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    The immunomodulatory effects of laparoscopic surgery.

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    Authors
    Corrigan, Mark
    Cahill, Ronan A
    Redmond, Henry Paul
    Affiliation
    Department of Academic Surgery, Cork University Hospital, Wilton, Cork, Ireland.
    Issue Date
    2012-02-03T15:16:38Z
    MeSH
    Analgesics, Opioid/pharmacology
    Anesthetics, Local/pharmacology
    Antibody Formation
    Carbon Dioxide/pharmacology
    Cytokines/immunology
    Humans
    *Immunity, Cellular
    Insufflation
    *Laparoscopy
    Pneumoperitoneum, Artificial
    Postoperative Period
    Tumor Necrosis Factor-alpha/metabolism
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    Citation
    Surg Laparosc Endosc Percutan Tech. 2007 Aug;17(4):256-61.
    Journal
    Surgical laparoscopy, endoscopy & percutaneous techniques
    URI
    http://hdl.handle.net/10147/209265
    DOI
    10.1097/SLE.0b013e318059b9c3
    PubMed ID
    17710044
    Abstract
    Laparoscopic alternatives to conventional surgical procedures confer many advantages to patients including reduced postoperative pain, shortened convalescence and, perhaps, improved disease-related outcomes. The diminished degree of immune dysfunction apparent with these techniques may underpin these beneficial aspects. However, minimal access is accompanied by various ancillary anesthetic and mechanical associations (including the induction of a carbon dioxide pneumoperitoneum), which must be considered in addition to reduced tissue trauma when attempting to correlate cause with effect. Furthermore, the opportunity to establish causation between the immunomodulatory aspects of laparoscopy and subsequent clinical outcome by prospective, randomized study is difficult because of the rapid incorporation of minimal access techniques into clinical practice. Therefore, experimental in vitro and in vivo studies must be used to complement the limitations of clinical studies in this area. Although the initial investigations into the immunological effects of laparoscopy are encouraging, many of the intricacies associated with this approach still await elaboration.
    Language
    eng
    ISSN
    1530-4515 (Print)
    1530-4515 (Linking)
    ae974a485f413a2113503eed53cd6c53
    10.1097/SLE.0b013e318059b9c3
    Scopus Count
    Collections
    Cork University Hospital

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