1 Jul 2001Article
LA PAROSCOPIC VERSUS OPEN CHOLECYSTECTOMY: INFLAMMATORY MARKERS LEVEL
M. Schietroma 1A. Carloni 1S. Mattucci 1F. Carlei 1M. Rossi 2F. Fraioli 2C. Liakos 2M.A. Pistoia 2
Affiliations
Article Info
1 Divisione di Chirurgia Geriatrica, Dipartimento di Scienze Chirurgiche, Università degli Studi di L’Aquila Facoltà di Medicina e Chirurgia
2 Divisione di Chirurgia e Diagnostica Endoscopica, Dipartimento di Scienze Chirurgiche, Università degli Studi di L’Aquila Facoltà di Medicina e Chirurgia
Ann. Ital. Chir., 2001, 72(4), 477-483;
Published: 1 Jul 2001
Copyright © 2001 Annali Italiani di Chirurgia
This work is licensed under a Creative Commons Attribution 4.0 International License.
Abstract
Objective: The study is carried out to determine whether the level of IL-6 is altered and in what way after surgery as well as if such a change could be an indicator of increased morbidity after surgical treatment. Materials of the study: Chemiluminesence immuneassay system was used in order to establish IL-6 level in blood samples of 71 patients that underwent abdominal surgery, 36 Laparoscopic Cholecystectomy (LC) and 35 Open Cholecystectomy (OC) at time 0 (before the operation), 1h, 2h, 3h, 6h, 24h and 48h after the operation. Results: Plasma IL-6 levels are significantly increased after OC; we observed 3 cases of post-operative infections, in which IL-6 returned to normal levels 6 days after surgery. Analogous variation to the IL-6 levels was noted for the C-reactive protein levels. Discussion: Laparoscopic cholecystectomy, a so called miniinvasive surgical procedure, is associated to a small increase of IL-6 serum levels and provides better post-operative conditions to the patients by reducing surgical stress and the infectious complications correlated to the surgical procedure. Conclusions: During OC there is a significant higher elevation of IL-6 serum levels than after laparoscopic cholecystectomy. Variation of C-reactive protein serum levels after surgery is analogous to variation of IL-6 levels.
Keywords
- laparoscopic cholecystectomy
- interleukin 6
- C-reactive protein