PMID- 15284691 OWN - NLM STAT- MEDLINE DCOM- 20041221 LR - 20220330 IS - 1022-4742 (Print) IS - 1022-4742 (Linking) VI - 13 IP - 2 DP - 2004 Jul TI - Interleukin-6 (IL-6) and tumour necrosis factor-alpha in open and laparoscopic cholecystectomy. PG - 153-6 AB - Injury to the human body alters normal physiology across several systems and these alterations are proportional to the extent of the injury. Physiological response to minimally invasive surgery appears to be different than those of traditional open surgery. Acute phase protein response appears to be one example. The important cytokines that are known as major mediators of acute phase response are interleukin-6 and TNF-alpha. Thirty patients were studied in which 14 underwent open cholecystectomy and 16 laparoscopic cholecystectomy. Three blood samples were taken from each patient, one pre-operatively and 2 post operatively at 4 and 24 hours. Interleukin-6 and Tumour Necrosis Factor-alpha (TNF-alpha) were raised significantly in post operative blood sample in both groups but the rise was much more in open group than laparoscopic group. This suggest less stress response in laparoscopic group which also showed a direct effect on patient convalescence in terms of less pain, less analgesic requirement and shorter hospital stay FAU - Haq, Z AU - Haq Z AD - Associate Professor of Surgery, Sylhet MAG Osmani Medical College. FAU - Rahman, M AU - Rahman M FAU - Siddique, M A AU - Siddique MA FAU - Roy, R K AU - Roy RK FAU - Rahman, A M AU - Rahman AM FAU - Khatun, M AU - Khatun M LA - eng PT - Comparative Study PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - Bangladesh TA - Mymensingh Med J JT - Mymensingh medical journal : MMJ JID - 9601799 RN - 0 (Interleukin-6) RN - 0 (Tumor Necrosis Factor-alpha) SB - IM MH - Acute-Phase Reaction/blood/etiology MH - Adult MH - *Cholecystectomy, Laparoscopic/adverse effects MH - Female MH - Gallstones/blood/surgery MH - Humans MH - Interleukin-6/*blood MH - Male MH - Middle Aged MH - Prospective Studies MH - Recovery of Function MH - Tumor Necrosis Factor-alpha/*metabolism EDAT- 2004/07/31 05:00 MHDA- 2004/12/22 09:00 CRDT- 2004/07/31 05:00 PHST- 2004/07/31 05:00 [pubmed] PHST- 2004/12/22 09:00 [medline] PHST- 2004/07/31 05:00 [entrez] PST - ppublish SO - Mymensingh Med J. 2004 Jul;13(2):153-6.