Ragle C A, Southwood L L, Hopper S A, Buote P L
Department of Veterinary Clinical Sciences, Washington State University, Pullman 99164-6610, USA.
J Am Vet Med Assoc. 1996 Sep 15;209(6):1121-4.
Two mares were admitted for ovariectomy of unilateral granulosa cell tumors. Both mares were ovariectomized (1 unilateral and 1 bilateral) by use of a ventral abdominal laparoscopic technique. This approach required tilting the operative table 30 degrees to elevate the pelvis and to allow observation of the ovaries. Using a single laparoscopic portal and 3 to 4 instrument portals, a triangulation technique was used. The ovarian pedicles were isolated and secured via loop ligation. The ovaries then were divided from the ligated pedicle and placed within specimen bags for extraction. The specimen bags then were removed through a ventral midline celiotomy. Using this technique, it was determined that granulosa cell tumors or ovaries of up to 20 cm in diameter can be removed. Laparoscopic ovariectomy provided a means to provide tension-free dissection and ligation of the ovarian pedicle. In comparison to conventional techniques, this may improve suture security and reduce complications related to excessive pedicle tension. Improved observation during surgery, less pedicle tension, and minimal invasiveness made laparoscopic ovariectomy of these 2 mares advantageous.
两头母马因单侧颗粒细胞瘤接受卵巢切除术。两头母马均采用腹侧腹腔镜技术进行卵巢切除（1例单侧，1例双侧）。该方法需要将手术台倾斜30度以抬高骨盆并便于观察卵巢。使用单个腹腔镜入口和3至4个器械入口，采用三角测量技术。通过套扎分离并固定卵巢蒂。然后将卵巢从结扎的蒂上分离下来，放入标本袋中取出。然后通过腹正中剖腹术取出标本袋。使用该技术确定直径达20厘米的颗粒细胞瘤或卵巢均可切除。腹腔镜卵巢切除术提供了一种无张力分离和结扎卵巢蒂的方法。与传统技术相比，这可能会提高缝合安全性并减少与蒂部张力过大相关的并发症。手术过程中观察改善、蒂部张力较小以及微创性使得对这两头母马进行腹腔镜卵巢切除术具有优势。
