A control study of laparoscopic versus open hepatectomy: the stress reaction of patients

VernacularTitle:腹腔镜与开腹肝左外叶切除对机体应激反应的对照研究
Author: Ping YUE ; Hongzhi ZHAO ; Mingfang QIN
Publication Type:Journal Article
Keywords: Laparoscopy; Open hepatectomy; Stress reaction
From: Chinese Journal of Hepatobiliary Surgery 2011;17(10):813-815
CountryChina
Language:Chinese
Abstract: Objective:To investigate the influence of laparoscopic versus open hepatectomy on the stress reaction of patients.MethodsRetrospectively 30 cases who received operation of laparoscopic and open left lateral lobectomy of liver for stones in bile ducts within left lobes of lives were selected form May 2006 to September 2010.The serum level of neutrocytes (N),adrenaline (AD),cortisol (Cor),blood glucose (BG),white blood cell (WBC),Natural killer cell ( NK cell),interleukin-6 (IL-6),C-reactive protein (CRP) were detected preoperatively as well as 24 h,28 h,72 h postoperatively.ResultsAD,Cor reached their peaks after operation,and N,BG,IL-6,CRP reached their peaks in 24 h postoperatively.There were significant difference between O and L groups (P＜0.05).NK cell sank to its lowest level in 24 h postoperatively,and there were no significant difference between the two groups (P＜0.05).ConclusionLaparoscopic and open left lateral lobectomy of liver are two methods curing stones in bile ducts within left lobes of lives,the former process can result in less stress reaction of patients than the latter.