Goodin Jacob T, Rodgerson Dwayne H, Gomez Jorge H
Davidson Surgery Center, Hagyard Equine Medical Institute, Lexington, KY, USA.
Vet Surg. 2011 Jan;40(1):90-2. doi: 10.1111/j.1532-950X.2010.00771.x. Epub 2010 Dec 23.
To review the efficacy and safety of unilateral ovariectomy by use of a standing hand-assisted laparoscopic approach and evaluate the effect of ovary size on posttransection hemorrhage after application of a linear stapling device.
Case series.
Horses (n=65) aged 2-20 years.
Medical records of mares that had ovariectomy performed by use of a standing hand-assisted laparoscopic approach were reviewed. Data retrieved were signalment, ovary removed (left, right), ovarian size, ovarian pathology, intraoperative and postoperative complications, and length of hospitalization.
Mean ovarian diameter was 17 cm. Histopathology (52 mares) confirmed 41 granulosa cell tumors (79%), 8 ovarian cysts (15%), 1 teratoma (2%), and 2 ovaries (4%) without abnormalities. Hemorrhage was observed laparoscopically in 16 mares after transection of the mesovarium. Complications encountered during surgery included 1 mare collapsing in the stocks and 1 mare that hemorrhaged excessively from the incision. Postoperative complications included 2 cases of mild colic. Overall complication rate was 6%.
All attempts to remove the target ovary were successful. The approach is safe for the mare, as complications encountered were similar to those recently reported for other approaches.
回顾采用站立式手辅助腹腔镜方法进行单侧卵巢切除术的有效性和安全性，并评估卵巢大小对使用线性缝合装置切断卵巢后出血的影响。
病例系列。
2至20岁的马（n = 65）。
回顾采用站立式手辅助腹腔镜方法进行卵巢切除术的母马的病历。检索的数据包括特征、切除的卵巢（左侧、右侧）、卵巢大小、卵巢病理学、术中及术后并发症以及住院时间。
卵巢平均直径为17厘米。组织病理学检查（52匹母马）证实有41例颗粒细胞瘤（79%）、8例卵巢囊肿（15%）、1例畸胎瘤（2%）以及2例卵巢（4%）无异常。在切断卵巢系膜后，腹腔镜观察到16匹母马出血。手术中遇到的并发症包括1匹母马在保定架中虚脱，1匹母马切口出血过多。术后并发症包括2例轻度绞痛。总体并发症发生率为6%。
所有切除目标卵巢的尝试均成功。该方法对母马安全，因为所遇到的并发症与最近报道的其他方法类似。
