Naan Elaine C, Kirpensteijn Jolle, Dupré Gilles P, Galac Sara, Radlinsky MaryAnn G
Department of Clinical Sciences of Companion Animals, Faculty of Veterinary Medicine, Utrecht University, Utrecht, The Netherlands.
Vet Surg. 2013 Aug;42(6):710-5. doi: 10.1111/j.1532-950X.2013.12029.x. Epub 2013 Jul 11.
To report a technique for, and short-term outcome of unilateral laparoscopic adrenalectomy in dogs positioned in sternal recumbency without abdominal support.
Experimental and prospective clinical study.
Healthy dogs (n = 5) and dogs with unilateral adrenal gland tumor (n = 9).
Anesthetized dogs were positioned in sternal recumbency with 2 cushions placed under the dog to elevate the chest and pelvic area so that the abdomen was not in contact with the surgical table allowing gravitational displacement of the abdominal viscera. Three 5-mm portals were located in the paralumbar fossa. Adrenal glands were carefully dissected and surrounding tissues sealed and cut using a vessel-sealing device. A retrieval bag or part of a surgical glove finger was used to remove the adrenal gland from the abdomen. Surgical time and complications were recorded, and short-term outcome assessed.
Adrenal glands in normal dogs and unilateral adrenal tumors (8 left, 1 right) not involving the caudal vena cava in affected dogs were successfully removed laparoscopically. There were no major intraoperative complications. Of the dogs with adrenal tumors, 1 dog died within 24 hours of surgery from unrelated causes. Eight dogs recovered within 1 day and were discharged within 72 hours. Surgical times ranged from 42 to 117 minutes and were significantly shorter than those reported previously.
Positioning anesthetized dogs in sternal recumbency with the abdomen suspended to facilitate gravitational displacement of the abdominal viscera improves access to, and visibility of, the adrenal gland for laparoscopic removal.
报告一种在无腹部支撑的仰卧位犬只中进行单侧腹腔镜肾上腺切除术的技术及短期结果。
实验性和前瞻性临床研究。
健康犬（n = 5）和单侧肾上腺肿瘤犬（n = 9）。
将麻醉后的犬置于仰卧位，在犬下方放置两个垫子以抬高胸部和骨盆区域，使腹部不与手术台接触，从而允许腹腔脏器因重力而移位。在腰旁窝处开三个5毫米的切口。小心地解剖肾上腺，使用血管封闭装置封闭并切断周围组织。使用一个回收袋或手术手套手指的一部分将肾上腺从腹部取出。记录手术时间和并发症，并评估短期结果。
正常犬的肾上腺以及患犬中不涉及尾腔静脉的单侧肾上腺肿瘤（8个左侧，1个右侧）均成功通过腹腔镜切除。术中无重大并发症。在患有肾上腺肿瘤的犬中，1只犬在术后24小时内死于无关原因。8只犬在1天内恢复，并在72小时内出院。手术时间为42至117分钟，明显短于先前报道的时间。
将麻醉后的犬置于仰卧位，使腹部悬空以促进腹腔脏器的重力移位，可改善腹腔镜切除肾上腺时对肾上腺的暴露及视野。
