Muňoz Juan, Bussy Christian
Clinique vétérinaire du Grand Renaud, Saint-Saturnin, France.
Vet Surg. 2013 Jun;42(5):595-9. doi: 10.1111/j.1532-950X.2012.01050.x. Epub 2013 Jan 17.
To report a standing hand-assisted laparoscopic technique for closure of the nephrosplenic space (NS), and short-term outcome in horses.
Case series.
Horses (n = 12) aged 5-14 years.
Medical records (2007-2010) of horses treated for left dorsal displacement of the large colon (LDDLC) using a hand-assisted laparoscopic correction technique with closure of the NS in the same surgical procedure were reviewed. A modified grid laparotomy in the left paralumbar fossa was used with manual correction of LDDLC, after which the NS was closed with a laparoscopic technique. Follow up was obtained by telephone interview of owners or referring veterinarians.
Resolution of LDDLC and closure of the NS was successful, with only minor postoperative complications, in all horses. On short-term follow-up (>10 months; mean, 23.8 months), 2 horses had displacement of the large colon between the spleen and the body wall.
Standing hand-assisted laparoscopic correction of LDDLC and closure of the NS in a single surgical procedure is feasible. Appropriate case selection is mandatory when performing this combined technique.
报告一种站立式手辅助腹腔镜技术用于闭合马的肾脾间隙（NS），以及其短期效果。
病例系列。
5至14岁的马（n = 12）。
回顾2007年至2010年使用手辅助腹腔镜矫正技术治疗大结肠左背侧移位（LDDLC）并在同一手术过程中闭合NS的马的病历。在左腰旁窝进行改良网格剖腹术，手动矫正LDDLC，然后用腹腔镜技术闭合NS。通过对马主或转诊兽医的电话访谈进行随访。
所有马的LDDLC均成功矫正且NS闭合，术后仅出现轻微并发症。短期随访（>10个月；平均23.8个月）时，2匹马的大结肠在脾脏与体壁之间发生移位。
在单一手术中采用站立式手辅助腹腔镜矫正LDDLC并闭合NS是可行的。实施这种联合技术时必须进行适当的病例选择。
