Department of Clinical Sciences, Soft Tissue Surgery, College of Veterinary Medicine, Cornell University, Ithaca, New York, USA.
Department of Clinical Sciences, Diagnostic Imaging, College of Veterinary Medicine, Cornell University, Ithaca, New York, USA.
Vet Surg. 2023 Aug;52(6):878-887. doi: 10.1111/vsu.13862. Epub 2022 Jul 21.
To evaluate the feasibility of laparoscopic vertical sleeve gastrectomy (LVSG) in feline cadavers using endoscopic stapling equipment and report clinical outcomes in two live feline subjects.
Cadaveric study and experimental case series.
Ten feline cadavers; two feline subjects.
LVSG technique was refined on feline cadavers and included retraction of the liver, dissection of the stomach, assessment of proper location for gastrectomy via stapling, and leak testing. Appropriateness of gastrectomy, gastrectomy %, surgical times and complications were recorded. The procedure was performed on two live feline subjects, and they were followed for 4 months to report surgical complications.
LVSG was completed in 9/10 cadavers and both live patients. Stenosis at the incisura was recorded in 2/9 cadavers. No obvious leaks were seen in the 8 cadavers that were tested or either live patient. The mean surgical time for all cadaver procedures and live patients was 110.4 and 115 minutes, respectively. Mean weight of resected cadaver stomach was 10 g and the mean % of the total stomach weight resected was 27.6%. No intra- or postoperative surgical complications occurred in the live subjects.
LVSG technique appears feasible and safe for use in live patients.
This LVSG technique may be safely used for partial gastric resection in cats. Further studies are necessary to determine if it is effective at reversing the effects of obesity and diabetes in this population.
评估使用内镜吻合设备在猫尸体中进行腹腔镜垂直袖状胃切除术（LVSG）的可行性，并报告在 2 只活体猫中的临床结果。
尸体研究和实验病例系列。
10 只猫尸体；2 只猫。
对猫尸体进行 LVSG 技术改良，包括牵拉肝脏、胃解剖、通过吻合评估胃切除术的合适位置，以及漏诊测试。记录胃切除术的适宜性、胃切除术%、手术时间和并发症。对 2 只活体猫进行了该手术，并随访了 4 个月以报告手术并发症。
在 9/10 只尸体和 2 只活体患者中完成了 LVSG。在 2/9 只尸体中记录到了切迹处狭窄。在接受测试的 8 只尸体或 2 只活体患者中均未发现明显漏诊。所有尸体手术和活体患者的平均手术时间分别为 110.4 和 115 分钟。切除的尸体胃的平均重量为 10 克，切除的胃总重量的平均百分比为 27.6%。在活体患者中未发生术中或术后手术并发症。
LVSG 技术在活体患者中似乎是可行且安全的。
这种 LVSG 技术可安全用于猫的部分胃切除术。需要进一步的研究来确定它是否能有效逆转肥胖和糖尿病在该人群中的影响。
