Zusammenfassung
Die metabolische Reaktion auf den operativen Stress nach laparoskopischen und nach konventionellen Eingriffen wurde in mehreren Studien verglichen. Noch immer wird kontrovers diskutiert, inwieweit sich beiden Techniken in ihrer Stoffwechselreaktion unterscheiden. Obgleich es unwahrscheinlich ist, dass sich die allgemeine metabolische Reaktion des Organismus auf laparoskopische Operationen von der auf konventionelle Operationsverfahren qualitativ unterscheidet, würde man doch erwarten, dass sich das Ausmaß der metabolischen Veränderungen quantitativ vermindert, denn laparoskopisch operierte Patienten scheinen sich deutlich schneller zu erholen.
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Literatur
- 1.Bouvy ND, Marquet RL, Tseng LN, Steyerberg EW, Lamberts SW, Jeekel H, et al. (1998) Laparoscopic vs conventional bowel resection in the rat. Earlier restoration of serum insulin-like growth factor 1 levels. Surg Endosc 12: 412–415.PubMedCrossRefGoogle Scholar
- 2.Frank SM, Higgins MS, Breslow MJ, Fleisher LA, Gorman RB, Sitzmann,IV, et al. (1995) The catecholamine, cortisol, and hemodynamic responses to mild perioperative hypothermia. Anesthesiol 82: 83–93.CrossRefGoogle Scholar
- 3.Fukushima R, Kawamura YJ, Saito H, Saito Y, Hashiguchi Y, Sawada T, et al. (1996) Interleukin-6 and stress hormone responses after uncomplicated gasless laparoscopic-assisted and open sigmoid colectomy. Dis Colon Rectum 39: S29–34.PubMedCrossRefGoogle Scholar
- 4.Glaser F, Sannwald GA, Buhr HJ, Kuntz C, Mayer H, Klee F, et al. (1995) General stress response to conventional and laparoscopic cholecystectomy. Ann Surg 221: 372–380.PubMedCrossRefGoogle Scholar
- 5.Hagmüller E, Lorenz D, Gunther HJ, Rumstadt B, Jentschura D. (1997) Untersuchungen zum Ausmass der postoperativen Katabolie nach laparoskopischer and konventioneller Cholecystektomie unter Anwendung eines 13C-Leuzin-Tracermodells. Langenbecks Arch Chir Suppl 1: 241–245.Google Scholar
- 6.Hammargvist F, Westman B, Leijonmarck CE, Andersson K, Wernerman J. (1996) Decrease in muscle glutamine, ribosomes, and the nitrogen losses are similar after laparoscopic compared with open cholecystectomy during the immediate postoperative period. Surgery 119: 417–423.CrossRefGoogle Scholar
- 7.Ketelslegers JM, Maiter D, Maes M, Underwood LE, Thissen JP. (1996) Nutritional regulation of the growth hormone and insulin-like growth factor-binding proteins. Horm Res 45: 252–257.PubMedCrossRefGoogle Scholar
- 8.Koivusalo AM, Kellokumpu I, Scheinin M, Tikkanen I, Halme L, Lindgren L. (1996) Randomized comparison of the neuroendocrine response to laparoscopic cholecystectomy using either conventional or abdominal wall lift techniques. Br J Surg 83: 1532–1536.PubMedCrossRefGoogle Scholar
- 9.Lau JY, Lo SY, Ng EK, Lee DW, Lam YH, Chung SC. (1998) A randomized comparison of acute phase response and endotoxemia in patients with perforated peptic ulcers receiving laparoscopic or open patch repair. Am J Surg 175: 325–327.PubMedCrossRefGoogle Scholar
- 10.Long CL, Haverberg LN, Young VR, Kinney JM, Munro FIN, Geiger JW. (1975) Metabolism of 3-methylhistidine in man. Metabolism 24: 929–935.PubMedCrossRefGoogle Scholar
- 11.Mealy K, Gallagher H, Barry M, Lennon F, Traynor O, Hyland J. (1992) Physiological and metabolic responses to open and laparoscopic cholecystectomy. Br J Surg 79: 1061–1064.PubMedCrossRefGoogle Scholar
- 12.Mikami O, Kawakita S, Fujise K, Shingu K, Takahashi H, Matsuda T. (1996) Catecholamine release caused by carbon dioxide insufflation during laparoscopic surgery. J Urol 155: 1368–1371.PubMedCrossRefGoogle Scholar
- 13.Ortega AE, Peters JH, Incarbone R, Estrada L, Ehsan A, Kwan Y, et al. (1996) A prospective randomized comparison of the metabolic and stress hormonal responses of laparoscopic and open cholecystectomy. J Am Coll Surg 183: 249–256.PubMedGoogle Scholar
- 14.Schauer PR, Sirinek KR. (1995) The laparoscopic approach reduces the endocrine response to elective cholecystectomy. Am Surg 61: 106–111.PubMedGoogle Scholar
- 15.Senagore AJ, Kilbride MJ, Luchtefeld MA, MacKeigan JM, Davis AT, Moore JD. (1995) Superior nitrogen balance after laparoscopic-assisted colectomy. Ann Surg 221: 171–175.PubMedCrossRefGoogle Scholar
- 16.Targarona EM, Pons MJ, Balague C, Espert JJ, Moral A, Martinez J, et al. (1996) Acute phase is the only significantly reduced component of the injury response after laparoscopic cholecystectomy. World J Surg 20: 528–533.PubMedCrossRefGoogle Scholar
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