Significant changes in the serum levels of IL-6, h-HGF, and type IV collagen 7S during the perioperative period of a hepatectomy: relevance to SIRS

• Published in: Surgery today (Tokyo, Japan) Japan), 2000-01, Vol.30 (5), p.403-409
• Main Authors: Namekata, K, Takamori, S, Kojima, K, Beppu, T, Futagawa, S
• Format: Article
• Language: English
• Subjects: Collagen - blood; Enzyme-Linked Immunosorbent Assay; Female; Hepatectomy; Hepatocyte Growth Factor - blood; Humans; Inflammation Mediators - blood; Interleukin-6 - blood; Liver Diseases - surgery; Male; Middle Aged; Postoperative Complications - blood; Postoperative Period; Prognosis; Sensitivity and Specificity; Statistics, Nonparametric
• ISSN: 0941-1291; 1436-2813
• DOI: 10.1007/s005950050612

We analyzed the changes in the serum levels of both interleukin-6 (IL-6), human hepatocyte growth factor (h-HGF), and type IV collagen 7S (7S) during the perioperative period of a hepatectomy and evaluated their relationship with systemic inflammatory response syndrome (SIRS). The study subjects consisted of 40 patients who underwent a hepatectomy. In 14 out of 40 patients, postoperative SIRS(+) was observed. Between the SIRS(+) and SIRS(-) cases, there were significant differences in the preoperative values of prothrombin time, hepaplastin test, cholinesterase, and indocyanine green retention at 15 min (P < 0.01). Compared with the SIRS(-) cases, the IL-6, h-HGF, and 7S of the SIRS(+) cases fluctuated in a higher range and remained significantly higher after postoperative day 1 (P < 0.05). Eight out of 14 SIRS(+) patients had postoperative complications. In the 8 SIRS(+) patients with postoperative complications and in the 4 patients in which the SIRS(+) state lasted 3 days or longer, the 7S levels were significantly higher during the perioperative period (P < 0.05). In the SIRS(+) cases, the postoperative levels of IL-6 and h-HGF, as well as pre- and postoperative levels of 7S, were elevated. We therefore consider these levels to be risk factors for complications during the perioperative period of a hepatectomy.