Systemic abdominal stress response during operations for acute abdominal pain performed via laparoscopy or laparotomy in children


BOZKURT P., KAYA G., Altintas F. , YEKER Y., HACIBEKIROGLU M. , EMIR H. , ...More

ANAESTHESIA, vol.55, no.1, pp.5-9, 2000 (Journal Indexed in SCI) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 55 Issue: 1
  • Publication Date: 2000
  • Doi Number: 10.1046/j.1365-2044.2000.01119.x
  • Title of Journal : ANAESTHESIA
  • Page Numbers: pp.5-9

Abstract

We compared the endocrine and metabolic changes during acute emergency abdominal surgery performed using either laparoscopy or laparotomy in children. Twenty-nine children aged 1.5-14 years were assigned to undergo laparoscopy (n = 15) or laparotomy (n = 14) with a standard anaesthesia technique. Arterial blood gases and blood prolactin, cortisol, interleukin-6, glucose, insulin, lactic acid and epinephrine levels were determined 5 min after the induction of anaesthesia, 30 min into surgery and at the end of surgery. Intra-operative heart rate and mean arterial pressure were stable in both groups. In the laparoscopy group, slight respiratory acidosis occurred during surgery (p < 0.01) but there were no changes in the laparotomy group. Insulin, cortisol, prolactin, epinephrine, lactate and blood glucose levels increased in both groups (p<0.05) although there was no difference between the groups. The surgical stress and trauma imposed by laparoscopy seems similar to that caused by laparotomy in children undergoing emergency abdominal surgery.