The duration of the postoperative ileus after laparoscopic surgery remains a controversial topic. The aim of our study was to compare the restoration of intestinal motility after laparoscopically assisted and conventional resection of the distal colon in a canine model.
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.
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 conventional resection (31±10 h). Radiological observations showed a significantly delayed gastric emptying and a prolonged transit of radiopaque markers to the rectum after open surgery.
These results support the hypothesis that laparoscopic-assisted resection of the colon leads to a shortened postoperative atony in comparison to open surgery.
This is a preview of subscription content, log in to check access.
Buy single article
Instant access to the full article PDF.
Price includes VAT for USA
Altaparmakov I, Erckenbrecht JF, Wienbeck M (1984) Modulation of the adrenergic system in the treatment of postoperative bowel atonia. Scand J Gastroenterol 19: 1104–1106
Bessler M, Whelan RL, Halverson A, Allendorf JDF, Nowygrod R, Treat MR (1996) Controlled trial of laparoscopic-assisted versus open colon resection in a porcine model. Surg Endosc 10: 732–735 DOI: 10.1007/s004649900144
Böhm B, Milson JW, Fazio VW (1995) Postoperative intestinal motility following conventional and laparoscopic intestinal surgery. Arch Surg 130: 415–419
Bueno L, Ferre JP, Ruckebusch Y (1978) Effect of anesthesia and surgical procedures on intestinal myoelectrical activity in rats. Am J Dig Dis 23: 690–695
Bueno L, Fioramonti J, Ruckebusch Y (1978) Postoperative intestinal motility in dogs and sheep. Dig Dis 23: 682–689
Code CF, Marlett JA (1975) The interdigestive myoelectric complex of the stomach and small bowel of dogs. Am J Physiol 246: 289–309
Coelho JC, Gouma DJ, Moody FG, LI YF (1985) Gastrointestinal myoelectric activity following abdominal operations in the opossum. World J Surg 9: 612–618
Dubois A, Weise VK, Kopin IJ (1973) Postoperative ileus in the rat: physiopathology, etiology and treatment. Ann Surg 178: 781–786
Hotokezaka M, Combs MJ, Schirmer BD (1996) Recovery of gastrointestinal motility following open versus laparoscopic colon resection in dogs. Dig Dis Sci 41: 705–710
Hotokezaka M, Dix J, Meutis EP, Minasi JS, Schirmer BD (1996) Gastrointestinal recovery following laparoscopic vs open colon surgery. Surg Endosc 10: 485–489
Milsom JW, Böhm B, Hammerhofer KA, Fazio VW, Steiger E, Elson P (1998) A prospective randomized trial comparing laparoscopic versus conventional techniques in colorectal cancer surgery: a preliminary report. J Am Coll Surg 187: 46–54
Morris IR, Darby CF, Hammond P, Taylor I (1983) Changes in small bowel myoelectrical activity following laparotomy. Br J Surg 70: 547–548
Ramos JM, Beart RW, Goes R, Ortega A, Schlinkert RT (1995) Role of laparoscopy in colorectal surgery: a prospective evaluation of 200 cases. Dis Colon Rectum 38: 494–501
Schamaun M (1966) Experimentelle elektromyographisch Untersuchungen zur Pathophysiologie der Dünndarmmotorik bei chirurgischen Krankheitsbildern. Z Gesamte Exp Med 141: 89–162
Schippers E, Braun J, Erhardt W, Schumpelick V (1990) Fruhe postoperative Motilität nach abdominalchirurgischen Eingriffen im Tier-experiment. Langenbecks Arch Chir 374: 175–180
Schippers E, Hölscher AH, Bollschweiler E, Siewert JR (1991) Return of interdigestive motor complex after abdominal surgery: end of postoperative ileus? Dig Dis Sci 36: 621–626
Schippers E, Öttinger AP, Anurov M, Polivoda M, Schumpelick V (1993) Laparoscopic cholecystectomy: a minor abdominal trauma? World J Surg 17: 539–543
Szurszewski JH (1969) A migrating electrical complex of the canine small intestine. Am J Physiol 217: 1757–1763
Tinckler LF (1965) Surgery and intestinal motility. Br J Surg 52: 140–150
Van Ye TM, Cattey RP, Henry LG (1994) Laparoscopically assisted colon resections compare favourably with open technique. Surg Laparosc Endosc 4: 25–31
Wexner SD, Cohen SM, Johanson OB, Nogueras JJ, Jagelman DG (1993) Laparoscopic colorectal surgery: a prospective assessment and current perspective. Br J Surg 80: 1602–1605
Woods JH, Erickson LW, Condon RE, Schulte WJ, Sillin LF (1978) Postoperative ileus: a colonic problem? Surgery 84: 527–533
Online publication: 13 March 2001
About this article
Cite this article
Tittel, A., Schippers, E., Anurov, M. et al. Shorter postoperative atony after laparoscopic-assisted colonic resection?. Surg Endosc 15, 508–512 (2001). https://doi.org/10.1007/s004640000270
- Gastrointestinal motility
- Comparative animal study
- Colonic resection
- Canine model