PMID- 25700843 OWN - NLM STAT- MEDLINE DCOM- 20160929 LR - 20181113 IS - 1436-2813 (Electronic) IS - 0941-1291 (Linking) VI - 46 IP - 2 DP - 2016 Feb TI - Influence of smoking on perioperative oxidative stress after pulmonary resection. PG - 183-7 LID - 10.1007/s00595-015-1132-4 [doi] AB - PURPOSE: We herein investigated the influence of smoking on changes in the levels of perioperative oxidative stress after pulmonary resection. METHODS: A total of 31 patients with primary lung cancer who underwent curative pulmonary lobectomy were analyzed prospectively. The degree of perioperative oxidative stress was evaluated based on the serum levels of derivatives of reactive oxygen metabolites (d-ROM) and biological antioxidant potential (BAP). The patients were divided into two groups: group A (smoking < 40 pack-years) and group B (smoking >/= 40 pack-years). The d-ROM and BAP measurements were obtained preoperatively, postoperatively and on the first, second, third and fifth postoperative days. RESULTS: In all 31 cases, the d-ROM values were higher on the third and fifth postoperative days than preoperatively. The extent of change in the d-ROM levels was greater in group A than in group B on the second, third and fifth postoperative days (1.05 +/- 0.159 vs. 0.920 +/- 0.205, p = 0.008; 1.20 +/- 0.233 vs. 1.02 +/- 0.186, p = 0.032; 1.34 +/- 0.228 vs. 1.07 +/- 0.200, p = 0.003, respectively). In contrast, there were no significant differences in the BAP values. The maximum increase in the d-ROM level and decrease in the BAP level negatively correlated with the amount of smoking (|r| = 0.428, p = 0.016 and |r| = 0.357. p = 0.049, respectively). CONCLUSIONS: Surgical stress associated with pulmonary lobectomy induces oxidative stress. In addition, smoking reduces the oxidative stress reaction, and the degree of this change is correlated with the amount of smoking. FAU - Mizuno, Yoshimasa AU - Mizuno Y AD - Department of General and Cardiothoracic Surgery, Graduate School of Medicine, Gifu University, 1-1 Yanagido, Gifu, Gifu, 501-1194, Japan. FAU - Iwata, Hisashi AU - Iwata H AD - Department of General and Cardiothoracic Surgery, Graduate School of Medicine, Gifu University, 1-1 Yanagido, Gifu, Gifu, 501-1194, Japan. ihisashi@gifu-u.ac.jp. FAU - Yamamoto, Hirotaka AU - Yamamoto H AD - Department of General and Cardiothoracic Surgery, Graduate School of Medicine, Gifu University, 1-1 Yanagido, Gifu, Gifu, 501-1194, Japan. FAU - Miyamoto, Yusaku AU - Miyamoto Y AD - Department of General and Cardiothoracic Surgery, Graduate School of Medicine, Gifu University, 1-1 Yanagido, Gifu, Gifu, 501-1194, Japan. FAU - Mitta, Shohei AU - Mitta S AD - Department of General and Cardiothoracic Surgery, Graduate School of Medicine, Gifu University, 1-1 Yanagido, Gifu, Gifu, 501-1194, Japan. FAU - Shirahashi, Koyo AU - Shirahashi K AD - Department of General and Cardiothoracic Surgery, Graduate School of Medicine, Gifu University, 1-1 Yanagido, Gifu, Gifu, 501-1194, Japan. FAU - Takemura, Hirofumi AU - Takemura H AD - Department of General and Cardiothoracic Surgery, Graduate School of Medicine, Gifu University, 1-1 Yanagido, Gifu, Gifu, 501-1194, Japan. LA - eng PT - Journal Article DEP - 20150221 PL - Japan TA - Surg Today JT - Surgery today JID - 9204360 RN - 0 (Antioxidants) RN - 0 (Biomarkers) RN - 0 (Reactive Oxygen Species) SB - IM MH - Aged MH - Aged, 80 and over MH - Antioxidants/analysis MH - Biomarkers/blood MH - Humans MH - Lung Neoplasms/surgery MH - Middle Aged MH - *Oxidative Stress MH - *Perioperative Period MH - *Pneumonectomy MH - Prospective Studies MH - Reactive Oxygen Species/blood MH - *Smoking/blood/physiopathology MH - Time Factors OTO - NOTNLM OT - Oxidative stress OT - Pulmonary resection OT - Smoking EDAT- 2015/02/24 06:00 MHDA- 2016/09/30 06:00 CRDT- 2015/02/22 06:00 PHST- 2014/06/23 00:00 [received] PHST- 2015/01/30 00:00 [accepted] PHST- 2015/02/22 06:00 [entrez] PHST- 2015/02/24 06:00 [pubmed] PHST- 2016/09/30 06:00 [medline] AID - 10.1007/s00595-015-1132-4 [pii] AID - 10.1007/s00595-015-1132-4 [doi] PST - ppublish SO - Surg Today. 2016 Feb;46(2):183-7. doi: 10.1007/s00595-015-1132-4. Epub 2015 Feb 21.