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腹腔镜肾保留手术治疗犬双盘吸虫病

Laparoscopic nephron-sparing surgery for the treatment of canine dioctophymosis.

作者信息

Milech Vanessa, Caye Pâmela, Nascimento Antunes Bernardo, da Silva Rappeti Josaine Cristina, Carra Perera Soliane, Gehrcke Martielo Ivan, Dos Santos Thaís Cozza, Conte Camila, de Vargas Arigony Braga Fabrício, de Oliveira Cavalcanti Guilherme Albuquerque, Veloso Brun Maurício

机构信息

Veterinary Medicine, Federal University of Santa Maria-UFSM, Rio Grande do Sul, Brazil.

Department of Clinical Veterinary Medicine, Federal University of Pelotas-UFPel, Campus Universitário, Rio Grande do Sul, Brazil.

出版信息

J Vet Med Sci. 2022 Apr 15;84(4):618-623. doi: 10.1292/jvms.21-0097. Epub 2022 Mar 10.

Abstract

This paper reports on two cases of laparoscopic nephrotomy employed in the treatment of canine dioctophymosis, which is considered a unusual procedure and a new treatment proposal heretofore not performed in veterinary medicine. Two patients were treated, one with a history of hematuria and the other with incidental finding of the parasite in the abdominal cavity during elective ovariohysterectomy. Both dogs were subjected to abdominal ultrasound, which produced images indicating the presence of the parasite in the right side kidney, but with partial parenchymal preservation. The patients were therefore subjected to laparoscopic nephrotomy. The surgical procedure was effective in treating dioctophymosis and enabled minimum tissue invasion during surgery, in addition to preservation of the kidney.

摘要

本文报道了两例采用腹腔镜肾切除术治疗犬双盘吸虫病的病例,这被认为是一种不寻常的手术,也是迄今为止兽医医学中尚未实施的新治疗方案。治疗了两只病犬,一只患有血尿病史,另一只在择期卵巢子宫切除术中偶然在腹腔发现寄生虫。两只犬均接受了腹部超声检查,图像显示右侧肾脏存在寄生虫,但肾实质部分得以保留。因此,对这两只犬实施了腹腔镜肾切除术。该手术方法治疗双盘吸虫病有效,术中组织侵袭最小,且保留了肾脏。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6b7d/9096035/5c1cb01bde5c/jvms-84-618-g001.jpg

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