“…Data from our laboratory showed that in rats with short-term cholestasis, a reduction in the hepatic glycogen content can be found very early after bile duct ligation (laparotomy). Immediately after surgery, impaired food intake was proposed as a potential mechanism, and endotoxinemia was the suspected reason for reduced hepatic glycogen stores 4-8 days after surgery [27].Conventional open surgery is accompanied by disturbed hemodynamic, metabolic, hormonal, and systemic immunological changes during the early postoperative phase [9,11,39]. Studies have shown that such alterations are less accentuated after laparoscopic surgery [9,11,20,38,39].…”