Small Animal Clinical Sciences, College of Veterinary Medicine, University of Florida, Gainesville, Florida, USA 32610-0144 (Toth, Case, Carvajal, Fox-Alvarez), Department of Surgical and Radiological Sciences, School of Veterinary Medicine, University of California-Davis, Davis, California, USA (Mayhew).
Can Vet J. 2023 Feb;64(2):137-141.
The techniques and clinical outcomes of laparoscopic or laparoscopic-assisted cystopexy in 3 dogs diagnosed with pelvic bladder are reported herein. The medical records of 2 dogs with pelvic bladder which underwent laparoscopic cystopexy, and 1 dog which underwent laparoscopic-assisted cystopexy were reviewed. Data retrieved included signalment, clinical signs, diagnostic imaging, surgical technique, and clinical outcome. Long-term follow-up was obtained by verbal interviews with owners. Laparoscopic or laparoscopic-assisted cystopexy was successfully performed to reposition the urinary bladder within the abdominal cavity in all dogs. An intracorporeal suture technique was used in 2 dogs, whereas an extracorpreal technique was used in 1 dog. Two dogs with stranguria experienced complete resolution immediately following surgery and remained disease-free at 18 mo after cystopexy. A third dog with urinary incontinence subjectively improved (according to the owner) but had not resolved completely 2 d following surgery. Key clinical message: Laparoscopic or laparoscopic-assisted cystopexy may be an effective treatment for pelvic bladder in dogs and may offer a minimally invasive alternative to laparotomy. Male dogs with stranguria as the primary clinical sign may experience complete resolution following cystopexy.
本文报告了 3 只诊断为骨盆膀胱的犬施行腹腔镜或腹腔镜辅助膀胱固定术的技术和临床结果。回顾了 2 只接受腹腔镜膀胱固定术和 1 只接受腹腔镜辅助膀胱固定术的骨盆膀胱犬的病历。检索的数据包括年龄、临床症状、诊断影像学、手术技术和临床结果。通过与主人的口头访谈获得了长期随访。所有犬均成功施行腹腔镜或腹腔镜辅助膀胱固定术，将膀胱重新定位到腹腔内。2 只犬使用了体腔内缝线技术，而 1 只犬使用了体腔外技术。2 只排尿困难的犬在手术后立即完全缓解，在膀胱固定术后 18 个月仍未复发。第 3 只尿失禁的犬主观上有所改善（据主人说），但手术后 2 天仍未完全缓解。关键临床信息：腹腔镜或腹腔镜辅助膀胱固定术可能是治疗犬骨盆膀胱的有效方法，并且可能为剖腹术提供一种微创替代方法。以排尿困难为主要临床症状的雄性犬在接受膀胱固定术后可能会完全缓解。
