ObjectiveTo investigate the systemic stress responses after laparoscopic resection in colorectal cancer patients.MethodsSixty patients were randomized into the laparoscopic resection group (30 cases) and open resection group (30 cases) from October 2001 to September 2002 in our hospital.Analgesic dosages, recovery time of intestinal peristalsis, postoperative temperatures, C reactive protein(CRP), IL6 and white blood cell (WBC) counts were recorded after operation. ResultsThe changes of postoperative temperatures and WBC counts showed no significant difference between two groups.But in the laparoscopic resection group, the recovery time of intestinal peristalsis, postoperative analgesic dosages, CRP and IL6 significantly decreased (P＜0.01,P＜0.05).ConclusionCompared with traditional open resection, laparoscopic resection of colorectal cancer can diminish the systemic stress responses and decrease the injury to patients.
Citation：
TIAN Wen,LI Rong,CHEN Lin.. Effects of Laparoscopic Resection on Systemic Stress Responses in Colorectal Cancer Patients. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2004, 11(3): 204-208. doi:
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- 2. Bellon JM, Manzano L, Bernardos L, et al. Cytokine levels after open and laparoscopic cholecystectomy [Ｊ]. Eur Surg Res, 1997; 29(1)∶27.
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- 4. Kwok SP, Lau WY, Carey PD, et al. Prospective evaluation of laparoscopicassisted large bowel excision for cancer [Ｊ]. Ann Surg, 1996; 223(2)∶170.
- 5. 曾和平， 叶古祥， 潘芳芳， 等. 腹腔镜胆囊切除术对机体应激反应的影响 [Ｊ]. 中国普通外科杂志， 2001； 10（1）∶35.
- 6. 朱江帆主编. 普通外科内镜手术学 [M]. 济南： 山东科学技术出版社， 2001∶69～71.
