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腹腔镜联合剖腹术切除牛胎儿脐静脉和脐尿管的腹腔内部分:手术时间和可行性(尸体研究)。

Intra-abdominal resection of the umbilical vein and urachus of bovine fetuses using laparoscopy and celiotomy: surgical time and feasibility (cadaveric study).

机构信息

Institute of Veterinary Medicine, Federal University of Pará (UFPA), Castanhal Campus, Castanhal, Pará, Brazil.

Agency of Agricultural Defense of Pará (ADEPARA), Belém, Pará, Brazil.

出版信息

Sci Rep. 2021 Mar 5;11(1):5328. doi: 10.1038/s41598-021-84621-y.

Abstract

Surgical intervention for umbilical diseases in calves, when indicated, is a complementary and indispensable therapeutic resource for the treatment of umbilical conditions and is commonly performed using celiotomy. However, laparoscopy has demonstrated feasibility in many diagnostic and therapeutic procedures. The aim of this study was to assess the feasibility of the techniques and the surgical time of laparoscopy and celiotomy used in intra-abdominal resection of the umbilical vein and urachus of bovine fetuses (cadavers). Resection of the umbilical vein and urachus using laparoscopy and celiotomy was performed in 26 anatomical specimens (bovine fetuses obtained from an official slaughterhouse). Resection of umbilical structures was feasible with both techniques, but shorter surgical time and minimal tissue damage were achieved using laparoscopy. Laparoscopy requires specialized training and appropriate instruments and is an important tool for diagnostic and therapeutic exploration of the umbilical structures, liver, bladder, and associated/adjacent structures.

摘要

对小牛脐部疾病进行手术干预,在有指征的情况下,是治疗脐部疾病的一种补充和不可或缺的治疗资源,通常采用剖腹术进行。然而,腹腔镜技术已在许多诊断和治疗操作中显示出可行性。本研究旨在评估腹腔镜和剖腹术用于牛胎儿(尸体)脐静脉和脐尿管腹腔内切除的技术可行性和手术时间。对 26 个解剖标本(从官方屠宰场获得的牛胎儿)进行了腹腔镜和剖腹术脐静脉和脐尿管切除术。两种技术都可实现脐部结构的切除,但腹腔镜手术时间更短,组织损伤更小。腹腔镜需要专门的培训和适当的仪器,是对脐部结构、肝脏、膀胱及相关/邻近结构进行诊断和治疗性探索的重要工具。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2c0a/7935971/9f654c663179/41598_2021_84621_Fig1_HTML.jpg

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