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Titolo:
Shorter postoperative atony after laparoscopic-assisted colonic resection?An animal study
Autore:
Tittel, A; Schippers, E; Anurov, M; Titkova, S; Ottinger, A; Schumpelick, V;
Indirizzi:
Rhein Westfal TH Aachen, Dept Surg, Fac Med, D-52057 Aachen, Germany RheinWestfal TH Aachen Aachen Germany D-52057 , D-52057 Aachen, Germany Russian Med Univ, Dept Physiol Digest, Moscow 117347, Russia Russian Med Univ Moscow Russia 117347 siol Digest, Moscow 117347, Russia
Titolo Testata:
SURGICAL ENDOSCOPY-ULTRASOUND AND INTERVENTIONAL TECHNIQUES
fascicolo: 5, volume: 15, anno: 2001,
pagine: 508 - 512
SICI:
0930-2794(200105)15:5<508:SPAALC>2.0.ZU;2-4
Fonte:
ISI
Lingua:
ENG
Soggetto:
MYOELECTRIC ACTIVITY; INTESTINAL MOTILITY; COLORECTAL SURGERY; SMALL BOWEL; DOGS; RECOVERY; COMPLEX; TRIAL; ILEUS;
Keywords:
gastrointestinal motility; laparoscopy; laparotomy; comparative animal study; colonic resection; canine model;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
22
Recensione:
Indirizzi per estratti:
Indirizzo: Tittel, A Rhein Westfal TH Aachen, Dept Surg, Fac Med, Pauwelsstr 30, D-52057 Aachen, Germany Rhein Westfal TH Aachen Pauwelsstr 30 Aachen Germany D-52057 ny
Citazione:
A. Tittel et al., "Shorter postoperative atony after laparoscopic-assisted colonic resection?An animal study", SURG ENDOSC, 15(5), 2001, pp. 508-512

Abstract

Background: The duration of the postoperative ileus after laparoscopic surgery remains a controversial topic. The aim of our study was to compare therestoration of intestinal motility after laparoscopically assisted and conventional resection of the distal colon in a canine model. Methods: Two weeks after the implantation of three electrodes on the jejunum, the distal colon was resected in a laparoscopic-assisted or conventional procedure in two groups of four dogs each. Gastrointestinal motility was monitored by registration of the electromyograhic activity of the small intestine and by intermittent fluoroscopies of radiopaque markers. Results: Electrical activity in the early postoperative period was characterized by the basic electrical rhythm and the absence of spike activity. The first postoperative activity front of the migrating motility complex (MMC), indicating the restoration of motility, occurred significantly earlier after laparoscopic-assisted resection (4.5 +/- 1 hr) than after conventionalresection (31 +/- 10 h). Radiological observations showed a significantly delayed gastric emptying and a prolonged transit of radiopaque markers to the rectum after open surgery. Conclusion: These results support the hypothesis that laparoscopic-assisted resection of the colon leads to a shortened postoperative atony in comparison to open surgery.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 25/11/20 alle ore 18:58:27