Steffey Michele A
Department of Surgical and Radiological Sciences, School of Veterinary Medicine, University of California Davis, 1 Shields Avenue, Davis, CA 95616, USA.
Vet Clin North Am Small Anim Pract. 2016 Jan;46(1):45-61. doi: 10.1016/j.cvsm.2015.07.002. Epub 2015 Sep 26.
Laparoscopic-assisted procedures allow a balance between the improved patient recoveries often associated with smaller incisions and the need for appropriate visualization of visceral organs/identification of lesions. The organ systems of small animal veterinary patients that are highly amenable to laparoscopic-assisted procedures include the urinary bladder, the gastrointestinal tract, and the reproductive tracts. Laparoscopic-assisted procedures are especially beneficial in the approach to luminal organs, allowing the organ incision to be exteriorized through the body wall, protecting the peritoneal cavity from contamination from luminal contents. Procedure-specific morbidities and patient selection should be considered when choosing between assisted laparoscopic and open approaches.
腹腔镜辅助手术能够在常与较小切口相关的患者恢复改善与对内脏器官进行适当可视化/识别病变的需求之间取得平衡。非常适合腹腔镜辅助手术的小动物兽医患者的器官系统包括膀胱、胃肠道和生殖道。腹腔镜辅助手术在处理腔道器官方面特别有益,可使器官切口通过体壁引出,保护腹膜腔免受腔道内容物的污染。在选择腹腔镜辅助手术和开放手术时,应考虑特定手术的发病率和患者选择。