Tittel A, Schippers E, Anurov M, Titkova S, Ottinger A, Schumpelick V
Chirurgische Klinik, Medizinischen Fakultät der RWTH Aachen.
Zentralbl Chir. 1996;121(4):329-34.
Early postoperative intestinal motility after conventional and laparoscopic cholecystectomy was registered in dogs (n = 10) by implanted serosal electrodes to compare the abdominal trauma. In addition postoperative adhesions after laparoscopic and conventional resection of the cecum were measured in dogs (n = 14). A significantly shortened postoperative atony occurred after laparoscopic cholecystectomy compared with the conventional operations. Laparoscopic operations caused significantly less adhesions. After conventional operations extensive adhesions to the abdominal wall and interenteric adhesions were found. The shortened postoperative atony and the reduced adhesions document the minor abdominal trauma of laparoscopic surgery.
通过植入浆膜电极记录了10只狗在传统和腹腔镜胆囊切除术后的早期肠道蠕动情况,以比较腹部创伤。此外,还测量了14只狗在腹腔镜和传统盲肠切除术后的术后粘连情况。与传统手术相比,腹腔镜胆囊切除术后出现的术后无张力期明显缩短。腹腔镜手术造成的粘连明显更少。在传统手术后,发现了广泛的腹壁粘连和肠间粘连。术后无张力期缩短和粘连减少证明了腹腔镜手术对腹部的创伤较小。