: Our study demonstrated that IL-6 and granulocyte elastase may be appropriated particularly to monitor surgical stress. By using these parameters, we found a significant reduction in surgical trauma after laparoscopic surgery, was compared with the open procedure. This supports the clinical findings of a clear benefit for patients undergoing laparoscopic colonic surgery.
机译：背景：通过检查术后白细胞介素6（IL-6），IL-10，C反应蛋白（CRP）和粒细胞弹性蛋白酶（GE）的血清值来评估腹腔镜和结肠开放切除术后的外科手术创伤大小结肠手术中采用微创方法实现益处的证据。方法：总共42例克罗恩病（n = 20）或结肠癌/腺瘤（n = 22）患者通过年龄，性别，体重指数（BMI）和腹腔镜检查的克罗恩病活动指数（n = 21）或开放性结肠切除术（n = 21）。两组均测定术后血清IL-6，IL-10，C-RP和粒细胞弹性蛋白酶的水平，作为手术压力的指标。结果：腹腔镜和开放性结肠切除术导致血清IL-6，IL-10，CRP和粒细胞弹性蛋白酶水平显着增加。然而，腹腔镜和开放性结肠切除术之间的比较显示，腹腔镜结肠切除术后血清IL-6，IL-10，CRP和粒细胞弹性蛋白酶水平显着降低，这对于IL-6和粒细胞弹性蛋白酶最明显。结论：我们的研究表明IL-6和粒细胞弹性蛋白酶可能特别适合监测手术压力。通过使用这些参数，我们发现与开放手术相比，腹腔镜手术后的手术创伤显着减少。这支持了对接受腹腔镜结肠手术的患者有明显益处的临床发现。

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