Kanai Hiroo, Hagiwara Ken, Nukaya Aya, Kondo Motoki, Aso Toshihide
Kanai Veterinary Surgery, 569-1 Nozato, Himeji-shi, Hyogo 670-0811, Japan.
Study Group of Small Animal Minimal Invasive Treatment (SAMIT), 569-1 Nozato, Himeji-shi, Hyogo 670-0811, Japan.
J Vet Med Sci. 2018 Nov 23;80(11):1747-1753. doi: 10.1292/jvms.18-0266. Epub 2018 Sep 20.
Laparoscopic cholecystectomy (LC) is widely accepted as the standard treatment for benign gall bladder diseases in humans because it has proven to be less invasive and safer than are traditional methods. However, the efficacy of LC in dogs remains unclear. The present study aimed to examine the short-term outcome of LC for benign gall bladder diseases in dogs. We enrolled 76 consecutive dogs that underwent LC for benign gall bladder diseases at our hospital between April 2008 and October 2016. Dogs with jaundice, gall bladder ruptures, abdominal effusion, or extrahepatic biliary obstruction were not excluded from the indication. Factors including age, body weight, sex, clinical sign, disease, operative time, conversion to open surgery, perioperative complications, and postoperative hospital stay were investigated. The median age of the dogs was 11 years, and the median body weight was 5.4 kg. Fifty percent of the dogs exhibited no symptoms at the initial visit. Preoperative elevation of total bilirubin levels was observed in 16 dogs (21%). LC was successfully completed in 71 dogs (93%); the median operative time was 124 min. Although gall bladder ruptures were observed in 2 (2.6%) dogs, the operations were completed successfully. Three dogs (4.1%) had to be converted to open cholecystectomy and 2 (2.6%) underwent reoperation. Two dogs (2.6%) died intraoperatively and 2 (2.6%) died postoperatively. LC was a feasible, safe, and appropriate procedure considering the current operative indications for benign gall bladder diseases in dogs.
腹腔镜胆囊切除术(LC)已被广泛接受为人类良性胆囊疾病的标准治疗方法,因为事实证明它比传统方法侵入性更小且更安全。然而,LC在犬类中的疗效仍不明确。本研究旨在探讨LC治疗犬类良性胆囊疾病的短期结果。我们纳入了2008年4月至2016年10月期间在我院接受LC治疗良性胆囊疾病的76只连续犬只。有黄疸、胆囊破裂、腹腔积液或肝外胆管梗阻的犬只未被排除在适应症之外。对年龄、体重、性别、临床症状、疾病、手术时间、转为开放手术、围手术期并发症和术后住院时间等因素进行了调查。犬只的中位年龄为11岁,中位体重为5.4千克。50%的犬只在初次就诊时无任何症状。16只犬(21%)术前总胆红素水平升高。71只犬(93%)成功完成了LC;中位手术时间为124分钟。尽管在2只(2.6%)犬只中观察到胆囊破裂,但手术仍成功完成。3只犬(4.1%)不得不转为开放胆囊切除术,2只犬(2.6%)接受了再次手术。2只犬(2.6%)术中死亡,2只犬(2.6%)术后死亡。考虑到目前犬类良性胆囊疾病的手术适应症,LC是一种可行、安全且合适的手术。