Case J Brad, Boscan Pedro L, Monnet Eric L, Niyom Sirirat R, Imhoff Darren J, Wallace Mandy L, Smeak Dan D
From the Department of Small Animal Surgery, University of Florida, Gainesville, FL (J.C.); and Department of Clinical Sciences, Veterinary Medical Center, Colorado State University, Fort Collins, CO (P.B., E.M., S.N., D.I., M.W., D.S.).
J Am Anim Hosp Assoc. 2015 Jan-Feb;51(1):1-7. doi: 10.5326/JAAHA-MS-5886. Epub 2014 Nov 21.
Laparoscopy is an established modality in veterinary medicine. To date, laparoscopy in feline surgery is rarely reported. The objectives of this study were to compare surgical time, complications, and postoperative pain in a group of cats undergoing laparoscopic ovariectomy (LOVE), laparoscopic-assisted ovariohysterectomy (LAOVH), and ovariohysterectomy via celiotomy (COVH). Eighteen healthy cats were randomly assigned to undergo LOVE, LAOVH, or COVH. Severity of pain was monitored 1, 2, 3, and 4 hr after surgery. Surgical time was significantly longer for LAOVH (mean ± standard deviation [SD], 51.6 ± 7.7 min) compared to COVH (mean ± SD, 21.0 ± 7.1 min) and LOVE (mean ± SD, 34.2 ± 11.2 min). There were no major intraoperative complications, although minor complications were more common in both laparoscopic groups. Cats sterilized via laparoscopy (LOVE and LAOVH) were statistically less painful than cats spayed via celiotomy (COVH) 4 hr following surgery. Results suggested that LOVE in cats is safe, can be performed in a comparable amount of time as COVH, and may result in less postoperative discomfort.
腹腔镜检查是兽医学中一种成熟的方法。迄今为止,猫科动物手术中的腹腔镜检查报道很少。本研究的目的是比较一组接受腹腔镜卵巢切除术(LOVE)、腹腔镜辅助卵巢子宫切除术(LAOVH)和经腹剖腹卵巢子宫切除术(COVH)的猫的手术时间、并发症和术后疼痛情况。18只健康猫被随机分配接受LOVE、LAOVH或COVH手术。术后1、2、3和4小时监测疼痛严重程度。与COVH(平均±标准差[SD],21.0±7.1分钟)和LOVE(平均±SD,34.2±11.2分钟)相比,LAOVH的手术时间显著更长(平均±SD,51.6±7.7分钟)。术中无重大并发症,尽管轻微并发症在两个腹腔镜组中更常见。术后4小时,经腹腔镜绝育(LOVE和LAOVH)的猫在统计学上比经腹剖腹绝育(COVH)的猫疼痛程度更低。结果表明,猫的LOVE手术是安全的,手术时间与COVH相当,且可能导致更少的术后不适。