[Intestinal motility after laparoscopic vs conventional cholecystectomy. An animal experiment study and clinical observation].
First descriptions of clinical courses after laparoscopic cholecystectomy indicate a shorter period of postoperative ileus in comparison to conventional cholecystectomy. Early postoperative motility was registered in dogs (n = 10) by implanted serosal electrodes. Further on clinical signs of postoperative motility were documented in patients (n = 100) after laparoscopic and conventional cholecystectomy. In animal experiments a significantly reduced period of postoperative ileus (5.5 +/- 1 h) occurred after laparoscopic cholecystectomy in comparison with the conventional technique (46 +/- 5 h). Experimental data correlate well with earlier clinical signs of normal motility after laparoscopic cholecystectomy in patients. The shorter period of postoperative ileus is a further evidence for the minor abdominal trauma of laparoscopic techniques.
Schippers
E
E
Chirurgische Klinik, Klinikum der RWTH Aachen, BRD.
Ottinger
A P
AP
Anurov
M
M
Polivoda
M
M
Schumpelick
V
V
D000328:Adult; D000368:Aged; D000818:Animals; D002763:Cholecystectomy; D004285:Dogs; D005260:Female; D005769:Gastrointestinal Motility / Q000502:physiology*; D006801:Humans; D007418:Intestinal Pseudo-Obstruction / Q000503:physiopathology; D010535:Laparoscopy; D008297:Male; D008875:Middle Aged; D009130:Muscle, Smooth / Q000503:physiopathology; D011183:Postoperative Complications / Q000503:physiopathology*
Intestinale Motilität nach laparoskopischer vs. konventioneller Cholezystektomie. Eine tierexperimentelle Studie und klinische Beobachtung.