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Increased Tumor Establishment and Growth After Laparotomy vs Laparoscopy

Increased Tumor Establishment and Growth After Laparotomy vs Laparoscopy Abstract We read with great interest both the correspondence from Yoshida et al and the reply from Bessler (Arch Surg. 1996;131:219-220). Observations into the effects of trauma and surgical stress on the growth of both primary tumors and metastatic deposits have been made since Tyzzer in 1913. The effect of laparoscopic procedures on immune function, particularly after laparoscopic resection of cancer, has been a recent subject of interest. We have recently shown that inspiratory muscle function is preserved after laparoscopic cholecystectomy, and this correlates with a significantly lower incidence of postoperative respiratory complications.1 Furthermore, in a previous article in the Archives,2 we demonstrated that immune function is impaired to a greater degree by open cholecystectomy as compared with laparoscopic cholecystectomy and suggested that this may be due to exposure of the peritoneal cavity to air at laparotomy. The observation by Yoshida et al that lipopolysaccharide induces bacterial translocation from References 1. Da Costa ML, Qureshi MA, Brindley NM, Burke PE, Grace PA, Bouchier-Hayes D. Normal inspiratory muscle strength is restored more rapidly after laparoscopic cholecystectomy . Ann R Coll Surg Engl . 1995;75:252-255. 2. Redmond HP, Watson WG, Houghton T, Condron C, Watson RGK, Bouchier-Hayes D. Immune function in patients undergoing open vs laparoscopic cholecystectomy . Arch Surg . 1994;129:1240-1246.Crossref 3. Watson RWG, Redmond HP, McCarthy J, Burke PE, Bouchier-Hayes D. Exposure of the peritoneal cavity to air regulates early inflammatory responses to surgery in an experimental murine model . Br J Surg . 1995;82:1060-1065.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

Increased Tumor Establishment and Growth After Laparotomy vs Laparoscopy

Increased Tumor Establishment and Growth After Laparotomy vs Laparoscopy

Abstract

Abstract We read with great interest both the correspondence from Yoshida et al and the reply from Bessler (Arch Surg. 1996;131:219-220). Observations into the effects of trauma and surgical stress on the growth of both primary tumors and metastatic deposits have been made since Tyzzer in 1913. The effect of laparoscopic procedures on immune function, particularly after laparoscopic resection of cancer, has been a recent subject of interest. We have recently shown that inspiratory muscle...
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Publisher
American Medical Association
Copyright
Copyright © 1996 American Medical Association. All Rights Reserved.
ISSN
0004-0010
eISSN
1538-3644
DOI
10.1001/archsurg.1996.01430210101022
Publisher site
See Article on Publisher Site

Abstract

Abstract We read with great interest both the correspondence from Yoshida et al and the reply from Bessler (Arch Surg. 1996;131:219-220). Observations into the effects of trauma and surgical stress on the growth of both primary tumors and metastatic deposits have been made since Tyzzer in 1913. The effect of laparoscopic procedures on immune function, particularly after laparoscopic resection of cancer, has been a recent subject of interest. We have recently shown that inspiratory muscle function is preserved after laparoscopic cholecystectomy, and this correlates with a significantly lower incidence of postoperative respiratory complications.1 Furthermore, in a previous article in the Archives,2 we demonstrated that immune function is impaired to a greater degree by open cholecystectomy as compared with laparoscopic cholecystectomy and suggested that this may be due to exposure of the peritoneal cavity to air at laparotomy. The observation by Yoshida et al that lipopolysaccharide induces bacterial translocation from References 1. Da Costa ML, Qureshi MA, Brindley NM, Burke PE, Grace PA, Bouchier-Hayes D. Normal inspiratory muscle strength is restored more rapidly after laparoscopic cholecystectomy . Ann R Coll Surg Engl . 1995;75:252-255. 2. Redmond HP, Watson WG, Houghton T, Condron C, Watson RGK, Bouchier-Hayes D. Immune function in patients undergoing open vs laparoscopic cholecystectomy . Arch Surg . 1994;129:1240-1246.Crossref 3. Watson RWG, Redmond HP, McCarthy J, Burke PE, Bouchier-Hayes D. Exposure of the peritoneal cavity to air regulates early inflammatory responses to surgery in an experimental murine model . Br J Surg . 1995;82:1060-1065.Crossref

Journal

Archives of SurgeryAmerican Medical Association

Published: Sep 1, 1996

References