Collard Fabien, Nadeau Marie-Eve, Carmel Eric-Norman
Faculté de Médecine Vétérinaire de l'Université de Montréal, Saint-Hyacinthe, Canada.
Vet Surg. 2010 Oct;39(7):870-2. doi: 10.1111/j.1532-950X.2010.00721.x. Epub 2010 Aug 12.
To report laparoscopic splenectomy in a dog.
Clinical report.
Mixed breed dog (n=1).
Hemangiosarcoma was diagnosed by ultrasound-guided fine-needle aspiration of a splenic mass in an 11-year-old, 30 kg, mixed breed dog. No metastatic disease was identified during complete staging (chest radiographs, echocardiogram, and abdominal ultrasonography); however, cystic calculi were identified. Laparoscopic splenectomy using Ligasure V was performed through 3 portals and the calculi were removed by laparoscopic-assisted cystoscopy.
Total surgical time was 2 hours and for laparoscopic splenectomy, 65 minutes. The celiotomy incision for splenic removal was 7 cm. The dog recovered uneventfully and was ambulatory 2 hours postoperatively.
Laparoscopy with Ligasure V facilitated successful removal of a spleen with a 3 cm mass.
Laparoscopic splenectomy in dogs is feasible for removal of a normal-sized spleen with a moderate-sized mass.
报告犬腹腔镜脾切除术。
临床报告。
杂种犬（n = 1）。
通过超声引导下对一只11岁、体重30千克的杂种犬脾脏肿块进行细针穿刺活检诊断为血管肉瘤。在全面分期（胸部X光片、超声心动图和腹部超声检查）过程中未发现转移病灶；然而，发现了胆囊结石。使用Ligasure V通过3个通道进行腹腔镜脾切除术，并通过腹腔镜辅助膀胱镜检查取出结石。
总手术时间为2小时，腹腔镜脾切除术时间为65分钟。脾脏切除的剖腹切口为7厘米。犬恢复顺利，术后2小时即可活动。
使用Ligasure V的腹腔镜手术有助于成功切除一个3厘米大小肿块的脾脏。
犬腹腔镜脾切除术对于切除具有中等大小肿块的正常大小脾脏是可行的。
