Operative stress response and energy metabolism after laparoscopic cholecystectomy compared to open surgery

doi:10.3748/wjg.v9.i4.847

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Apr 15, 2003 (publication date) through Apr 19, 2024

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World Journal of Gastroenterology

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1007-9327

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

Clinical Research

World J Gastroenterol. Apr 15, 2003; 9(4): 847-850
Published online Apr 15, 2003. doi: 10.3748/wjg.v9.i4.847

Table 1 Comparison of general conditions between the two groups

Group	Number	M/F	Median age (yrs)	Height (cm)	BW (Kg)
OC	12	3/9	45.5 ± 12.6	161.3 ± 7.1	61.0 ± 3.6
LC	14	6/8	46.6 ± 15.8	163.9 ± 6.1	65.8 ± 9.4

Table 2 Postoperative intestinal transit recovery

	OC (n = 12)	LC (n = 14)
Time to first passage of flatus (days)	2.8 ± 0.4	1.5 ± 0.3^a
Postoperative length of stay (days)	6.7 ± 0.2	3.2 ± 0.3^a

^aP < 0.05 vs OC.

Table 3 GH, Insulin, and cortisol levels before and after surgery

	Prior to surgery	1st postoperative day	3rd postoperative day
Insulin
LC (n = 14)	14.4 ± 2.1	16.1 ± 2.8	14.6 ± 2.5
OC (n = 12)	17.9 ± 2.1	17.2 ± 3.4	12.3 ± 0.9^b
GH
LC	1.0 ± 0.2	2.7 ± 1.0^a^b	1.5 ± 0.5^b
OC	1.8 ± 0.4	5.4 ± 2.5^b	2.2 ± 0.9
Cortisol
LC	0.46 ± 0.01	0.56 ± 0.11^a^b	0.74 ± 0.05^b
OC	0.71 ± 0.15	1.12 ± 0.25^b	0.89 ± 0.02^b

^aP < 0.05, vs OC

^bP < 0.05, vs the preoperative period.

Table 4 REE, RQ, and CRP levels before and after surgery

	Prior to surgery	1st postoperative day	3rd postoperative day
REE
LC (n = 14)	1162.2 ± 159.6	1222.3 ± 180.8^a^b	1152.8 ± 150.2^a
OC (n = 12)	1273.2 ± 304.8	1438.5 ± 418.5^b	1330.5 ± 353.8
RQ
LC	0.87 ± 0.10	0.78 ± 0.06^b	0.85 ± 0.09
OC	0.88 ± 0.12	0.78 ± 0.04^b	0.84 ± 0.08
CRP
LC	8.00 ± 0.01	15.10 ± 2.47^a^b	34.44 ± 7.88^a^b
OC	12.37 ± 3.55	64.50 ± 15.20^b	94.25 ± 13.43^b

^aP < 0.05, vs OC

^bP < 0.05, vs the preoperative period.

Table 5 Artery PO2, PCO2 and SO2 before and after surgery

	Prior to surgery	1st postoperative day	3rd postoperative day
PO2
LC (n = 14)	87.7 ± 4.0	75.9 ± 3.2^b	80.94 ± 4.3
OC (n = 12)	80.2 ± 2.2	86.5 ± 9.2	79.81 ± 0.6
PCO2
LC	36.79 ± 1.19	37.09 ± 1.64	34.48 ± 1.75
OC	35.01 ± 1.76	31.83 ± 2.63	37.96 ± 1.88
SO2
LC	96.4 ± 0.40	94.6 ± 0.86^b	95.4 ± 0.40^a
OC	95.4 ± 0.40	92.73 ± 1.70^b	94.0 ± 0.67

^aP < 0.05, vs OC

^bP < 0.05, vs the preoperative period.

Table 6 REE, RQ, and CRP levels before and after surgery

	Prior to surgery	1st postoperative day	3rd postoperative day
REE
LC (n = 14)	22.5 ± 0.61	21.7 ± 0.61	22.15 ± 0.83
OC (n = 12)	21.02 ± 0.58	20.32 ± 2.1	24.8 ± 0.72^b
RQ
LC	-1.77 ± 0.48	-2.85 ± 0.46	-1.77 ± 0.78^a
OC	-1.66 ± 0.54	-2.17 ± 1.38	1.23 ± 0.65^b
CRP
LC	7.40 ± 0.006	7.387 ± 0.008^a	7.43 ± 0.008^b
OC	7.42 ± 0.013	7.46 ± 0.022	7.44 ± 0.018

^aP < 0.05, vs OC

^bP < 0.05, vs the preoperative period.

Citation: Luo K, Li JS, Li LT, Wang KH, Shun JM. Operative stress response and energy metabolism after laparoscopic cholecystectomy compared to open surgery. World J Gastroenterol 2003; 9(4): 847-850
URL: https://www.wjgnet.com/1007-9327/full/v9/i4/847.htm
DOI: https://dx.doi.org/10.3748/wjg.v9.i4.847