P. Bozkurt et al., Systemic abdominal stress response during operations for acute abdominal pain performed via laparoscopy or laparotomy in children, ANAESTHESIA, 55(1), 2000, pp. 5-9
Citations number
15
Categorie Soggetti
Aneshtesia & Intensive Care","Medical Research Diagnosis & Treatment
We compared the endocrine and metabolic changes during acute emergency abdo
minal surgery performed using either laparoscopy or laparotomy in children.
Twenty-nine children aged 1.5-14 years were assigned to undergo laparoscop
y (n = 15) or laparotomy (n = 14) with a standard anaesthesia technique. Ar
terial blood gases and blood prolactin, cortisol, interleukin-6, glucose, i
nsulin, lactic acid and epinephrine levels were determined 5 min after the
induction of anaesthesia, 30 min into surgery and at the end of surgery. In
tra-operative heart rate and mean arterial pressure were stable in both gro
ups. In the laparoscopy group, slight respiratory acidosis occurred during
surgery (p < 0.01) but there were no changes in the laparotomy group. Insul
in, cortisol, prolactin, epinephrine, lactate and blood glucose levels incr
eased in both groups (p<0.05) although there was no difference between the
groups. The surgical stress and trauma imposed by laparoscopy seems similar
to that caused by laparotomy in children undergoing emergency abdominal su
rgery.