1. Inflammatory response and oxidative stress during liver resection.
- Author
-
Schwarz, Christoph, Fitschek, Fabian, Bar-Or, David, Klaus, Daniel A., Tudor, Bianca, Fleischmann, Edith, Roth, Georg, Tamandl, Dietmar, Wekerle, Thomas, Gnant, Michael, Bodingbauer, Martin, and Kaczirek, Klaus
- Subjects
INFLAMMATION ,LIVER surgery ,HEPATECTOMY ,SURGICAL excision ,REACTIVE oxygen species - Abstract
Background: Postoperative complications are still a major concern after liver resection (LR). Systemic inflammation and deregulated reactive oxygen species during major abdominal surgery may impair outcome after hepatectomy. Methods: Patients undergoing LR were included in this study (n = 40). Oxidative stress (OS) was measured peri- and post-operatively as static oxidation-reduction potential markers (sORP) and antioxidant capacity ORP (cORP) by using the RedoxSYS Diagnostic system. Furthermore, Th1- and Th2-specific cytokines were assessed. Results: Whereas there was no significant change in systemic sORP during LR and in the early postoperative course, there was a substantial decrease of cORP immediately post-surgery, and on postoperative days 1 and 3 (p<0.001). OS response was tightly regulated, as there was a significant correlation between sORP and cORP (p<0.0001; R
2 :0.457). An increase of OS (sORP) after LR of more than 3 mV was predictive for severe postoperative complications (53.8% vs. 12.5; p = 0.017). There was a significantly higher IL-2 (p = 0.006) and IL-5 (p = 0.001) increase during hepatectomy in patients who developed a severe morbidity. Conclusion: Antioxidant capacity remained stable during LR but dropped during the post-surgical period, suggesting a consumption of antioxidants to maintain OS within healthy range. Severe postoperative complications were associated with a pronounced inflammatory response during surgery. [ABSTRACT FROM AUTHOR]- Published
- 2017
- Full Text
- View/download PDF