Adhesion formation with open versus laparoscopic cholecystectomy: An immunologic and histologic study

Gy Szabó, I. Mikó, P. Nagy, E. Bráth, K. Peto, I. Furka, E. M. Gamal

Research output: Contribution to journalArticle

15 Citations (Scopus)

Abstract

Background: This randomized study aimed to compare the reaction of the immune system to the process of postoperative adhesion formation after open and laparoscopic cholecystectomy. Methods: In this study, 20 mongrel dogs were used: 10 each in the laparoscopic and open cholecystectomy groups. Blood and peritoneal lavage samples were taken up to postoperative day 14, followed by second-look laparoscopy and reoperation to detect the rate of adhesion formation. Also, specimens were obtained from the liver bed for histology. Results: In the open cholecystectomy group, the white blood cell count was higher in blood samples and lower in lavage specimens. Adhesion formation was extensive, and the histologic immune reaction was more intensive in the open cholecystectomy group. Conclusion: This randomized study proved that laparoscopic cholecystectomy was associated with less immune suppression, less inflammatory reaction, and therefore less adhesion formation than open cholecystectomy.

Original languageEnglish
Pages (from-to)253-257
Number of pages5
JournalSurgical Endoscopy and Other Interventional Techniques
Volume21
Issue number2
DOIs
Publication statusPublished - Feb 1 2007

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Keywords

  • Adhesion formation
  • Cell-mediated immunity
  • Histology
  • Laparoscopic cholecystectomy
  • Open cholecystectomy

ASJC Scopus subject areas

  • Surgery

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