Skip to main content
SpringerLink
Log in

Comparison of intestinal transit recovery between laparoscopic and open surgery using a rat model

  • Original article
  • Published:
Surgical Endoscopy And Other Interventional Techniques Aims and scope Submit manuscript

Abstract

Background: After laparoscopic surgery (LS), patients show faster recovery of intestinal transit than after conventional open surgery (OS). To prove the mechanism of this advantage, we compared the recovery of intestinal transit using steel carbon balls. Methods: Rats underwent either open laparotomy or were insufflated with carbon dioxide followed by the administration of steel balls (0.6 mm). An abdominal radiograph was taken 12 h after the operation. Compliance of the intestinal walls was analyzed with a computer-driven barostat device. Results: An abdominal radiograph of 12 h after administration of the steel carbon balls showed the balls scattered in the small and large intestine of the LS patients, whereas they remained mostly in the stomach of the OS patients. Compliance of the intestinal walls was sustained at approximately 100 µl/mmHg in the LS patients, whereas it dropped to 94 µl/mmHg in the OS patients with the increase in balloon pressure. Histologically, the extent of serosal edema was more severe in the OS than in the LS patients. In terms of intestinal transit and irritation LS has advantage over OS. Conclusions: Intestinal transit recovery, as measured by the migration of steel carbon balls, is faster in LS, and gastric emptying is slow in OS.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Figure 1
Figure 2
Figure 3
Figure 4

Similar content being viewed by others

References

  1. B Bohm JW Milsom VW Fazio (1995) ArticleTitlePostoperative intestinal motility following conventional and laparoscopic intestinal surgery. Arch Surg 130 415–419 Occurrence Handle1:STN:280:ByqB38rntlY%3D Occurrence Handle7710343

    CAS  PubMed  Google Scholar 

  2. A Cuschieri (1992) ArticleTitleThe spectrum of laparoscopic surgery. World J Surg 16 1089–1097 Occurrence Handle1:STN:280:ByyD1cfotFw%3D Occurrence Handle1455878

    CAS  PubMed  Google Scholar 

  3. S Delgado AM Lacy X Filella A Castells JC Garcia-Valdecasas JM Pique D Momblan J Visa (2001) ArticleTitleAcute-phase response in laparoscopic and open colectomy in colon cancer: randomized study. Dis Colon Rectum 44 638–646 Occurrence Handle1:STN:280:DC%2BD3M3msVeiug%3D%3D Occurrence Handle11357021

    CAS  PubMed  Google Scholar 

  4. M Friedrich D Rixecker G Fiedrich (1999) ArticleTitleEvaluation of stress-related hormones after surgery. Clin Exp Obstet Gynecol 26 71–75 Occurrence Handle1:STN:280:DyaK1MzovVOgsA%3D%3D Occurrence Handle10459440

    CAS  PubMed  Google Scholar 

  5. SA Helmy MA Wahby M EI-Nawaway (1999) ArticleTitleThe effect of anaesthesia and surgery on plasma cytokine production. Anaesthesia 54 733–738 Occurrence Handle10.1046/j.1365-2044.1999.00947.x Occurrence Handle1:CAS:528:DyaK1MXlvVOns7s%3D Occurrence Handle10460524

    Article  CAS  PubMed  Google Scholar 

  6. C Kuntz A Wunsch F Bay J Windeler F Glaser C Herfarth (1998) ArticleTitleProspective randomized study of stress and immune response after laparoscopic vs conventional colonic resection. Surg Endosc 12 963–967

    Google Scholar 

  7. SPY Kwok WY Lau PD Carey SB Kelly KL Leung AK Li (1996) ArticleTitleProspective evaluation of laparoscopic-assisted large bowel excision for cancer. Ann Surg 223 170–l76 Occurrence Handle10.1097/00000658-199602000-00009 Occurrence Handle1:STN:280:BymC2srjs1I%3D Occurrence Handle8597511

    Article  CAS  PubMed  Google Scholar 

  8. I Le Blanc-Louvry A Coquerel E Koning C Maillot P Ducrotte (2000) ArticleTitleOperative stress response is reduced after laparoscopic compared to open cholecystectomy: the relationship with postoperative pain and ileus. Dig Dis Sci 45 1703–1713 Occurrence Handle10.1023/A:1005598615307 Occurrence Handle1:STN:280:DC%2BD3crgtlOmug%3D%3D Occurrence Handle11052308

    Article  CAS  PubMed  Google Scholar 

  9. KL Leung PB Lai RL Ho WC Meng RY Yiu JF Lee WY Lau (2000) ArticleTitleSystemic cytokine response after laparoscopic-assisted resection of rectosigmoid carcinoma: a prospective randomized trial. Ann Surg 231 506–511 Occurrence Handle10.1097/00000658-200004000-00008 Occurrence Handle1:STN:280:DC%2BD3c3htlaitg%3D%3D Occurrence Handle10749610

    Article  CAS  PubMed  Google Scholar 

  10. JRT Monson A Darzi PD Carey PJ Guillou (1992) ArticleTitleProspective evaluation of laparoscopic-assisted colectomy in an unselected group of patients. Lancet 340 831–833 Occurrence Handle1:STN:280:ByyD38zhslQ%3D Occurrence Handle1357253

    CAS  PubMed  Google Scholar 

  11. A Ozawa F Konishi H Nagai M Okada K Kanazawa (2000) ArticleTitleCytokine and hormonal responses in laparoscopic-assisted colectomy and conventional open colectomy. Surg Today 30 107–111 Occurrence Handle10.1007/s005950050024 Occurrence Handle1:CAS:528:DC%2BD3cXhsF2ntbg%3D Occurrence Handle10664330

    Article  CAS  PubMed  Google Scholar 

  12. SS Rao NW Read C Brown CD Holdsworth (1987) ArticleTitleStudies on the mechanism of bowel disturbance in ulcerative colitis. Gastroenterology 93 934–940 Occurrence Handle1:STN:280:BieD3crmslc%3D Occurrence Handle3653643

    CAS  PubMed  Google Scholar 

  13. W Schwenk C Jacobi U Mansmann B Bohm JM Muller (2000) ArticleTitleInflammatory response after laparoscopic and conventional colorectal resections: results of a prospective randomized trial. Langenbecks Arch Surg 385 2–9 Occurrence Handle10.1007/s004230050002 Occurrence Handle1:STN:280:DC%2BD3c7jtFSluw%3D%3D Occurrence Handle10664112

    Article  CAS  PubMed  Google Scholar 

  14. PH Tung CD Smith (1999) ArticleTitleLaparoscopic insufflation with room air causes exaggerated interleukin-6 responses. Surg Endosc 13 473–475 Occurrence Handle10.1007/s004649901015 Occurrence Handle1:STN:280:DyaK1M3ksVOmsg%3D%3D Occurrence Handle10227945

    Article  CAS  PubMed  Google Scholar 

  15. PJ van der Schaar CB Lamers AA Masclee (1999) ArticleTitleThe role of the barostat in human research and clinical practice. Scand J Gastroenterol Suppl. 230 52–63 Occurrence Handle10.1080/003655299750025552 Occurrence Handle1:STN:280:DyaK1Mvislyjuw%3D%3D Occurrence Handle10499463

    Article  CAS  PubMed  Google Scholar 

  16. FJ Vittimberga Jr DP Foley WC Meyers MP Callery (1998) ArticleTitleLaparoscopic surgery and the systemic immune response. Ann Surg 227 326–334 Occurrence Handle10.1097/00000658-199803000-00003 Occurrence Handle9527054

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Gastroenterological Surgery, Graduate School of Medical Sciences, Kobe University, 7-5-2, Kusunoki-cho, Chuo-ku, Kobe 650-0017, Japan

    M. Takada, S. Fukumoto, T. Ichihara, Y. Ku & Y. Kuroda

Authors
  1. M. Takada
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. S. Fukumoto
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. T. Ichihara
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Y. Ku
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Y. Kuroda
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to M. Takada.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Takada, M., Fukumoto, S., Ichihara, T. et al. Comparison of intestinal transit recovery between laparoscopic and open surgery using a rat model . Surg Endosc 17, 1237–1240 (2003). https://doi.org/10.1007/s00464-002-9213-z

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00464-002-9213-z

Keywords

Search

Navigation