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牛胸腔镜检查:手术技术与正常解剖结构

Bovine thoracoscopy: surgical technique and normal anatomy.

作者信息

Scharner Doreen, Dorn Katja, Brehm Walter

机构信息

Large Animal Clinic for Surgery, University of Leipzig, Leipzig, Germany.

出版信息

Vet Surg. 2014 Jan;43(1):85-90. doi: 10.1111/j.1532-950X.2013.12086.x. Epub 2013 Dec 13.

Abstract

OBJECTIVE

To describe a surgical technique for thoracoscopy and report visible anatomy within the thoracic cavity of standing cattle.

STUDY DESIGN

Prospective study.

ANIMALS

Adult clinically healthy Holstein-Friesian cows (n = 15).

METHODS

Each cow had four thoracoscopic examinations. Initially, the left hemithorax was examined after passive lung collapse, then again 24 hours later after CO2 insufflation. The right hemithorax was examined 24 hours later after passive lung collapse and again 24 hours later after CO2 insufflation.

RESULTS

CO2 insufflation did not significantly improve visibility within the pleural space. Collapsed lung, aorta, esophagus, diaphragm, and azygos vein were readily viewed; however, the pericardial region was not consistently visible. Minor laceration of the lung occurred in 1 cow with adhesions, otherwise there were no intra- or postoperative complications. All cows recovered without signs of discomfort. No local swelling or emphysema occurred at the portals.

CONCLUSIONS

Thoracoscopy can be safely performed on healthy standing cattle.

摘要

目的

描述一种用于牛胸腔镜检查的手术技术,并报告站立牛胸腔内可见的解剖结构。

研究设计

前瞻性研究。

动物

成年临床健康的荷斯坦-弗里生奶牛(n = 15)。

方法

每头牛进行4次胸腔镜检查。最初,在肺被动萎陷后检查左半胸,然后在24小时后二氧化碳充气后再次检查。在肺被动萎陷24小时后检查右半胸,并在二氧化碳充气24小时后再次检查。

结果

二氧化碳充气并未显著改善胸膜腔内的视野。萎陷的肺、主动脉、食管、膈肌和奇静脉易于观察到;然而,心包区域并非始终可见。1头有粘连的奶牛发生了轻微的肺撕裂伤,除此之外,术中及术后均无并发症。所有奶牛均康复且无不适迹象。切口处未出现局部肿胀或气肿。

结论

健康站立牛可安全地进行胸腔镜检查。

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