Postoperative intestinal motility following conventional and laparoscopic intestinal surgery.
Postoperative intestinal motility following conventional and laparoscopic intestinal surgery.
复制标题
常规和腹腔镜肠道手术后的术后肠道蠕动。
DOI：
10.1001/archsurg.1995.01430040077017
复制
发表时间：
1995
影响因子：
--
通讯作者：
V. Fazio
中科院分区：
文献类型：
--
作者：
B. Böhm;J. Milsom;V. Fazio
目标
评估传统与腹腔镜右侧结肠切除术对术后胃、小肠和大肠蠕动的影响，并研究单纯麻醉和开腹手术与单纯腹腔镜手术对术后肠道蠕动的影响。
设计
犬模型的前瞻性随机研究。
设置
动物研究实验室。
动物
12只杂种狗，体重23.4至29.6公斤。
干预措施
(1) 剖腹手术或腹腔镜检查，以及 (2) 第一次手术完全恢复后 1 周，使用传统或腹腔镜技术进行右侧结肠切除术和回结肠吻合术。研究的终点是（1）术后直到胃、小肠和大肠的电反应活动恢复到正常消化间期模式的时间以及（2）直到术后第一次排便发生的时间。
结果
腹腔镜结肠切除术后恢复正常消化间期肌电活动模式的中位时间比传统结肠切除术后缩短约 40% (P < .05)。第一次排便的时间缩短了 27% (P < .05)。
结论
在犬模型中，腹腔镜手术后的术后肠梗阻恢复速度比常规手术后更快。应进行验证性人体研究。
OBJECTIVES
To evaluate the influence of conventional vs laparoscopic right-sided colectomy on postoperative motility of the stomach, small bowel, and large bowel, and to study the effects on postoperative intestinal motility of anesthesia only and of laparotomy vs laparoscopy only.
DESIGN
Prospective randomized study in a canine model.
SETTING
Animal research laboratory.
ANIMALS
Twelve mongrel dogs weighting 23.4 to 29.6 kg.
INTERVENTIONS
(1) Laparotomy or laparoscopy and (2) 1 week after complete recovery from the first procedure, right-sided colectomy with ileocolic anastomosis using conventional or laparoscopic techniques. End points of the study were (1) the postoperative time until the electrical response activity of the stomach, small intestine, and large intestine returned to a normal interdigestive pattern and (2) the time until first postoperative bowel movement occurred.
RESULTS
Median time until return to normal interdigestive pattern of myoelectrical activity after laparoscopic colectomy was about 40% less than after conventional colectomy (P < .05). Time until first bowel movement was 27% reduced (P < .05).
CONCLUSIONS
Recovery from postoperative ileus following laparoscopic surgery is more rapid than after conventional surgery in the canine model. Confirmatory human studies should be performed.