+ Site Statistics
References:
54,258,434
Abstracts:
29,560,870
PMIDs:
28,072,757
+ Search Articles
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ PDF Full Text
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Translate
+ Recently Requested

How minimally invasive is laparoscopic cholecystectomy?



How minimally invasive is laparoscopic cholecystectomy?



Surgical Laparoscopy and Endoscopy 4(1): 18-21



To determine the extent of surgical stress induced by open (n = 20) and laparoscopic (n = 20) cholecystectomy, postoperative serum cortisol, growth hormone, and insulin responses were determined for each group. The groups were similar regarding age, sex distribution, and duration of the surgical procedures. The open cholecystectomy group had significant elevations of serum cortisol, growth hormone, and insulin levels 8 h after surgery (p < 0.05). The increased cortisol and growth hormone levels returned to preoperative control values 48 h after surgery. In the laparoscopically operated group, although all hormones increased after surgery, only the increase in growth hormone was statistically significant (p < 0.05). Serum cortisol and growth hormone levels gradually returned to control values 48 h after surgery, but the increased serum insulin levels remained significantly high in both groups 24 and 48 h after surgery (p < 0.05). It is concluded that acute surgical stress induced by open cholecystectomy is more severe than that induced by laparoscopic surgery as reflected by serum hormone determinations. However, the hormonal convalescence rate was similar for both groups. It appears that laparoscopic cholecystectomy is "minimally invasive" concerning the hormonal responses.

(PDF emailed within 1 workday: $29.90)

Accession: 046280013

Download citation: RISBibTeXText

PMID: 8167858


Related references

Laparoscopic cholecystectomy--minimally invasive surgery. Ugeskrift for Laeger 153(46): 3222-3224, 1991

Towards a more minimally invasive laparoscopic cholecystectomy--a viewpoint. Annals of the Academy of Medicine, Singapore 25(5): 742-743, 1996

Covert laparoscopic cholecystectomy:a new minimally invasive technique. Acta Medica Okayama 65(5): 325-328, 2012

Minimally invasive management of biliary complications after laparoscopic cholecystectomy. European Journal of Internal Medicine 20(7): 686-689, 2010

Minimally invasive laparoscopic cholecystectomy - analgesia and pulmonary function. Khirurgiia 53(6): 12-13, 2001

Minimally invasive approach of the most common complications after laparoscopic cholecystectomy. Annali Italiani di Chirurgia 76(3): 235-238, 2005

Minimally invasive management of bile leak after laparoscopic cholecystectomy. Hpb 3(2): 165-168, 2008

Minimally invasive and direct access cholecystectomy (an alternative to the laparoscopic approach). Langenbecks Archiv fuer Chirurgie 382(5): 274-276, 1997

Minimally invasive surgery. Bile leak risk after laparoscopic cholecystectomy. Bmj 308(6922): 199, 1994

Minimally invasive, finally fatal--duodenal injury complicating laparoscopic cholecystectomy. South African Medical Journal 88(6): 732-733, 1998

Mini-laparoscopic cholecystectomy as an innovative method in minimally invasive abdominal surgery. Magyar Sebeszet 67(6): 334-339, 2015

The status of laparoscopic cholecystectomy in Austria. AMIC--Study Group for Minimally Invasive Surgery. Wiener Klinische Wochenschrift 107(2): 61-64, 1995

Ergonomic assessment of neck posture in the minimally invasive surgery suite during laparoscopic cholecystectomy. Surgical Endoscopy 22(11): 2421-2427, 2008

Management of chylous ascites after laparoscopic cholecystectomy using minimally invasive techniques: a case report and literature review. American Surgeon 72(1): 60-63, 2006

Concomitant laparoscopic splenectomy and cholecystectomy as an effective and minimally invasive treatment of pyruvate kinase deficiency with gallstones. Surgical Endoscopy 16(10): 1495, 2002