Effects of propofol and sevoflurane on perioperative immune response in patients undergoing laparoscopic radical hysterectomy for cervical cancer
Identifieur interne : 001133 ( Main/Merge ); précédent : 001132; suivant : 001134Effects of propofol and sevoflurane on perioperative immune response in patients undergoing laparoscopic radical hysterectomy for cervical cancer
Auteurs : Songtao Liu ; Xinyu Gu ; Lijiao Zhu ; Guannan Wu ; Hai Zhou ; Yan Song [République populaire de Chine] ; Congyou WuSource :
- Medicine [ 0025-7974 ] ; 2016.
Abstract
The aim of this study is to compare the effects of propofol and sevoflurane anesthesia on perioperative immune response in patients undergoing laparoscopic radical hysterectomy for cervical cancer.
Sixty patients with cervical cancer scheduled for elective laparoscopic radical hysterectomy under general anesthesia were randomized into 2 groups. TIVA group received propofol induction and maintenance and SEVO group received sevoflurane induction and maintenance. Blood samples were collected at 30 min before induction (T0); the end of the operation (T1); and 24 h (T2), 48 h (T3), and 72 h (T4) after operation. The T lymphocyte subsets (including CD3+ cells, CD4+ cells, and CD8+ cells) and CD4+/CD8+ ratio, natural killer (NK) cells, and B lymphocytes were analyzed by flow cytometry.
After surgery, all immunological indicators except CD8+ cells were significantly decreased in both groups compared to basal levels in T0, and the counts of CD3+ cells, CD4+ cells, NK cells, and the CD4+/CD8+ ratios were significantly lower in the SEVO groups than that in the TIVA group. However, the numbers of B cells were comparable at all the time points between 2 groups.
Laparoscopic radical hysterectomy for cervical cancer is associated with postoperative lymphopenia. In terms of protecting circulating lymphocytes, propofol is superior to sevoflurane.
Url:
DOI: 10.1097/MD.0000000000005479
PubMed: 27930529
PubMed Central: 5266001
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Shanghai</nlm:aff><wicri:noCountry code="subfield">Shanghai</wicri:noCountry></affiliation></author><author><name sortKey="Zhu, Lijiao" sort="Zhu, Lijiao" uniqKey="Zhu L" first="Lijiao" last="Zhu">Lijiao Zhu</name><affiliation><nlm:aff id="aff1">Department of Anesthesiology, Xuzhou Central Hospital, The Affiliated Xuzhou Hospital of Medical College of Southeast University, Xuzhou, Jiangsu</nlm:aff><wicri:noCountry code="subfield">Jiangsu</wicri:noCountry></affiliation></author><author><name sortKey="Wu, Guannan" sort="Wu, Guannan" uniqKey="Wu G" first="Guannan" last="Wu">Guannan Wu</name><affiliation><nlm:aff id="aff1">Department of Anesthesiology, Xuzhou Central Hospital, The Affiliated Xuzhou Hospital of Medical College of Southeast University, Xuzhou, Jiangsu</nlm:aff><wicri:noCountry code="subfield">Jiangsu</wicri:noCountry></affiliation></author><author><name sortKey="Zhou, Hai" sort="Zhou, Hai" uniqKey="Zhou H" first="Hai" last="Zhou">Hai Zhou</name><affiliation><nlm:aff 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Affiliated Xuzhou Hospital of Medical College of Southeast University, Xuzhou, Jiangsu</nlm:aff><wicri:noCountry code="subfield">Jiangsu</wicri:noCountry></affiliation></author></analytic><series><title level="j">Medicine</title><idno type="ISSN">0025-7974</idno><idno type="eISSN">1536-5964</idno><imprint><date when="2016">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><title>Abstract</title><p>The aim of this study is to compare the effects of propofol and sevoflurane anesthesia on perioperative immune response in patients undergoing laparoscopic radical hysterectomy for cervical cancer.</p><p>Sixty patients with cervical cancer scheduled for elective laparoscopic radical hysterectomy under general anesthesia were randomized into 2 groups. TIVA group received propofol induction and maintenance and SEVO group received sevoflurane induction and maintenance. Blood samples were collected at 30 min before induction (T<sub>0</sub>); the end of the operation (T<sub>1</sub>); and 24 h (T<sub>2</sub>), 48 h (T<sub>3</sub>), and 72 h (T<sub>4</sub>) after operation. The T lymphocyte subsets (including CD3+ cells, CD4+ cells, and CD8+ cells) and CD4+/CD8+ ratio, natural killer (NK) cells, and B lymphocytes were analyzed by flow cytometry.</p><p>After surgery, all immunological indicators except CD8+ cells were significantly decreased in both groups compared to basal levels in T<sub>0</sub>, and the counts of CD3+ cells, CD4+ cells, NK cells, and the CD4+/CD8+ ratios were significantly lower in the SEVO groups than that in the TIVA group. However, the numbers of B cells were comparable at all the time points between 2 groups.</p><p>Laparoscopic radical hysterectomy for cervical cancer is associated with postoperative lymphopenia. 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