Total oxidant status, total antioxidant status, and paraoxonase and arylesterase activities during laparoscopic cholecystectomy

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 s...

Full description

Bibliographic Details
Main Authors: Hande Koksal, Sevil Kurban
Format: Article
Language:English
Published: Elsevier España 2010-01-01
Series:Clinics
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1807-59322010000300008
_version_ 1811230121402564608
author Hande Koksal
Sevil Kurban
author_facet Hande Koksal
Sevil Kurban
author_sort Hande Koksal
collection DOAJ
description 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.
first_indexed 2024-04-12T10:24:52Z
format Article
id doaj.art-7c8aa6362aa34244875a56d3ab22e8e1
institution Directory Open Access Journal
issn 1807-5932
1980-5322
language English
last_indexed 2024-04-12T10:24:52Z
publishDate 2010-01-01
publisher Elsevier España
record_format Article
series Clinics
spelling doaj.art-7c8aa6362aa34244875a56d3ab22e8e12022-12-22T03:37:00ZengElsevier EspañaClinics1807-59321980-53222010-01-0165328529010.1590/S1807-59322010000300008Total oxidant status, total antioxidant status, and paraoxonase and arylesterase activities during laparoscopic cholecystectomyHande KoksalSevil KurbanINTRODUCTION: 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.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1807-59322010000300008LaparoscopyCholecystectomyParaoxonaseArylesteraseOxidative markers
spellingShingle Hande Koksal
Sevil Kurban
Total oxidant status, total antioxidant status, and paraoxonase and arylesterase activities during laparoscopic cholecystectomy
Clinics
Laparoscopy
Cholecystectomy
Paraoxonase
Arylesterase
Oxidative markers
title Total oxidant status, total antioxidant status, and paraoxonase and arylesterase activities during laparoscopic cholecystectomy
title_full Total oxidant status, total antioxidant status, and paraoxonase and arylesterase activities during laparoscopic cholecystectomy
title_fullStr Total oxidant status, total antioxidant status, and paraoxonase and arylesterase activities during laparoscopic cholecystectomy
title_full_unstemmed Total oxidant status, total antioxidant status, and paraoxonase and arylesterase activities during laparoscopic cholecystectomy
title_short Total oxidant status, total antioxidant status, and paraoxonase and arylesterase activities during laparoscopic cholecystectomy
title_sort total oxidant status total antioxidant status and paraoxonase and arylesterase activities during laparoscopic cholecystectomy
topic Laparoscopy
Cholecystectomy
Paraoxonase
Arylesterase
Oxidative markers
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1807-59322010000300008
work_keys_str_mv AT handekoksal totaloxidantstatustotalantioxidantstatusandparaoxonaseandarylesteraseactivitiesduringlaparoscopiccholecystectomy
AT sevilkurban totaloxidantstatustotalantioxidantstatusandparaoxonaseandarylesteraseactivitiesduringlaparoscopiccholecystectomy