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Titolo:
Stress responses during laparoscopy with CO2 insufflation and with mechanical elevation of the abdominal wall
Autore:
Ishizuka, B; Kuribayashi, Y; Kobayashi, Y; Hamada, N; Abe, Y; Amemiya, A; Aoki, T; Satoh, T;
Indirizzi:
St Marianna Univ, Sch Med, Dept Obstet & Gynecol, Kawasaki, Kanagawa 2168155, Japan St Marianna Univ Kawasaki Kanagawa Japan 2168155 Kanagawa 2168155, Japan St Marianna Univ, Sch Med, Dept Anesthesiol, Kawasaki, Kanagawa, Japan St Marianna Univ Kawasaki Kanagawa Japan siol, Kawasaki, Kanagawa, Japan Tokyo Womens Med Coll, Dept Hyg & Publ Hlth, Tokyo 162, Japan Tokyo WomensMed Coll Tokyo Japan 162 Hyg & Publ Hlth, Tokyo 162, Japan
Titolo Testata:
JOURNAL OF THE AMERICAN ASSOCIATION OF GYNECOLOGIC LAPAROSCOPISTS
fascicolo: 3, volume: 7, anno: 2000,
pagine: 363 - 371
SICI:
1074-3804(200008)7:3<363:SRDLWC>2.0.ZU;2-W
Fonte:
ISI
Lingua:
ENG
Soggetto:
CATECHOLAMINE RESPONSES; SURGICAL STRESS; SURGERY; PNEUMOPERITONEUM; CHOLECYSTECTOMY; INTERLEUKIN-6;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
26
Recensione:
Indirizzi per estratti:
Indirizzo: Ishizuka, B St Marianna Univ, Sch Med, Dept Obstet & Gynecol, 2-16-1 Sugao, Kawasaki, Kanagawa 2168155, Japan St Marianna Univ 2-16-1 Sugao Kawasaki Kanagawa Japan 2168155
Citazione:
B. Ishizuka et al., "Stress responses during laparoscopy with CO2 insufflation and with mechanical elevation of the abdominal wall", J AM AS G L, 7(3), 2000, pp. 363-371

Abstract

Study Objective. To compare the intensity of stress responses caused by laparoscopy combined with CO2 insufflation (CI) with those caused by mechanical elevation of the abdominal wall (MEA). Design. Prospective study (Canadian Task Force classification I). Setting, Tertiary care university hospital. Patients. Thirty-one women. intervention. Laparoscopy, 16 with CI and 15 with MEA. Measurements and Main Results, Circulating levels of norepinephrine, epinephrine, cortisol, and interleukin (IL)-6 were compared in the two groups. Arterial partial pressure of CO2 (PaCO2) did not increase during laparoscopyby either med,od. Plasma norepinephrine and epinephrine levels increased after extubation in the MEA group but not in the CI group. Circulating cortisol levels in both groups increased during laparoscopy; mean intraoperativelevels were higher in the CI group. Serum IL-6 levels increased after extubation in the MEA but not the CI group. Mean heart rate increased during laparoscopy in both groups, whereas blood pressure increased only in the CI group. More patients in the MEA group required postoperative analgesia. Conclusion. Laparoscopy with MEA caused more pronounced adrenosympathetic and cytokine responses than that with CI when PaCO2 was maintained within the range of normocapnia.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 04/04/20 alle ore 08:05:07