Comparison of the Stress Response in Patients Undergoing Gynecological Laparoscopic Surgery Using Carbon Dioxide Pneumoperitoneum or Abdominal Wall-Lifting Methods

Han, Chunmao; Ding, Zhengnian; Fan, Jin; Sun, Jie; Qian, Yanning

doi:10.1089/lap.2011.0412

Cited by 26 publications

(25 citation statements)

References 22 publications

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“…Van Hemelrijck et al, 1995;Han et al, 2012;Offinger et al, 2012) found decreased cortisol levels 45 minutes after the introduction of anaesthesia, which corresponds with our results. Stress steroid levels were lower in comparison to non-stress ones (e.g.…”

Section: Anaesthesia Influence On Adrenal Hormones Secretionsupporting

confidence: 92%

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The Cortisol to Cortisone Ratio during Cardiac Catheterisation in Sows

et al. 2015

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A possible effect of mini-invasive heart intervention on a response of hypothalamo-pituitary-adrenal stress axis and conversion of cortisone to cortisol were studied. We have analysed two stress markers levels (cortisol, cortisone) and cortisol/cortisone ratio in 25 sows using minimally invasive heart catheterisation as the stress factor. The values of studied parameters were assessed in four periods of the experiment: (1) the baseline level on the day before intervention, (2) after the introduction of anaesthesia, (3) after conducting tissue stimulation or ablation, and (4) after the end of the catheterisation. For statistical analyses we used the nonparametric Friedman test for four dependent samples (including all four stages of the operation) or three dependent samples (influence of operation only, baseline level was excluded). Statistically significant differences in both Friedman tests were found for cortisol and for cortisone. We have found the highest level of cortisol/ cortisone ratio in unstressed conditions, then it decreased to the minimal level at http://dx

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Section: Anaesthesia Influence On Adrenal Hormones Secretionsupporting

confidence: 92%

“…type of anaesthesia (mentioned above), handling, etc. Contrastingly, experimental measurements in human patients have found some differences in stress response for the same type of the laparoscopic intervention using a slightly different surgical approach (Han et al, 2012).…”

Section: Surgical Proceduresmentioning

confidence: 95%

The Cortisol to Cortisone Ratio during Cardiac Catheterisation in Sows

et al. 2015

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“…16 In surgical planning for our case, we considered using gasless abdominal wall lifting instead of pneumoperitoneum, to avoid decreasing intra-abdominal blood flow. [17][18][19] However, the gasless abdominal wall-lifting method is suboptimal for diagnostic laparoscopy because it is more likely to result in a narrower laparoscopic field of view than pneumoperitoneum allows.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic-assisted Resection for Jejunal Stenosis Following Extensive Portomesenteric Venous Thrombosis

Yokoyama

Ito

Sekioka

et al. 2014

CRSLS

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Introduction: Portomesenteric venous thrombosis (PMVT) is a rare and often fatal disease that is difficult to diagnose. The symptoms are nonspecific, and diagnosis and initial treatment tend to be delayed. The initial treatment strategy for PMVT has recently tended toward the use of conservative methods before surgical intervention, and most patients can be successfully treated in this way. In rare cases, however, bowel strictures may develop, owing to chronic ischemia.

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“…According to some articles, LUS is regarded as an important technique for laparoscopic surgeries such as liver tumor resection, biopsy of suspected nodules (metastases), and detection of bile ducts as expressed in [7][8][9]. Despite its early introduction, it has been rarely implemented in the past two decades [10].…”

Section: Introductionmentioning

confidence: 99%

A novel ultrasound based approach for lesion segmentation and its applications in gynecological laparoscopic surgery

Gong

Liu

et al. 2015

Australas Phys Eng Sci Med

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Laparoscopic ultrasound (LUS) has been widely utilized as a surgical aide in general, urological, and gynecological applications. Our study summarizes the clinical applications of laparoscopic ultrasonography in laparoscopic gynecologic surgery. Retrospective analyses were performed on 42 women subjects using laparoscopic surgery during laparoscopic extirpation and excision of gynecological tumors in our hospital from August 2011 to August 2013. Specifically, the Esaote 7.5 × 10 MHz laparoscopic transducer was used to detect small residual lesions, as well as to assess, locate and guide in removing the lesions during laparoscopic operations. The findings of LUS were compared with those of preoperative trans-vaginal ultrasound, postoperative, and pathohistological examinations. In addition, a novel method for lesion segmentation was proposed in order to facilitate the laparoscopic gynecologic surgery. In our experiment, laparoscopic operation was performed using a higher frequency and more close to pelvic organs via laparoscopic access. LUS facilitates the ability of gynaecologists to find small residual lesions under laparoscopic visualization and their accurate diagnosis. LUS also helps to locate residual lesions precisely and provides guidance for the removal of residual tumor and eliminate its recurrence effectively. Our experiment provides a safer and more valuable assistance for clinical applications in laparoscopic gynecological surgery that are superior to trans-abdominal ultrasound and trans-vaginal ultrasound.

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Comparison of the Stress Response in Patients Undergoing Gynecological Laparoscopic Surgery Using Carbon Dioxide Pneumoperitoneum or Abdominal Wall-Lifting Methods

Cited by 26 publications

References 22 publications

The Cortisol to Cortisone Ratio during Cardiac Catheterisation in Sows

The Cortisol to Cortisone Ratio during Cardiac Catheterisation in Sows

Laparoscopic-assisted Resection for Jejunal Stenosis Following Extensive Portomesenteric Venous Thrombosis

A novel ultrasound based approach for lesion segmentation and its applications in gynecological laparoscopic surgery

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