Response of serum cytokines in patients undergoing laparoscopic cholecystectomy View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

1994-12

AUTHORS

J. M. Cho, A. J. LaPorta, J. R. Clark, M. J. Schofield, S. L. Hammond, P. L. Mallory

ABSTRACT

The clinical observation that a laparoscopic cholecystectomy is a minimally invasive operation has not been demonstrated on a biochemical basis. Interleukin-6, a known endogenous pyrogen and hepatocyte-stimulating protein, correlates with the significance of surgical trauma. Utilizing the IL-6 immunoassay, we studied this biochemical parameter of trauma to compare its response in laparoscopic vs open cholecystectomy. Sixteen patients who underwent only laparoscopic cholecystectomy showed peak IL-6 concentrations of 51 pg/ml (22-86) vs a peak IL-6 concentration of 124 pg/ml (56-225) for open cholecystectomy. Six additional patients who underwent an ERCP followed by laparoscopic cholecystectomy showed a dramatic rise in peak IL-6 concentration to 315 pg/ml (15-634). These results biochemically confirm the true minimal invasiveness of laparoscopic cholecystectomy. The findings in the ERCP-followed-by-laparoscopic-cholecystectomy group support the theory that two invasive procedures in close proximity may prime the cytokine system in its response to surgical trauma. More... »

PAGES

1380-1384

References to SciGraph publications

  • 1990-10. Interleukin 6 (IL-6) in BIOTHERAPY
  • 1990-06. Interleukin-6: Molecular Pathophysiology in JOURNAL OF INVESTIGATIVE DERMATOLOGY
  • Identifiers

    URI

    http://scigraph.springernature.com/pub.10.1007/bf00187340

    DOI

    http://dx.doi.org/10.1007/bf00187340

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1019434750

    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/7878501


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