Lopez Daniel, Singh Ameet, Wright Tanya F, Gartley Cathy, Walker Meagan
Department of Clinical Studies, Ontario Veterinary College, University of Guelph, Guelph, Ontario N1G 5K2.
Can Vet J. 2017 Sep;58(9):975-979.
This report describes a single-incision, laparoscopic-assisted ovariohysterectomy in a 6-year-old, intact female Keeshond dog for the staging and treatment of a left-sided ovarian tumor. Abdominal access was obtained using a modified-Hasson technique allowing for placement of a multi-channel, single incision laparoscopic surgery port. Following carbon dioxide insufflation, superficial laparoscopic exploration of the abdominal cavity was performed and then both ovarian pedicles were sealed and divided using a vessel-sealing device. Laparoscopic-assisted ovariohysterectomy was performed with the aid of a wound retractor for exteriorization of the mass. There were no perioperative complications and the patient was discharged 1 day after surgery. Histopathology of the mass revealed an ovarian teratoma. Telephone follow-up 608 days after surgery revealed a good clinical outcome. Single-incision, laparoscopic-assisted ovariohysterectomy is technically feasible for the treatment of selected ovarian tumors in the dog.
本报告描述了一只6岁、未绝育的雌性荷兰毛狮犬接受单切口腹腔镜辅助卵巢子宫切除术，用于左侧卵巢肿瘤的分期和治疗。采用改良哈森技术进入腹腔，以便放置多通道单切口腹腔镜手术端口。二氧化碳气腹后，对腹腔进行浅表腹腔镜探查，然后使用血管封闭装置封闭并切断双侧卵巢蒂。在伤口牵开器的辅助下进行腹腔镜辅助卵巢子宫切除术，以将肿物引出体外。围手术期无并发症，患者术后1天出院。肿物的组织病理学检查显示为卵巢畸胎瘤。术后608天的电话随访显示临床结果良好。单切口腹腔镜辅助卵巢子宫切除术在技术上可行，可用于治疗犬的某些卵巢肿瘤。
