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犬猫单孔腹腔镜隐睾切除术:25例(2009 - 2014年)

Single-port laparoscopic cryptorchidectomy in dogs and cats: 25 cases (2009-2014).

作者信息

Runge Jeffrey J, Mayhew Philipp D, Case J Brad, Singh Ameet, Mayhew Kelli N, Culp William T N

机构信息

Department of Clinical Studies-Philadelphia, Matthew J. Ryan Veterinary Hospital, School of Veterinary Medicine, University of Pennsylvania, Philadelphia, PA 19104.

出版信息

J Am Vet Med Assoc. 2014 Dec 1;245(11):1258-65. doi: 10.2460/javma.245.11.1258.

Abstract

OBJECTIVE

To describe the operative technique for single-port laparoscopic cryptorchidectomy (SPLC) in dogs and cats and evaluate clinical outcome for patients that underwent the procedure.

DESIGN

Retrospective case series.

ANIMALS

25 client-owned dogs (n = 22) and cats (3).

PROCEDURES

Dogs and cats that underwent SPLC with 3 commercially available single-port devices between 2009 and 2014 were retrospectively identified through a multi-institutional medical records review. Surgery was performed via a single-port device placed through a 1.5- to 3.0-cm abdominal incision either at the region of the umbilicus or caudal to the right 13th rib. The cryptorchidectomy was performed with graspers, a bipolar vessel sealing device, and a 30° telescope.

RESULTS

SPLC was performed with a single-incision laparoscopic surgery port (n = 15), a multitrocar wound-retractor access system (8), or a metal resterilizable single-port access device (2). Median age was 365 days (range, 166 to 3,285 days). Median body weight was 18.9 kg (41.6 lb; range, 1.3 to 70 kg [2.9 to 154 lb]). Median surgical time was 38 minutes (range, 15 to 70 minutes). Thirty-two testes were removed (12 left, 6 right, and 7 bilateral). Four patients had 1 additional abdominal surgical procedure performed concurrently during SPLC. No intraoperative or postoperative complications were encountered.

CONCLUSIONS AND CLINICAL RELEVANCE

Results suggested that SPLC can be performed in a wide range of dogs and cats with cryptorchidism and can be combined with other elective laparoscopic surgical procedures. The SPLC technique was associated with a low morbidity rate and provided a potentially less invasive alternative to traditional open and multiport laparoscopic techniques.

摘要

目的

描述犬猫单孔腹腔镜隐睾切除术(SPLC)的手术技术,并评估接受该手术的患者的临床结局。

设计

回顾性病例系列。

动物

25只客户拥有的犬(n = 22)和猫(3只)。

方法

通过多机构医疗记录回顾,对2009年至2014年间使用3种市售单孔设备接受SPLC的犬猫进行回顾性识别。手术通过一个单孔设备进行,该设备通过脐部区域或右第13肋尾侧1.5至3.0厘米的腹部切口置入。使用抓钳、双极血管封闭装置和30°望远镜进行隐睾切除术。

结果

使用单切口腹腔镜手术端口(n = 15)、多套管伤口牵开器接入系统(8例)或金属可重复消毒单孔接入装置(2例)进行了SPLC。中位年龄为365天(范围为166至3285天)。中位体重为18.9千克(41.6磅;范围为1.3至70千克[2.9至154磅])。中位手术时间为38分钟(范围为15至70分钟)。共切除32个睾丸(12个左侧,6个右侧,7个双侧)。4例患者在SPLC期间同时进行了1次额外的腹部外科手术。未发生术中或术后并发症。

结论及临床意义

结果表明,SPLC可在广泛的患有隐睾症的犬猫中进行,并且可与其他选择性腹腔镜外科手术联合进行。SPLC技术发病率低,为传统开放和多端口腹腔镜技术提供了一种潜在的侵入性较小的替代方法。

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