THE EFFECTS OF OPEN AND LAPAROSCOPIC CHOLECYSTECTOMIES ON EARLY POSTOPERATIVE PERIOD LIQUID PHASE GASTRIC EMPTYING (PRELIMINARY STUDY)
ÖMER GÜNAL1, LÜTFİ DEĞİRMENCİOĞLU1, UĞUR ÇAŞKURLU1, LEVENT AKKAYA1, NURAL BEKİROĞLU2
1İstanbul Polis Hastanesi, Genel Cerrahi ve Nükleer Tıp Bölümleri, İSTANBUL
2Marmara Üniversitesi Tıp Fakültesi, Biyoistatistik Bilim Dalı, İSTANBUL
Today, laparoscopic cholecystectomy (LC) as a gold standard operation in the treatment of the gallbladder stones, has not been known enough how it does effect to earty postoperative period (EPP) liquid phase gastric emptying, comparing with the open cholecystectomy (OC). Gastric empyting scintigraphy (Tc 99m-DPTA) has been done to 12 laparoscopically, 6 conventionally treated cholecystectomy patients in prospective, randomized manner. Pre-operative, postoperative 1st and 7th day scintigraphic gastric empyting values (GEVs) were compared with each other. As compared with OC, decreasing GEV in LC at post-op 1st day 60.min was found to be increased at 7th day 0. and 30. min. significantly (p<0.05). However, both LC and OC groups GEVs were found to be statistically the similar levels at 7th day 60. min.
We could not find a clinically reasonable difference between the effects of LC and OC on the liquid phase gastric empyting.
Keywords: LAPAROSCOPIC CHOLECYSTECTOMY, OPEN CHOLECYSTECTOMY, GASTRIC EMPYTING