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腹腔镜卵巢切除术与开放式卵巢切除术对小型犬术后活动的影响。

The effect of laparoscopic versus open ovariectomy on postsurgical activity in small dogs.

作者信息

Culp William T N, Mayhew Philipp D, Brown Dorothy C

机构信息

Department of Clinical Studies-Philadelphia, School of Veterinary Medicine, University of Pennsylvania, Philadelphia, PA, USA.

出版信息

Vet Surg. 2009 Oct;38(7):811-7. doi: 10.1111/j.1532-950X.2009.00572.x.

Abstract

OBJECTIVE

To describe a technique for laparoscopic ovariectomy (LapOVE) in small dogs, and compare the surgical time, complications, and postoperative activity of dogs undergoing LapOVE to those undergoing conventional traditional open ovariectomy (OOVE).

STUDY DESIGN

A randomized, controlled clinical trial.

ANIMALS

Intact small breed (<10 kg) female dogs (n=20).

METHODS

Ventral median celiotomy was performed for OOVE. A 2-midline portal technique using a 3.5 mm laparoscope port and a 6 mm instrument portal was used for LapOVE. An accelerometer was attached to the collar of each dog to record 24-hour preoperative and 48-hour postoperative activity. Total activity counts recorded before surgery were compared with total counts recorded after surgery. The percent change in counts after surgery was compared between OOVE- and LapOVE-treated dogs.

RESULTS

No major complications occurred and surgical time for LapOVE was significantly longer than for OOVE cases (P=.005). Dogs in the LapOVE group had a 25% decrease in total activity counts after surgery (95% confidence interval [CI]: 11-38%), whereas dogs in the OOVE group had a 62% decrease in total activity counts after surgery (95% CI: 48-76%).

CONCLUSIONS

Both procedures were performed with reasonable surgical times and without major complication. Postoperative activity, as measured by accelerometry, was significantly different between the 2 groups.

CLINICAL RELEVANCE

Laparoscopy is a safe method for ovariectomy in small dogs and results in increased postoperative activity counts when compared with an open technique.

摘要

目的

描述小型犬腹腔镜卵巢切除术(LapOVE)的技术,并比较接受LapOVE的犬与接受传统开放式卵巢切除术(OOVE)的犬的手术时间、并发症及术后活动情况。

研究设计

一项随机对照临床试验。

动物

健康的小型母犬(<10 kg,n = 20)。

方法

OOVE采用腹正中剖腹术。LapOVE采用两中线入路技术,使用一个3.5 mm腹腔镜端口和一个6 mm器械端口。在每只犬的项圈上附着一个加速度计,记录术前24小时和术后48小时的活动情况。将手术前记录的总活动计数与手术后记录的总计数进行比较。比较OOVE组和LapOVE组术后计数的变化百分比。

结果

未发生重大并发症,LapOVE的手术时间明显长于OOVE病例(P = 0.005)。LapOVE组犬术后总活动计数下降25%(95%置信区间[CI]:11 - 38%),而OOVE组犬术后总活动计数下降62%(95%CI:48 - 76%)。

结论

两种手术方法的手术时间均合理,且无重大并发症。通过加速度计测量,两组术后活动情况有显著差异。

临床意义

腹腔镜检查是小型犬卵巢切除术的一种安全方法,与开放技术相比,术后活动计数增加。

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