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三只猫复发性直肠脱垂的全腹腔镜结肠固定术治疗

Total Laparoscopic Colopexy for the Treatment of Recurrent Rectal Prolapses in Three Cats.

作者信息

Guadalupi Marta, Piemontese Claudia, Stabile Marzia, Dizonno Rosanna, Staffieri Francesco, Lacitignola Luca

机构信息

Section of Veterinary Clinics, Department of Precision and Regenerative Medicine and Ionian Area (DiMePre-J), University of Bari, 70121 Bari, Italy.

PhD Course Campus of Veterinary Medicine, Scienze Cliniche Internistiche, Chirurgiche ed Ostetriche Veterinarie (SCICOV), University of Bari, 70019 Valenzano, Italy.

出版信息

Vet Sci. 2024 Aug 6;11(8):355. doi: 10.3390/vetsci11080355.

DOI:10.3390/vetsci11080355
PMID:39195809
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11359361/
Abstract

The use of minimally invasive methods has grown in popularity due to decreased postoperative morbidity and a quicker recovery. Colopexy is a surgical method that includes the permanent adhesion of the colonic seromuscular layer to the abdominal wall to avoid rectal prolapses in cats and dogs with viable prolapsed tissues. In this case series, we describe the treatment of three cats with total laparoscopic colopexy (TLC) for recurrent rectal prolapses. A non-incisional colopexy was created by suturing the colon to the abdominal wall with a barbed suture. There were no intraoperative complications and a 6-month follow-up revealed no prolapse recurrence. Our study demonstrates that TLC approaches are feasible, safe, and free of problems when used to treat recurrent rectal prolapses in cats, although a larger caseload is required to validate the results obtained from our reported cases.

摘要

由于术后发病率降低和恢复更快,微创方法的使用越来越普遍。结肠固定术是一种手术方法,包括将结肠浆肌层永久性粘连到腹壁,以避免患有存活脱垂组织的猫和狗发生直肠脱垂。在这个病例系列中,我们描述了三只猫因复发性直肠脱垂接受全腹腔镜结肠固定术(TLC)的治疗情况。通过用倒刺缝线将结肠缝合到腹壁上,创建了一种非切口结肠固定术。术中无并发症,6个月的随访显示无脱垂复发。我们的研究表明,TLC方法用于治疗猫的复发性直肠脱垂是可行、安全且无问题的,尽管需要更大的病例量来验证我们报告病例所获得的结果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7d0c/11359361/c6139fd04707/vetsci-11-00355-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7d0c/11359361/4e41ff8cbf52/vetsci-11-00355-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7d0c/11359361/b7c917098f82/vetsci-11-00355-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7d0c/11359361/5cf1c7bdffd0/vetsci-11-00355-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7d0c/11359361/c6139fd04707/vetsci-11-00355-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7d0c/11359361/4e41ff8cbf52/vetsci-11-00355-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7d0c/11359361/b7c917098f82/vetsci-11-00355-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7d0c/11359361/5cf1c7bdffd0/vetsci-11-00355-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7d0c/11359361/c6139fd04707/vetsci-11-00355-g004.jpg

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本文引用的文献

1
Laparoscopic colopexy for recurrent rectal prolapse in a Maltese dog.腹腔镜直肠固定术治疗马耳他犬复发性直肠脱垂。
Can Vet J. 2022 Jun;63(6):593-596.
2
Comparison of total laparoscopic gastropexy with the Ethicon Securestrap fixation device versus knotless barbed suture in dogs.腹腔镜胃固定术与 Ethicon Securestrap 固定装置与无结倒刺缝线在犬中的比较。
Vet Rec. 2021 Apr;188(7):e113. doi: 10.1002/vetr.113. Epub 2021 Feb 2.
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Absorbable fixation straps for laparoscopic gastropexy in dogs.可吸收固定带在犬腹腔镜胃固定术中的应用。
Vet Surg. 2021 Jul;50 Suppl 1:O78-O88. doi: 10.1111/vsu.13543. Epub 2020 Nov 11.
4
Simplified Minimally Invasive Surgical Approach for Prophylactic Laparoscopic Gastropexy in 21 Cases.简化的微创外科手术方法用于21例预防性腹腔镜胃固定术
J Am Anim Hosp Assoc. 2019 May/Jun;55(3):152-159. doi: 10.5326/JAAHA-MS-6879. Epub 2019 Mar 14.
5
A Review of the Surgical Management of Perineal Hernias in Dogs.犬会阴疝手术治疗综述
J Am Anim Hosp Assoc. 2018 Jul/Aug;54(4):179-187. doi: 10.5326/JAAHA-MS-6490. Epub 2018 May 14.
6
Total laparoscopic gastropexy using 1 simple continuous barbed suture line in 63 dogs.在63只犬中使用1条简单连续倒刺缝线进行全腹腔镜胃固定术。
Vet Surg. 2017 Feb;46(2):233-241. doi: 10.1111/vsu.12601. Epub 2016 Dec 19.
7
Minimally invasive surgery in veterinary practice: a 2010 survey of diplomates and residents of the American College of Veterinary Surgeons.兽医临床中的微创手术:2010年美国兽医外科医师学会专科医师和住院医师调查
Vet Surg. 2013 Aug;42(6):635-42. doi: 10.1111/j.1532-950X.2013.12025.x. Epub 2013 Jun 27.
8
Laparoscopic colopexy in dogs.犬腹腔镜结肠固定术
J Vet Med Sci. 2013;75(9):1161-6. doi: 10.1292/jvms.12-0538. Epub 2013 Apr 25.
9
Laparoscopic-assisted incisional colopexy by two portals access in a domestic cat with recurrent rectal prolapse.通过双孔道入路对一只患有复发性直肠脱垂的家猫进行腹腔镜辅助切口结肠固定术。
J Feline Med Surg. 2012 Feb;14(2):169-70. doi: 10.1177/1098612X11429230.
10
Laparoscopic-assisted colopexy and sterilization in male dogs: short-term results and physiologic consequences.
Vet Surg. 2011 Jun;40(4):500-8. doi: 10.1111/j.1532-950X.2011.00835.x. Epub 2011 Apr 26.