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World Journal of Surgery

, Volume 37, Issue 5, pp 1060–1064 | Cite as

Effect of Preserving the Hepatic Vagal Nerve During Laparoscopic Nissen Fundoplication on Postoperative Biliary Functions

  • Mehmet Ozdogan
  • Adnan Kuvvetli
  • Koray DasEmail author
  • Cem Oruc
  • Faruk Karateke
  • Metin Aydin
  • Mevlut Recep Pekcici
  • Atilla Akova
  • Tamer Gulsur
  • Derya Farsidfar
Article

Abstract

Background

Cutting the hepatic branch of the anterior vagus nerve (HB-AVn) technically facilitates the laparoscopic Nissen fundoplication. The aim of this study was to investigate the effects of preserving or sacrificing this branch on postoperative gallbladder functions.

Methods

The patients (n = 40) were prospectively randomized into two groups. The HB-AVn was preserved during the dissection of the lesser omentum in the first group. The nerve was cut in the second group. Postoperative fasting gallbladder volumes were calculated by ultrasonography. Postoperative gallbladder ejection fraction (GEF) and gallbladder emptying time (GET) were determined by calculating intestinal transit time scintigraphically.

Results

Fasting gallbladder volumes and GEF values were not different between the groups. On the other hand, in patients with HB-AVn preserved, GET measurements were found to be significantly shorter than those with HB-AVn sacrificed.

Conclusions

Sacrificing the hepatic branch causes prolongation in the GET. This change in the motor functions of the gallbladder does not cause any symptomatic effect during the early postoperative period. However, the delay in the GET may increase the risk of gallbladder stone formation in the long term.

Keywords

Intestinal Transit Time Truncal Vagotomy Gallbladder Volume Hepatic Branch Gallbladder Function 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Société Internationale de Chirurgie 2013

Authors and Affiliations

  • Mehmet Ozdogan
    • 1
  • Adnan Kuvvetli
    • 1
  • Koray Das
    • 1
    Email author
  • Cem Oruc
    • 1
  • Faruk Karateke
    • 1
  • Metin Aydin
    • 1
  • Mevlut Recep Pekcici
    • 2
  • Atilla Akova
    • 1
  • Tamer Gulsur
    • 1
  • Derya Farsidfar
    • 3
  1. 1.Department of General SurgeryNumune Training and Research HospitalAdanaTurkey
  2. 2.Department of General SurgeryAnkara Training and Research HospitalAnkaraTurkey
  3. 3.Department of Nuclear MedicineNumune Training and Research HospitalAdanaTurkey

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