<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2444-054X</journal-id>
<journal-title><![CDATA[Cirugía y cirujanos]]></journal-title>
<abbrev-journal-title><![CDATA[Cir. cir.]]></abbrev-journal-title>
<issn>2444-054X</issn>
<publisher>
<publisher-name><![CDATA[Academia Mexicana de Cirugía A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2444-054X2025000100004</article-id>
<article-id pub-id-type="doi">10.24875/ciru.22000588</article-id>
<title-group>
<article-title xml:lang="en"><![CDATA[Application value of opioid-free anesthesia in renal cyst decompression by laparoscopy]]></article-title>
<article-title xml:lang="es"><![CDATA[Valor de la aplicación de anestesia sin opiáceos en la descompresión de quiste renal por laparoscopia]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ji]]></surname>
<given-names><![CDATA[Junhui]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gu]]></surname>
<given-names><![CDATA[Xiafang]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Xu]]></surname>
<given-names><![CDATA[Jingjing]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Peng]]></surname>
<given-names><![CDATA[Ke]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Xiao]]></surname>
<given-names><![CDATA[Chengjiao]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,First Affiliated Hospital of Soochow University Department of Anesthesiology ]]></institution>
<addr-line><![CDATA[Suzhou, Jiangsu Province ]]></addr-line>
<country>China</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Suzhou City Xiangcheng District Second People's Hospital Department of Anesthesiology ]]></institution>
<addr-line><![CDATA[Suzhou, Jiangsu Province ]]></addr-line>
<country>China</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,First Affiliated Hospital of Soochow University Clinical Laboratory ]]></institution>
<addr-line><![CDATA[Suzhou, Jiangsu Province ]]></addr-line>
<country>China</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>02</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>02</month>
<year>2025</year>
</pub-date>
<volume>93</volume>
<numero>1</numero>
<fpage>21</fpage>
<lpage>27</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S2444-054X2025000100004&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S2444-054X2025000100004&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S2444-054X2025000100004&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Objective: The objective of the study was to analyze the application value of opioid-free anesthesia (OFA) in renal cyst decompression by laparoscopy.  Method: A total of 124 patients undergoing renal cyst decompression by laparoscopy in our hospital were selected and divided into opioid anesthesia (OA) and OFA groups (n = 62). Fentanyl and remifentanil were used for anesthesia induction in the OA group, while lidocaine and dexmedetomidine were employed for anesthesia induction in the OFA group. The homeostasis indicators (cortisol [Cor], adrenocorticotropic hormone [ACTH], C-reactive protein [CRP], and interleukin-6 [IL-6]) were also compared 10 min before anesthesia (Ta), at the end of operation (Tb), and 24 h after operation (Tc).  Results: At T1-T3, heart rate, mean arterial pressure, mean airway pressure, and partial pressure of end-tidal carbon dioxide were all lower in OFA group than those in OA group (p &lt; 0.05). At Tb-Tc, the levels of Cor, ACTH, CRP, and IL-6 were all higher in both groups than those at Ta (p &lt; 0.05), while they were lower in OFA group than those in OA group (p &lt; 0.05).  Conclusion: OFA is more beneficial to the respiratory and circulatory system and homeostasis of patients, and has higher anesthetic safety.]]></p></abstract>
<abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Objetivo: Analizar el valor de la aplicación de anestesia libre de opiáceos (ALO) en la descompresión de quiste renal por laparoscopia.  Método: Se seleccionaron 124 pacientes sometidos a descompresión de quiste renal por laparoscopia en nuestro hospital, que se dividieron en grupos de anestesia con opiáceos (AO) y ALO (n = 62). El fentanilo y el remifentanilo se utilizaron para la inducción de la anestesia en el grupo AO, mientras que la lidocaína y la dexmedetomidina se emplearon para la inducción de la anestesia en el grupo ALO. También se compararon los indicadores de homeostasis (cortisol, hormona adrenocorticotropa [ACTH], proteína C reactiva [PCR] e interleucina 6 [IL-6]) 10 minutos antes de la anestesia (Ta), al final de la operación (Tb) y 24 h después de esta (Tc).  Resultados: En T1-T3, la frecuencia cardíaca, la presión arterial media, la presión media de las vías respiratorias y la presión parcial de dióxido de carbono al final de la espiración fueron todas más bajas en el grupo ALO que en el grupo AO (p &lt; 0,05). En Tb-Tc, los niveles de Cor ACTH, PCR e IL-6 fueron más altos en ambos grupos que en Ta (p &lt; 0.05), mientras que fueron más bajos en el grupo ALO que en el grupo OA (p &lt; 0.05).  Conclusión: La ALO es más beneficiosa para los sistemas respiratorio y circulatorio, y para la homeostasis, de los pacientes, y tiene mayor seguridad anestésica.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[Renal cyst decompression]]></kwd>
<kwd lng="en"><![CDATA[Laparoscopy]]></kwd>
<kwd lng="en"><![CDATA[Opioid-free]]></kwd>
<kwd lng="en"><![CDATA[Anesthesia]]></kwd>
<kwd lng="en"><![CDATA[Respiratory circulatory system]]></kwd>
<kwd lng="es"><![CDATA[Descompresión de quiste renal]]></kwd>
<kwd lng="es"><![CDATA[Laparoscopia]]></kwd>
<kwd lng="es"><![CDATA[Anestesia libre de opiáceos]]></kwd>
<kwd lng="es"><![CDATA[Sistema circulatorio]]></kwd>
<kwd lng="es"><![CDATA[Sistema respiratorio]]></kwd>
</kwd-group>
</article-meta>
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