{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,1,12]],"date-time":"2024-01-12T00:17:31Z","timestamp":1705018651838},"reference-count":24,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2014,2,28]],"date-time":"2014-02-28T00:00:00Z","timestamp":1393545600000},"content-version":"vor","delay-in-days":4107,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2002,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>The laparoscopic approach is thought to reduce the postoperative immunologic and metabolic effects of an open operation. This study was designed with the aim of comparing the systemic immune response after laparoscopic and open cholecystectomy. Seventeen patients with gallbladder stones were assigned to undergo either a laparoscopic (<jats:italic>n<\/jats:italic>=9) or open (<jats:italic>n<\/jats:italic>=8) approach. The postoperative immune response was assessed by measuring the serum levels of soluble Fas (sFas), soluble L\u2010selectin (sL\u2010selectin), and transforming growth factor\u2010<jats:italic>\u03b2<\/jats:italic>1 (TGF<jats:italic>\u03b2<\/jats:italic>1) preoperatively and 2 hours, 1\u00a0day, and 2\u00a0days postoperatively. Both approaches resulted in a significant decrease in sFas levels 1 and 2\u00a0days postoperatively. The open approach evoked a transient increase in sL\u2010selectin levels 2 hours postoperatively. Moreover, the open approach resulted in a persistent, significant increase in TGF<jats:italic>\u03b2<\/jats:italic>1 levels postoperatively. Comparison of open versus laparoscopic cholecystectomy has shown no significant difference in sFas level and a statistically significant increase of sL\u2010selectin (within 2 hours) and TGF<jats:italic>\u03b2<\/jats:italic> levels after open surgery. Although both laparoscopic and open cholecystectomy evoked an alteration of the systemic immune response, our data showed that such immune response may be less after the laparoscopic approach.<\/jats:p>","DOI":"10.1007\/s00268-002-6388-3","type":"journal-article","created":{"date-parts":[[2002,12,5]],"date-time":"2002-12-05T15:48:22Z","timestamp":1039103302000},"page":"1418-1422","source":"Crossref","is-referenced-by-count":10,"title":["Systemic immune response after laparoscopic and open cholecystectomy"],"prefix":"10.1002","volume":"26","author":[{"given":"Shyr\u2010Ming","family":"Sheen\u2010Chen","sequence":"first","affiliation":[{"name":"Department of Surgery Division of General Surgery Colon and Rectal Surgery Chang Gung Memorial Hospital Kaohsiung College of Medicine Chang Gung University Kaohsiung 123, Ta\u2010Pei Road Niao\u2010Sung Hsiang, Kaohsiung Hsien Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Han\u2010Shiang","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Surgery Division of General Surgery Colon and Rectal Surgery Chang Gung Memorial Hospital Kaohsiung College of Medicine Chang Gung University Kaohsiung 123, Ta\u2010Pei Road Niao\u2010Sung Hsiang, Kaohsiung Hsien Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hock\u2010Liew","family":"Eng","sequence":"additional","affiliation":[{"name":"Department of Pathology Chang Gung Memorial Hospital Kaohsiung College of Medicine Chang Gung University Kaohsiung 123, Ta\u2010Pei Road Niao\u2010Sung Hsiang, Kaohsiung Hsien Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wei\u2010Jen","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Pathology Chang Gung Memorial Hospital Kaohsiung College of Medicine Chang Gung University Kaohsiung 123, Ta\u2010Pei Road Niao\u2010Sung Hsiang, Kaohsiung Hsien Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bruno","family":"Jawan","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology Chang Gung Memorial Hospital Kaohsiung College of Medicine Chang Gung University Kaohsiung 123, Ta\u2010Pei Road Niao\u2010Sung Hsiang, Kaohsiung Hsien 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