Systemic Stress Responses after Laparoendoscopic Single-Site Hepatectomy: A Perspective Controlled Study

Qin, Mingfang; Zou, Fusheng; Zheng, Ming; Zhao, Hongzhi

doi:10.5754/hge11791

Cited by 3 publications

(3 citation statements)

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“…One such study comparing serum levels of tissue injury markers in abdominal and laparoscopic-assisted hysterectomy reported that the laparoscopic group had lower postoperative CRP and CPK values on postoperative days 1 and 2 (21). A more recent study of laparoscopic hepatectomy found that SPLS and MPLS had comparable impacts on the patients' stress responses (22). However, no significant differences in serum marker levels were identified between the SPLS and MPLS groups in the current study.…”

Section: Discussioncontrasting

confidence: 70%

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Tissue injuries after single-port and multiport laparoscopic gynecologic surgeries: A prospective multicenter study

Lee

Song

et al. 2016

Experimental and Therapeutic Medicine

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The present study focused on the degree of tissue injury following single-port laparoscopic surgery (SPLS) and multiport laparoscopic surgery (MPLS) for the treatment of various benign gynecologic diseases. A total of 228 patients were prospectively enrolled at seven academic centers in South Korea between April 2011 and September 2012. Of these, 122 patients underwent SPLS and 106 patients underwent MPLS. The serum levels of C-reactive protein, creatine phosphokinase, lactic dehydrogenase and cancer antigen 125 were measured preoperatively and on postoperative day 4 by immunonephelometry. Cosmetic satisfaction and postoperative pain scores (visual analogue scale) were analyzed. Postoperative changes in the levels of the serum markers were found to be similar between the SPLS and MPLS groups. However, the postoperative pain scores at 48 h were significantly lower in the SPLS group when compared with those in the MPLS (P=0.001). In addition, patient-controlled analgesia was used more frequently by patients in the MPLS group (P=0.003). The present study is the first prospective investigation of tissue injury resulting from SPLS and MPLS in gynecology. In conclusion, the current study demonstrated that serum marker levels during SPLS were similar to those during MPLS in the treatment of benign gynecologic diseases. However, SPLS is a reasonable alternative to MPLS and is associated with comparable tissue injury, improved cosmesis and reduced postoperative pain.

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Section: Discussioncontrasting

confidence: 70%

“…Several studies are investigating tissue injury following laparoscopic surgery (20)(21)(22). One such study comparing serum levels of tissue injury markers in abdominal and laparoscopic-assisted hysterectomy reported that the laparoscopic group had lower postoperative CRP and CPK values on postoperative days 1 and 2 (21).…”

Section: Discussionmentioning

confidence: 99%

Tissue injuries after single-port and multiport laparoscopic gynecologic surgeries: A prospective multicenter study

Lee

Song

et al. 2016

Experimental and Therapeutic Medicine

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“…Inflammation is a non-specific systemic response of the body to various stressful factors such as surgical trauma, general anaesthesia and thermal stimulation [24,25]. Surgery-induced systemic stress response is characterised by endocrine-metabolic changes which are proportional to the severity and duration of postoperative stress response [26].…”

Section: Discussionmentioning

confidence: 99%

Microwave ablation induces a lower systemic stress response in patients than open surgery for treatment of benign thyroid nodules

Yan

Qiu

et al. 2018

International Journal of Hyperthermia

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Comparative study on operative trauma between microwave ablation and surgical treatment for papillary thyroid microcarcinoma

Ningming

Cao

et al. 2018

WJCC

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AIM To compare the effect and postoperative trauma of ultrasound-guided percutaneous microwave ablation and surgical resection in the treatment of papillary thyroid microcarcinoma (PTMC). METHODS Eighty-seven patients with PTMC treated at Fudan University affiliated Shanghai Fifth People’s Hospital were enrolled as subjects. The patients were divided into a microwave ablation group (41 cases) and a surgical group (46 cases). The operative time, intraoperative blood loss, length of hospital stay, serum C-reactive protein (CRP), interleukin-6 (IL-6), tumor necrosis factor-α (TNF-α), thyroid-related hormonal changes, and complications 7 d and 30 d after surgery were observed. RESULTS The operative time, intraoperative blood loss, and length of hospital stay in the surgical group were significantly higher than those in the microwave ablation group ( P < 0.05). The levels of CRP, IL-6, and TNF-α in the surgical group were significantly higher than those in the microwave ablation group ( P < 0.05). The free triiodothyronine (FT3) and free thyroxin (FT4) levels in the surgical group were significantly lower than those in the microwave ablation group ( P < 0.05). However, the postoperative thyroid stimulating hormone (TSH) level was significantly higher than that in the microwave ablation group ( P < 0.05). There were significant interactions between the FT3, FT4, and TSH 7 d and 30 d after operation and the treatment methods ( P < 0.05). There was no significant difference in the complications between the two groups ( P > 0.05). CONCLUSION Microwave ablation for papillary microcarcinoma of the thyroid gland has less trauma to the body, quicker recovery, and no scars. It can effectively shorten the length of hospital stay and improve the quality of life of patients.

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Systemic Stress Responses after Laparoendoscopic Single-Site Hepatectomy: A Perspective Controlled Study

Abstract: LESH is a safe, feasible and minimally invasive approach and has no different impact on stress responses compared to LH. It may be a reasonable alternative to apply in clinical practice by experienced laparoscopic physicians.

Cited by 3 publications

References 0 publications

Tissue injuries after single-port and multiport laparoscopic gynecologic surgeries: A prospective multicenter study

Tissue injuries after single-port and multiport laparoscopic gynecologic surgeries: A prospective multicenter study

Microwave ablation induces a lower systemic stress response in patients than open surgery for treatment of benign thyroid nodules

Comparative study on operative trauma between microwave ablation and surgical treatment for papillary thyroid microcarcinoma

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