From BluePearl Veterinary Partners San Antonio, San Antonio, Texas.
J Am Anim Hosp Assoc. 2021 Jan 1;57(1):32-36. doi: 10.5326/JAAHA-MS-6927.
Based on splenic abnormalities noted during surgery, four client-owned animals (three dogs, one cat) undergoing exploratory laparotomy were identified as candidates for partial splenectomy. In three cases, small mass lesions of the spleen were identified on elective exploratory laparotomy. In one case, the patient was referred for emergency surgery for diaphragmatic hernia with entrapment of stomach and spleen. The discovery of avulsion of a significant portion of the splenic mesentery led to the decision to perform partial splenectomy in this case. All animals included in the study underwent partial splenectomy by one of two board-certified veterinary surgeons at a multispecialty hospital between 2014 and 2018. The same type of bipolar vessel-sealing device was used in each surgery, and three of four partial splenectomy cases recovered uneventfully. One patient went into cardiopulmonary arrest hours after surgery and died; however, this is not suspected to be due to the described partial splenectomy technique. The bipolar vessel-sealing device is suitable for use in resection of the splenic parenchyma in some canine and feline patients. This technique is designed to decrease surgical time, provide effective hemostasis, and preserve the important functions of the spleen that are lost when total splenectomy is undertaken.
基于手术中观察到的脾脏异常,有 4 只接受剖腹探查术的患宠(3 只狗,1 只猫)被认为是部分脾切除术的候选者。在 3 例中,在选择性剖腹探查术中发现脾脏有小的肿块病变。在 1 例中,患者因膈疝伴胃和脾脏嵌顿而被转诊进行急诊手术。发现大部分脾系膜撕裂,导致决定在这种情况下进行部分脾切除术。在 2014 年至 2018 年间,一家多专科医院的两位兽医委员会认证的兽医通过一种或另一种方法对所有研究动物进行了部分脾切除术。每次手术都使用了相同类型的双极血管密封装置,其中 4 例部分脾切除手术中有 3 例恢复顺利。一名患者在手术后数小时出现心肺骤停并死亡;然而,这不怀疑与所描述的部分脾切除术技术有关。双极血管密封装置适用于一些犬和猫患者的脾脏实质切除。该技术旨在缩短手术时间,提供有效的止血,并保留在进行全脾切除时失去的脾脏的重要功能。