Skip to main content
Log in

Interleukin 6 (IL-6) levels in the monitoring of surgical trauma

A comparison of serum IL-6 concentrations in patients treated by cholecystectomy via laparotomy or laparoscopy

  • Original Articles
  • Published:
Surgical Endoscopy Aims and scope Submit manuscript

Abstract

Interleukin 6 (IL-6) is involved in the processes of inflammation and tissue repair. We have been looking for the correlation between IL-6 concentration in patient's serum and the other factors related to the gravity of surgical trauma. Out of 25 patients with acute cholecystitis, 11 were randomly selected for laparoscopic cholecystectomy and the other 14 for open (laparotomic) cholecystectomy. The diagnostic and prognostic factors, age, and duration of disease did not differ significantly in either group. IL-6 serum levels were monitored by using commercially available ELISA tests throughout 72 h following the surgery. In patients who underwent laparoscopy, average IL-6 serum levels were significantly (up to fourfold) lower than in their laparotomy-treated counterparts, and the monitoring of IL-6 serum levels seems to be useful in the evaluation of the extent of trauma caused by surgery.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Berci G, Sackier JM (1991) The Los Angeles experience with laparoscopic cholecystectomy. Am J Surg 161: 385–387

    Google Scholar 

  2. Chavanet P, Bonnotte B, Guiguet M, et al. (1992) High concentrations of intrathecal interleukin-6 in human bacterial and non-bacterial meningitis. J Infect Dis 166: 428–431

    Google Scholar 

  3. Cuschieri A, Dubois F, Mouiel J, et al. (1991) The European experience with laparoscopic cholecystectomy. Am J Surg 161: 385–387

    Google Scholar 

  4. Delorio T, Thompson A, Larson GM, et al. (1993) Laparoscopic cholecystectomy in transplant patients. Surg Endosc 7: 404–407

    Google Scholar 

  5. Flowers JL, Bailey RW, Scovill WA, et al. (1991) The Baltimore experience with laparoscopic management of acute cholecystitis. Am J Surg 161: 388–392

    Google Scholar 

  6. Frazee RC, Roberts JW, Okeson GC, et al. (1991) Open versus laparoscopic cholecystectomy: a comparison of postoperative pulmonary function. Ann Surg 213: 651–653

    Google Scholar 

  7. Gadacz TR, Talamini MA (1991) Traditional versus laparoscopic cholecystectomy. Am J Surg 161: 336–338

    Google Scholar 

  8. Helle M, Brakenhoff JPJ, De Groot ER, et al. (1988) Interleukin 6 is involved in interleukin 1-induced activities. Eur J Immunol 18: 957–962

    Google Scholar 

  9. Herold M, Schmalzl F, Zwierzina H (1992) Increased serum interleukin-6 levels in patients with myelodysplastic syndromes. Leuk Res 16: 585–588

    Google Scholar 

  10. Hirano T, Akira S, Taga T, Kishimoto T (1990) Biological and clinical aspects of interleukin 6. Immunol Today 11: 443–449

    Google Scholar 

  11. Humbert M, Delattre RM, Fattal S, et al. (1993) In situ production of interleukin-6 within human lung allografts displaying rejection or Cytomegalovirus pneumonia. Transplantation 56: 623–627

    Google Scholar 

  12. Ikeda U, Ohkawa F, Seino Y, et al. (1992) Serum interleukin-6 levels become elevated in acute myocardial infarction. J Moll Cell Cardiol 24: 579–584

    Google Scholar 

  13. Jansen JH, Wientjens GJHM, Fibbe WE, et al. (1992) Serum monocyte colony-stimulating factor, erythropoietin and interleukin-6 in relation to pancytopenia in hairy cell leukemia. Leukemia 6: 735–737

    Google Scholar 

  14. Nakazaki H (1992) Preoperative and postoperative cytokines in patients with cancer. Cancer 70: 709–713

    Google Scholar 

  15. Sack U, Kinne RW, Marx T, et al. (1993) Interleukin-6 in synovial fluid is closely associated with chronic synovitis in rheumatoid arthritis. Rheumatol Int 13: 45–51

    Google Scholar 

  16. Sehgal PB, Grienger G, Tosata G (eds) (1989) Regulation of the acute phase and immune responses: interleukin-6. Ann N Y Acad Sci 557: 1–583

  17. Unger SW, Edelman DS, Scott JS, et al. (1991) Laparoscopic treatment of acute cholecystitis. Surg Laparosc Endosc 1: 14–16

    Google Scholar 

  18. Unger SW, Rosenbaum G, Unger HM, Edelman DS (1993) A comparison of laparoscopic and open treatment of acute cholecystitis. Surg Endosc 7: 408–411

    Google Scholar 

  19. Zeni F, Tardy B, Vindimian M, et al. (1993) High levels of tumor necrosis factor-alpha and interleukin-6 in the ascitic fluid of cirrhotic patients with spontaneous bacterial peritonitis. Clin Infect Dis 17: 218–223

    Google Scholar 

  20. Zhao XM, Frist WH, Yeoh TK, Miller GG (1993) Expression of cytokine genes in human cardiac allografts—correlation of IL-6 and transforming growth factor-beta (TGF-beta) with histological rejection. Clin Exp Immunol 93: 448–451

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Maruszynski, M., Pojda, Z. Interleukin 6 (IL-6) levels in the monitoring of surgical trauma. Surg Endosc 9, 882–885 (1995). https://doi.org/10.1007/BF00768883

Download citation

  • Received:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF00768883

Key words

Navigation