Total Oxidant Status, Total Antioxidant Status, and Paraoxonase and Arylesterase Activities during Laparoscopic Cholecystectomy

Laparoscopic cholecystectomy is the gold standard for the treatment of gallstone disease; however, adverse hemodynamic changes induced by increased intraabdominal pressure due to pneumoperitoneum are known to occur. Herein, we investigated the effects of pneumoperitoneum on oxidative stress markers,...

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Published inClinics (São Paulo, Brazil) Vol. 65; no. 3; pp. 285 - 290
Main Authors Koksal, Hande, Kurban, Sevil
Format Journal Article
LanguageEnglish
Portuguese
Published Brazil Elsevier España, S.L.U 01.03.2010
Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo
Faculdade de Medicina / USP
Elsevier España
Subjects
Adolescent
Adult
Aged
Antioxidants - analysis
Aryldialkylphosphatase - blood
Arylesterase
Biomarkers - blood
Carboxylic Ester Hydrolases - blood
Cholecystectomy
Cholecystectomy, Laparoscopic - adverse effects
Clinical Science
Female
Gallstones - blood
Gallstones - surgery
Hernia, Ventral - surgery
Humans
Laparoscopy
Leukocyte Count
Male
MEDICINE, GENERAL & INTERNAL
Middle Aged
Neutrophils
Oxidative markers
Oxidative Stress - physiology
Paraoxonase
Pneumoperitoneum, Artificial - adverse effects
Statistics, Nonparametric
Young Adult
Cholecystectomy
Laparoscopy
Paraoxonase
Arylesterase
Oxidative markers
Online AccessGet full text

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Abstract Laparoscopic cholecystectomy is the gold standard for the treatment of gallstone disease; however, adverse hemodynamic changes induced by increased intraabdominal pressure due to pneumoperitoneum are known to occur. Herein, we investigated the effects of pneumoperitoneum on oxidative stress markers, including paraoxonase, arylesterase, total oxidant status, and total antioxidant status, during laparoscopic cholecystectomy. Patients that underwent a laparoscopic cholecystectomy were classified as Group I, whereas patients that underwent surgical procedures for an abdominal wall hernia under general anesthesia were classified as Group II. Blood samples were obtained during the preoperative period, the perioperative period, and 24 hours after surgery (postoperative day 1). Leukocyte counts, neutrophil rates, paraoxonase activities, arylesterase activities, and total oxidant and antioxidant status levels were measured. The differences in leukocyte counts and neutrophil rates were not significant between the two groups. In Group I, no significant differences in the total oxidant and antioxidant status levels were identified; however, paraoxonase and arylesterase levels were lower on postoperative day 1. No significant changes were observed in the total oxidant status, total antioxidant status, and paraoxonase or arylesterase activities in Group II. The perioperative total antioxidant status and arylesterase level were higher in Group I in comparison to Group II. Paraoxonase and arylesterase levels are useful markers in the evaluation of oxidative stress caused by intraabdominal pressure due to pneumoperitoneum.
AbstractList INTRODUCTION: Laparoscopic cholecystectomy is the gold standard for the treatment of gallstone disease; however, adverse hemodynamic changes induced by increased intraabdominal pressure due to pneumoperitoneum are known to occur. Herein, we investigated the effects of pneumoperitoneum on oxidative stress markers, including paraoxonase, arylesterase, total oxidant status, and total antioxidant status, during laparoscopic cholecystectomy. PATIENTS AND METHODS: Patients that underwent a laparoscopic cholecystectomy were classified as Group I, whereas patients that underwent surgical procedures for an abdominal wall hernia under general anesthesia were classified as Group II. Blood samples were obtained during the preoperative period, the perioperative period, and 24 hours after surgery (postoperative day 1). Leukocyte counts, neutrophil rates, paraoxonase activities, arylesterase activities, and total oxidant and antioxidant status levels were measured. RESULTS: The differences in leukocyte counts and neutrophil rates were not significant between the two groups. In Group I, no significant differences in the total oxidant and antioxidant status levels were identified; however, paraoxonase and arylesterase levels were lower on postoperative day 1. No significant changes were observed in the total oxidant status, total antioxidant status, and paraoxonase or arylesterase activities in Group II. The perioperative total antioxidant status and arylesterase level were higher in Group I in comparison to Group II. CONCLUSION: Paraoxonase and arylesterase levels are useful markers in the evaluation of oxidative stress caused by intraabdominal pressure due to pneumoperitoneum.
Laparoscopic cholecystectomy is the gold standard for the treatment of gallstone disease; however, adverse hemodynamic changes induced by increased intraabdominal pressure due to pneumoperitoneum are known to occur. Herein, we investigated the effects of pneumoperitoneum on oxidative stress markers, including paraoxonase, arylesterase, total oxidant status, and total antioxidant status, during laparoscopic cholecystectomy. Patients that underwent a laparoscopic cholecystectomy were classified as Group I, whereas patients that underwent surgical procedures for an abdominal wall hernia under general anesthesia were classified as Group II. Blood samples were obtained during the preoperative period, the perioperative period, and 24 hours after surgery (postoperative day 1). Leukocyte counts, neutrophil rates, paraoxonase activities, arylesterase activities, and total oxidant and antioxidant status levels were measured. The differences in leukocyte counts and neutrophil rates were not significant between the two groups. In Group I, no significant differences in the total oxidant and antioxidant status levels were identified; however, paraoxonase and arylesterase levels were lower on postoperative day 1. No significant changes were observed in the total oxidant status, total antioxidant status, and paraoxonase or arylesterase activities in Group II. The perioperative total antioxidant status and arylesterase level were higher in Group I in comparison to Group II. Paraoxonase and arylesterase levels are useful markers in the evaluation of oxidative stress caused by intraabdominal pressure due to pneumoperitoneum.
INTRODUCTIONLaparoscopic cholecystectomy is the gold standard for the treatment of gallstone disease; however, adverse hemodynamic changes induced by increased intraabdominal pressure due to pneumoperitoneum are known to occur. Herein, we investigated the effects of pneumoperitoneum on oxidative stress markers, including paraoxonase, arylesterase, total oxidant status, and total antioxidant status, during laparoscopic cholecystectomy. PATIENTS AND METHODSPatients that underwent a laparoscopic cholecystectomy were classified as Group I, whereas patients that underwent surgical procedures for an abdominal wall hernia under general anesthesia were classified as Group II. Blood samples were obtained during the preoperative period, the perioperative period, and 24 hours after surgery (postoperative day 1). Leukocyte counts, neutrophil rates, paraoxonase activities, arylesterase activities, and total oxidant and antioxidant status levels were measured. RESULTSThe differences in leukocyte counts and neutrophil rates were not significant between the two groups. In Group I, no significant differences in the total oxidant and antioxidant status levels were identified; however, paraoxonase and arylesterase levels were lower on postoperative day 1. No significant changes were observed in the total oxidant status, total antioxidant status, and paraoxonase or arylesterase activities in Group II. The perioperative total antioxidant status and arylesterase level were higher in Group I in comparison to Group II. CONCLUSIONParaoxonase and arylesterase levels are useful markers in the evaluation of oxidative stress caused by intraabdominal pressure due to pneumoperitoneum.
Author Kurban, Sevil
Koksal, Hande
AuthorAffiliation I Department of General Surgery, Konya Numune State Hospital - Konya, Turkey
II Department of Biochemistry, Meram Faculty of Medicine, Selcuk University - Konya, Turkey
AuthorAffiliation_xml – name: I Department of General Surgery, Konya Numune State Hospital - Konya, Turkey
– name: II Department of Biochemistry, Meram Faculty of Medicine, Selcuk University - Konya, Turkey
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– sequence: 2
  givenname: Sevil
  surname: Kurban
  fullname: Kurban, Sevil
  organization: Department of Biochemistry, Meram Faculty of Medicine, Selcuk University - Konya, Turkey
BackLink https://www.ncbi.nlm.nih.gov/pubmed/20360919$$D View this record in MEDLINE/PubMed
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Issue 3
Keywords Cholecystectomy
Laparoscopy
Paraoxonase
Arylesterase
Oxidative markers
Language English
Portuguese
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Snippet Laparoscopic cholecystectomy is the gold standard for the treatment of gallstone disease; however, adverse hemodynamic changes induced by increased...
INTRODUCTIONLaparoscopic cholecystectomy is the gold standard for the treatment of gallstone disease; however, adverse hemodynamic changes induced by increased...
INTRODUCTION: Laparoscopic cholecystectomy is the gold standard for the treatment of gallstone disease; however, adverse hemodynamic changes induced by...
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pubmedcentral
proquest
crossref
pubmed
elsevier
SourceType Open Website
Open Access Repository
Aggregation Database
Index Database
Publisher
StartPage 285
SubjectTerms Adolescent
Adult
Aged
Antioxidants - analysis
Aryldialkylphosphatase - blood
Arylesterase
Biomarkers - blood
Carboxylic Ester Hydrolases - blood
Cholecystectomy
Cholecystectomy, Laparoscopic - adverse effects
Clinical Science
Female
Gallstones - blood
Gallstones - surgery
Hernia, Ventral - surgery
Humans
Laparoscopy
Leukocyte Count
Male
MEDICINE, GENERAL & INTERNAL
Middle Aged
Neutrophils
Oxidative markers
Oxidative Stress - physiology
Paraoxonase
Pneumoperitoneum, Artificial - adverse effects
Statistics, Nonparametric
Young Adult
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Title Total Oxidant Status, Total Antioxidant Status, and Paraoxonase and Arylesterase Activities during Laparoscopic Cholecystectomy
URI https://dx.doi.org/10.1590/S1807-59322010000300008
https://www.ncbi.nlm.nih.gov/pubmed/20360919
https://search.proquest.com/docview/733846786
https://pubmed.ncbi.nlm.nih.gov/PMC2845769
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https://doaj.org/article/7c8aa6362aa34244875a56d3ab22e8e1
Volume 65
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