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Mingliang Wang et al

group appeared to be lower than that in the conventional group 3. Rubino F, Pamoukian VN, Zhu JF, et al. Endoscopic endocrine
on postoperative day 1. Because of the suppressive effect on surgery with carbon dioxide insufflation: the effect on intracranial
TNF and IL-6 of cortisol, it can reversely prove that TNF and pressure in a large animal model. Surgery 2000;128:1035-42.
IL-6 level of endoscopic group is no higher than that of conven- 4. Kuebler JF, Vieten G, et al. Acidification during carbon dioxide
tional group. All these outcomes above manifested that pneumoperitoneum is restricted to the gas-exposed peritoneal
endoscopic thyroidectomy would neither enhance the inflamma- surface: effects of pressure, gas flow, and additional intraperi-
tory response nor damage human function, despite its extensive toneal fluids. J Laparoendosc Adv Surg Tech A. 2006;6(6):
dissection of skin flap. 654-58.
Compared with conventional thyroid surgery, endoscopic 5. Hanly EJ, Bachman SL, Marohn MR, et al. Carbon dioxide
thyroidectomy via anterior chest wall approach presented with pneumoperitoneum-mediated attenuation of the inflammatory
no significant difference in respect of inflammatory responses, response is independent of systemic acidosis. Surgery 2005;
37(5):559-66.
acid-base index, and duration of operative time and postopera- 6. EJ Hanely, AR Aurora, et al. Abdominal insufflation with CO
tive hospital stay. These data support the safety and feasibility causes peritoneal acidosis independent of systemic pH. 2
of this procedure in treatment of benign thyroid tumors. And in J Gastrointestinal Surg 2005;9(9):1245-52.
the light of its cosmetic advantage, more and more patients 7. Torres A, Torres K, Paszkowski T, et al. Cytokine response in
who are suffering from thyroid diseases will get benefit from the postoperative period after surgical treatment of benign adnexal
this technology. masses: comparison between laparoscopy and laparotomy. Surg
Endosc 2007; [Epub ahead of print].
REFERENCES 8. Araujo Filho I, et al. Influence of laparoscopy and laparotomy
1. Bellantone R, Lombardi CP, Rubino F, et al. Arterial PCO and on gasometry, leukocytes and cytokines in a rat abdominal sepsis
2
cardiovascular function during endoscopic neck surgery with model. Acta Cir Bras 2006;21(2):74-79.
carbon dioxide insufflation. Arch Surg 2001;136(7):822-27. 9. Eduardo Crema, Elisangela Neto Ribeiro, et al. Evaluation of the
2. Orchiai R, Takeda J, Noguchi J, et al. Carbon dioxide is a safe response of cortisol, corticotropin and blood platelets kinetics
agent for subcutaneous insufflation during endoscopic after laparoscopic and open cholecystectomy. Acta Cirúrgica
thyroidectomy. Anest Analg 2000;124:147-50. Brasileira 2005; 20(5):364-67.

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