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猫的腹腔镜卵巢切除术:激光与双极电凝术的比较

Laparoscopic ovariectomy in cats: comparison of laser and bipolar electrocoagulation.

作者信息

van Nimwegen Sebastiaan A, Kirpensteijn Jolle

机构信息

Department of Clinical Sciences of Companion Animals, Faculty of Veterinary Medicine, Utrecht University, PO Box 80154, 3508 TD Utrecht, The Netherlands.

出版信息

J Feline Med Surg. 2007 Oct;9(5):397-403. doi: 10.1016/j.jfms.2007.03.007. Epub 2007 May 21.

Abstract

Fourteen mixed-breed domestic cats underwent laparoscopic ovariectomy (lapOVE) using paediatric equipment, an Nd:YAG laser and a bipolar electrocoagulation forceps. Cats were placed in 10 degrees Trendelenburg position (head down) and insufflation pressure was kept at 4mmHg, while surgery was performed through three midline portals. Randomly-assigned unilateral laser resection of one ovary (laserOVE) and bipolar electrocoagulation (BECOVE) of the contralateral ovary were performed. Duration of predetermined surgery intervals was recorded, as well as occurrence of intra- and postoperative complications. Both methods were successful and without complications. Duration of laserOVE was significantly increased compared to BECOVE. The right ovary was more difficult to access; however, both ovaries were easy to manipulate because of the relatively long suspensory ligament. The ovarian ligaments contained minimal amounts of fat and obesity did not influence surgery duration. Convalescence period was short (0.9+/-0.4 days) and owner satisfaction high.

摘要

14只杂种家猫使用儿科设备、钕钇铝石榴石激光和双极电凝钳进行了腹腔镜卵巢切除术(lapOVE)。猫被置于头低10度的特伦德伦伯格体位,气腹压力保持在4mmHg,手术通过三个中线切口进行。随机对一侧卵巢进行激光切除(laserOVE),对侧卵巢进行双极电凝(BECOVE)。记录预定手术间隔的持续时间以及术中及术后并发症的发生情况。两种方法均成功且无并发症。与BECOVE相比,laserOVE的持续时间显著延长。右侧卵巢更难暴露;然而,由于悬韧带相对较长,两个卵巢都易于操作。卵巢韧带含脂肪量极少,肥胖对手术持续时间无影响。恢复期短(0.9±0.4天),主人满意度高。

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