Skip to main content
PMC home page
Annals of Surgery logoLink to Annals of Surgery
. 1996 Apr;223(4):413–419. doi: 10.1097/00000658-199604000-00010

Recovery of fasted and fed gastrointestinal motility after open versus laparoscopic cholecystectomy in dogs.

M Hotokezaka 1, M J Combs 1, E P Mentis 1, B D Schirmer 1
PMCID: PMC1235137  PMID: 8633920

Abstract

OBJECTIVE: The authors investigate the recovery of gastrointestinal motility in the fed and fasted state after laparoscopic and open cholecystectomy. SUMMARY BACKGROUND DATA: Clinical recovery after laparoscopic cholecystectomy is known to be more rapid than after conventional open cholecystectomy. However, the actual effect of a laparoscopic approach on gastrointestinal motility, particularly fed-state motility, is not well investigated. METHODS: Laparoscopic (LAP, n=6) or open (OPEN, n=6) cholecystectomy was performed in 12 dogs. Bipolar recording electrodes were placed on the antrum, small intestine, and the transverse and descending colon, and fasting myoelectric data were recorded after operation. Solid meal gastric emptying studies were performed before surgery and on postoperative days 1 and 2. Transit time studies were performed using 10 radiopaque markers. RESULTS: Gastric emptying was significantly delayed in the OPEN group at 120 minutes on postoperative day 1 compared with pre-operative emptying (p<0.05), but was not delayed on postoperative day 2. Gastric emptying was not delayed in the LAP group after operation. Transit time was the same between groups. Gastric dysrhythmias were more frequent on postoperative day 3 (p<0.05) in the OPEN group. There were no significant differences in the presence, cycle length, or propagation velocity of the migrating motor complex on any postoperative day. Discrete or continuous electrical response activity in the colon was observed by postoperative day 1 in both groups. CONCLUSIONS: Fed-state motility is the only parameter for which laparoscopic cholecystectomy showed an improvement in postoperative recovery. Recovery of fasted gastrointestinal motility in dogs is equally rapid after either operation.

Full text

PDF
413

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Assalia A., Schein M., Kopelman D., Hashmonai M. Minicholecystectomy vs conventional cholecystectomy: a prospective randomized trial--implications in the laparoscopic era. World J Surg. 1993 Nov-Dec;17(6):755–759. doi: 10.1007/BF01659087. [DOI] [PubMed] [Google Scholar]
  2. Benson M. J., Roberts J. P., Wingate D. L., Rogers J., Deeks J. J., Castillo F. D., Williams N. S. Small bowel motility following major intra-abdominal surgery: the effects of opiates and rectal cisapride. Gastroenterology. 1994 Apr;106(4):924–936. doi: 10.1016/0016-5085(94)90751-x. [DOI] [PubMed] [Google Scholar]
  3. Bernstein A., Wright A. C., Spencer D. Phaeochromocytoma as a cause of gastro-intestinal distension. Postgrad Med J. 1967 Mar;43(497):180–183. doi: 10.1136/pgmj.43.497.180. [DOI] [PMC free article] [PubMed] [Google Scholar]
  4. Bueno L., Ferre J. P., Ruckebusch Y. Effects of anesthesia and surgical procedures on intestinal myoelectric activity in rats. Am J Dig Dis. 1978 Aug;23(8):690–695. doi: 10.1007/BF01072353. [DOI] [PubMed] [Google Scholar]
  5. Code C. F., Marlett J. A. The interdigestive myo-electric complex of the stomach and small bowel of dogs. J Physiol. 1975 Mar;246(2):289–309. doi: 10.1113/jphysiol.1975.sp010891. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. Daniel E., Tougas G., Allescher H. D., Vergara P., Fox-Threlkeld J. A. Mediators and enteric nerve pathways controlling gastric emptying. Dig Dis Sci. 1994 Dec;39(12 Suppl):63S–68S. [PubMed] [Google Scholar]
  7. Dubois A. Gastric dysrhythmias: pathophysiologic and etiologic factors. Mayo Clin Proc. 1989 Feb;64(2):246–250. doi: 10.1016/s0025-6196(12)65680-8. [DOI] [PubMed] [Google Scholar]
  8. Dubois F., Icard P., Berthelot G., Levard H. Coelioscopic cholecystectomy. Preliminary report of 36 cases. Ann Surg. 1990 Jan;211(1):60–62. doi: 10.1097/00000658-199001000-00010. [DOI] [PMC free article] [PubMed] [Google Scholar]
  9. Glaser F., Sannwald G. A., Buhr H. J., Kuntz C., Mayer H., Klee F., Herfarth C. General stress response to conventional and laparoscopic cholecystectomy. Ann Surg. 1995 Apr;221(4):372–380. doi: 10.1097/00000658-199504000-00007. [DOI] [PMC free article] [PubMed] [Google Scholar]
  10. Hocking M. P., Harrison W. D., Sninsky C. A. Gastric dysrhythmias following pylorus-preserving pancreaticoduodenectomy. Possible mechanism for early delayed gastric emptying. Dig Dis Sci. 1990 Oct;35(10):1226–1230. doi: 10.1007/BF01536411. [DOI] [PubMed] [Google Scholar]
  11. Kim C. H., Zinsmeister A. R., Malagelada J. R. Mechanisms of canine gastric dysrhythmia. Gastroenterology. 1987 Apr;92(4):993–999. doi: 10.1016/0016-5085(87)90975-9. [DOI] [PubMed] [Google Scholar]
  12. Kloosterman T., von Blomberg B. M., Borgstein P., Cuesta M. A., Scheper R. J., Meijer S. Unimpaired immune functions after laparoscopic cholecystectomy. Surgery. 1994 Apr;115(4):424–428. [PubMed] [Google Scholar]
  13. Ludwig K. A., Frantzides C. T., Carlson M. A., Grade K. L. Myoelectric motility patterns following open versus laparoscopic cholecystectomy. J Laparoendosc Surg. 1993 Oct;3(5):461–466. doi: 10.1089/lps.1993.3.461. [DOI] [PubMed] [Google Scholar]
  14. Macintyre I. M., Wilson R. G. Laparoscopic cholecystectomy. Br J Surg. 1993 May;80(5):552–559. doi: 10.1002/bjs.1800800505. [DOI] [PubMed] [Google Scholar]
  15. Nachlas M. M., Younis M. T., Roda C. P., Wityk J. J. Gastrointestinal motility studies as a guide to postoperative management. Ann Surg. 1972 Apr;175(4):510–522. doi: 10.1097/00000658-197204000-00009. [DOI] [PMC free article] [PubMed] [Google Scholar]
  16. Nelsen T. S., Kohatsu S. Clinical electrogastrography and its relationship to gastric surgery. Am J Surg. 1968 Aug;116(2):215–222. doi: 10.1016/0002-9610(68)90496-0. [DOI] [PubMed] [Google Scholar]
  17. Richards R. D., Valenzuela G. A., Davenport K. G., Fisher K. L., McCallum R. W. Objective and subjective results of a randomized, double-blind, placebo-controlled trial using cisapride to treat gastroparesis. Dig Dis Sci. 1993 May;38(5):811–816. doi: 10.1007/BF01295905. [DOI] [PubMed] [Google Scholar]
  18. Sarna S. K., Lang I. M. Colonic motor response to a meal in dogs. Am J Physiol. 1989 Nov;257(5 Pt 1):G830–G835. doi: 10.1152/ajpgi.1989.257.5.G830. [DOI] [PubMed] [Google Scholar]
  19. Sarna S. K. Physiology and pathophysiology of colonic motor activity (1). Dig Dis Sci. 1991 Jun;36(6):827–862. doi: 10.1007/BF01311244. [DOI] [PubMed] [Google Scholar]
  20. Schauer P. R., Luna J., Ghiatas A. A., Glen M. E., Warren J. M., Sirinek K. R. Pulmonary function after laparoscopic cholecystectomy. Surgery. 1993 Aug;114(2):389–399. doi: 10.1097/00132586-199406000-00036. [DOI] [PubMed] [Google Scholar]
  21. Schauer P. R., Sirinek K. R. The laparoscopic approach reduces the endocrine response to elective cholecystectomy. Am Surg. 1995 Feb;61(2):106–111. [PubMed] [Google Scholar]
  22. Schippers E., Hölscher A. H., Bollschweiler E., Siewert J. R. Return of interdigestive motor complex after abdominal surgery. End of postoperative ileus? Dig Dis Sci. 1991 May;36(5):621–626. doi: 10.1007/BF01297029. [DOI] [PubMed] [Google Scholar]
  23. Schippers E., Ottinger A. P., Anurov M., Polivoda M., Schumpelick V. Laparoscopic cholecystectomy: a minor abdominal trauma? World J Surg. 1993 Jul-Aug;17(4):539–543. doi: 10.1007/BF01655118. [DOI] [PubMed] [Google Scholar]
  24. Schirmer B. D., Edge S. B., Dix J., Hyser M. J., Hanks J. B., Jones R. S. Laparoscopic cholecystectomy. Treatment of choice for symptomatic cholelithiasis. Ann Surg. 1991 Jun;213(6):665–677. doi: 10.1097/00000658-199106000-00018. [DOI] [PMC free article] [PubMed] [Google Scholar]

Articles from Annals of Surgery are provided here courtesy of Lippincott, Williams, and Wilkins

RESOURCES