Effects of gynecological gasless suspended laparoscopic surgery and pneumoperitoneum laparoscopic surgery on stress reaction of patients receiving gynecological surgery
WANG Huan
Abstract：Objective To compare the effects of gynecological gasless suspended laparoscopic surgery and pneumoperitoneum laparoscopic surgery on stress reaction of patients receiving gynecological surgery .Methods Eighty patients who underwent hysteromyomectomy in our hospital from January 2014 to January 2015 were randomly divided into non-pneumoperitoneum group ( n =40) and pneumoperitoneum group ( n =40).After general anesthesia,the patients in pneumoperitoneum group received CO 2 pneumoperitoneum to undergo operation ,however ,the patients in non-pneumoperitoneum group, after general anesthesia , received abdominal wall suspension to undergo operation .The stress reaction , the levels of blood glucose, insulin, cortisol and TNF-αat 4 time points were detected and compared between two groups .Results The blood glucose levels in both groups were increased at T 1 time point,in which,the peak of blood glucose in pneumoperitoneum group appeared at T2,however, which in non-pneumoperitoneum group appeared at T 3.The blood glucose levels at T2 in pneumoperitoneum group were significantly higher than those in non-pneumoperitoneum group ( P <0.05).The insulin levels in both groups were increased at T 1,and the peak of insulin in both groups appeared at T 3.The insulin levels at T1 and T2 in pneumoperitoneum group were significantly higher than those in non-pneumoperitoneum group ( P <0.05).The cortisol levels in both groups were increased at T 1,in which the peak of blood glucose in pneumoperitoneum group appeared at T 2, however, which in non-pneumoperitoneum group appeared at T 3.The cortisol levels at T1,T2,T3 in pneumoperitoneum group were significantly higher than those in non-pneumoperitoneum group ( P <0.05).The TNF-αlevels in both groups were increased at T1,in which the peak of blood glucose in pneumoperitoneum group appeared at T 2,however, which in non-pneumoperitoneum group appeared at T3.The TNF-αlevels at T1,T2 in pneumoperitoneum group were significantly higher than those in non-pneumoperitoneum group ( P <0.05).Conclusion The suspended gasless laparoscopic surgery can effectively decrease stress reaction degree during gynecological surgery and can increase operation safety coefficient , thus, which is worth using widely in clinical practice .
Keywords：pneumoperitoneumlaparoscopic surgerygynecological surgerystress reaction
Publication Date：2016-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 3558-3560 )