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Intestinale Motilität nach laparoskopischer vs. konventioneller Cholezystektomie

✍ Scribed by E. Schippers; A. P. Öttinger; M. Anurov; M. Polivoda; V. Schumpelick


Publisher
Springer
Year
1992
Tongue
English
Weight
564 KB
Volume
377
Category
Article
ISSN
1435-2451

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✦ Synopsis


Intestinal motility after laparoscopic versus conventional cholecystectomy. An experimental (animal) and clinical study

Summary. First descriptions of clinical courses after la- paroscopic 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. Furtheron 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) occured 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.