Inflammatory responses and
tumor growth are increased after
laparotomy compared with laparoscopy in some animal models. Proinflammatory
cytokines interleukin-6 (IL-6) and
interleukin-1 beta (IL-1 beta) upregulate the expression of
vascular endothelial growth factor (
VEGF). Our aim was to investigate the influence of postoperative inflammatory responses on angiogenesis and
tumor growth. 5 x 10(6) B51LiM cells were injected into the cecal wall of Balb/c mice. After 2 weeks, the animals were randomized into the following three groups: open cecectomy (OC), CO(2)-laparoscopic-assisted cecectomy (LC), and
helium-laparoscopic-assisted cecectomy (LH). On postoperative day 12, the mice were killed.
Tumor load scores and weight were significantly greater after
laparotomy than after laparoscopy. Serum
IL-6 levels 6 hours after surgery (OC: 4157+/-1297 pg/ml vs. LC: 2514+/-1417 pg/ml vs. LH: 2255+/-1714 pg/ml) and
VEGF levels on postoperative day 12 (OC: 231+/-125 pg/ml vs. LC: 45+/-9 pg/ml vs. LH: 49+/-8 pg/ml), measured by
enzyme-linked
immunosorbent assay, were significantly higher in the
laparotomy group. Microvessel density was also significantly higher in the OC group (OC: 34.3+/-11.5 vs. LC: 15.5+/-12.5 vs. LH: 18.5+/-11.9). There was a positive correlation between
IL-6 and
VEGF postoperative serum levels (rho=0.67; P<0.001). We concluded that increased systemic levels of proinflammatory
cytokines and
VEGF are associated with increased angiogenesis and
tumor growth after
laparotomy compared to laparoscopy in mice.