Prognostic value of PCR, IL-6 and IL-10 serum levels in determining postoperative complications after geriatric surgery in diabetic patients

Background The onset of postoperative septic complications has been associated to serum levels of interleukin (IL) IL-6 and IL-10. [1,2]. We have extrapolated a diabetic group from a previous study to evaluate pre and postoperative profiles of some inflammatory markers (IL-6 , IL-10 and CRP). We related the data obtained to the onset of postoperative complications. Diabetic patients have been selected because of their high rate of post-operative complications, especially surgical wound infection.

Predictive value of IL-6 and IL-10 serum levels in anastomotic leakage in elderly patients undergoing surgery for colorectal cancer

Methods The study group is yet represented by 33 patients: 17 males and 16 females (median age 76, range 70–89). The location of cancer was respectively: 5 (15, 15%) in the rectum, 15 (45, 45%) in the left colon, 11 (33, 33%) in the right colon, 1 (3, 3%) in the transverse colon, 1 (3, 3%) synchronous in the caecum and the sigmoid colon. The associated diseases observed were: chronic obstructive pulmonary disease, hypertension, diabetes mellitus, ischemic heart disease arterial vasculopathy.

Individualisierte Chirurgie der benignen Gallenblasen- und Gallenwegserkrankungen

Die Indikation zur operativen Behandlung eines Gallensteinleidens besteht bei folgenden Patientengruppen: 1. Patienten mit symptomatischer Cholezystolithiasis; 2. Patienten mit akuter Cholezystitis; 3. Patienten mit chronischer Cholezystitis, Schrumpf- und Porzellangallenblase; 4. Patienten mit endoskopisch nicht sanierbarer Choledocholithiasis (schwierige Papillenanatomie, Z.n. Billroth-II-Resektion, „fixierte“ Choledochussteine usw.); 5. Patienten mit biliodigestiven oder cholezystohepatischen Fisteln (Mirizzi II). Zum chirurgisch ungunstigen Hintergrund gehoren Leberzirrhose, starkes Ubergewicht, ausgedehnte abdominale Voroperationen, erworbene oder angeborene Korperdeformationen und ein…

Prognostic value of IL-6 and IL-10 serum levels and immunonutritional assessment in determining postoperative complications after geriatric surgery

The onset of postoperative septic complications has recently been associated to serum levels of interleukin (IL) IL-6 and IL-10. Patients with complications have higher serum levels than patients without complication after surgery. IL-6 has been recognized as early marker of postoperative septic events. Furthermore IL-6 increases with age, expecially if there are associated diseases. It is a sign of functional deterioration of different organs. The disregulation in interleukin production, anesthetic drugs, hemorrhage and transfusions may lead to the onset of postoperative complications. The latter are more frequent in oncologic patients. The aim of our study is to evaluate pre- and postoper…

Complicazioni successive ad anastomosi colorettali basse e coloanali post-TME