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首例为一只患有前列腺腺癌的客户拥有的伯恩山犬实施机器人辅助根治性前列腺切除术。

First robot-assisted radical prostatectomy in a client-owned Bernese mountain dog with prostatic adenocarcinoma.

作者信息

Schlake Alexander, Dell'Oglio Paolo, Devriendt Nausikaa, Stammeleer Lisa, Binetti Anna, Bauwens Kevin, Terriere Naomi, Saunders Jimmy, Mottrie Alexandre, de Rooster Hilde

机构信息

Small Animal Department, Faculty of Veterinary Medicine, Ghent University, Merelbeke, Belgium.

ORSI Academy, Melle, Belgium.

出版信息

Vet Surg. 2020 Oct;49(7):1458-1466. doi: 10.1111/vsu.13448. Epub 2020 Jun 17.

Abstract

OBJECTIVE

To describe robot-assisted radical prostatectomy (RARP) and report the short-term outcome of a dog with prostatic cancer treated with RARP.

STUDY DESIGN

Case report ANIMALS: Client-owned 6-year-old male-neutered Bernese mountain dog.

METHODS

Robot-assisted radical prostatectomy was performed with a daVinci Si Surgical System through a transperitoneal approach. An interfascial nerve-sparing approach was used to preserve the neurovascular bundles and increase the likelihood of postoperative urinary continence. Urinary continence was assessed by placing white cloth bedding in the kennel during hospitalization and by owners' observation at home.

RESULTS

The console time was 120 minutes, and the estimated intraoperative blood loss was 30 mL. No intraoperative complications were observed. The urinary catheter was removed after 7 days, at which point the dog urinated normally. Peritoneal carcinomatosis was diagnosed 43 days after surgery, and the dog was euthanized.

CONCLUSION

Robot-assisted radical prostatectomy was successfully completed in a dog with prostatic neoplasia and led to postoperative urinary continence.

CLINICAL SIGNIFICANCE

This single-case report provides evidence to justify further evaluation of RARP in dogs with prostatic neoplasms.

摘要

目的

描述机器人辅助根治性前列腺切除术(RARP),并报告一只患有前列腺癌的犬接受RARP治疗后的短期结果。

研究设计

病例报告

动物

一只6岁已绝育的客户拥有的伯恩山犬。

方法

使用达芬奇Si手术系统通过经腹途径进行机器人辅助根治性前列腺切除术。采用筋膜间保留神经的方法来保留神经血管束,并增加术后尿失禁的可能性。通过住院期间在犬舍放置白色布垫以及主人在家观察来评估尿失禁情况。

结果

控制台时间为120分钟,估计术中失血量为30毫升。未观察到术中并发症。术后7天拔除导尿管,此时犬排尿正常。术后43天诊断出腹膜癌转移,犬实施安乐死。

结论

机器人辅助根治性前列腺切除术在一只患有前列腺肿瘤的犬中成功完成,并导致术后尿失禁。

临床意义

这份单病例报告为进一步评估RARP在患有前列腺肿瘤的犬中的应用提供了证据。

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