Buchweitz, Olaf and Matthias, S. and Muller-Steinhardt, M. and Malik, Eduard (2005) Laparoscopy in patients over 60 years old: A prospective, randomized evaluation of laparoscopic versus open adnexectomy. AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 193 (4). pp. 1364-1368. ISSN 0002-9378,
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Objective: To compare objective and subjective parameters of surgical stress following laparoscopic and open adnexectomy in patients older than 60 years old. Study design: Twenty patients with a benign ovarian tumour were prospectively randomized to undergo adnexectomy by a laparoscopic or an open surgical procedure: Measurements included C-reactive protein; interleukin-6 before, during, and after surgery; intensity and duration of postoperative pain; and complications and recovery period. Statistical analysis consisted of analysis of variance. and a Mann-Whitney U test. Results: The levels of the interleukin-6 and C-reactive protein differed significantly between the 2 [ operative procedures (P =.013) in favor of the laparoscopic approach. The laparoscopic approach was associated with a reduction in operative morbidity, postoperative pain, analgesic requirement, and recovery period. Conclusions: Minimally invasive surgery is of particular benefit to elderly patients if there is a; plan in place for appropriate staging and treatment by laparotomy for malignancy. It should be the first choice and may help to reduce postoperative complications. (C) 2005 Elsevier Inc. All rights reserved.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | SYSTEMIC IMMUNE-RESPONSE; ACUTE-PHASE RESPONSE; ADNEXAL MASSES; LONG-TERM; SURGERY; LAPAROTOMY; MANAGEMENT; AGE; elderly patients; laparoscopy; ovarian cysts; surgical stress; interleukin 6 |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Lehrstuhl für Frauenheilkunde und Geburtshilfe (Schwerpunkt Frauenheilkunde) |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 26 Apr 2021 07:01 |
| Last Modified: | 26 Apr 2021 07:01 |
| URI: | https://pred.uni-regensburg.de/id/eprint/35541 |
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