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单切口腹腔镜辅助犬卵巢子宫切除术治疗卵巢肿瘤

Single incision laparoscopic-assisted ovariohysterectomy for an ovarian tumor in a dog.

作者信息

Lopez Daniel, Singh Ameet, Wright Tanya F, Gartley Cathy, Walker Meagan

机构信息

Department of Clinical Studies, Ontario Veterinary College, University of Guelph, Guelph, Ontario N1G 5K2.

出版信息

Can Vet J. 2017 Sep;58(9):975-979.

Abstract

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.

摘要

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。

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