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Isobaric (gasless) laparoscopic liver and kidney biopsy in standing steers

机译:站立ste牛的等压(无气)腹腔镜肝肾活检

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摘要

The purpose of the current study was to investigate the suitability of an isobaric laparoscopic procedure, using a single port, for obtaining serial kidney and liver biopsy samples from standing steers. The samples were used in support of a pharmacokinetic tissue–fluid correlation study. Laparoscopic access was performed 3 times in each of 8 healthy Holstein steers, alternating from the right side to the left side and then to the right side again. The surgery was performed in standing stocks after the animals were given 3 doses of sulfadimethoxine sulfate intravenously and fasted for at least 18 h. Sedation and analgesia were achieved with acepromazine and xylazine. Lidocaine 2% was injected at the center of the paralumbar fossa (left or right), and an incision was made for introduction of a trocar–cannula assembly. Room air was allowed to enter the abdomen through the cannula at the time of insertion. Once the peritoneal cavity was reached, an operating endoscope was inserted. No pressurized insufflation was performed. A biopsy forceps was introduced into the operating channel of the endoscope to obtain a 100-mg kidney or liver sample. No complications were encountered. The 24 laparoscopic procedures provided 24 kidney and 16 liver samples. The results suggest that the isobaric (gasless) single-port laparoscopic technique is feasible for kidney and liver biopsy on standing steers. The procedure can be performed in a reliable and efficient manner in the sedated standing bovine.
机译:本研究的目的是研究使用同一个端口的等压腹腔镜手术的适用性,以从站立的ers牛获得连续的肾脏和肝脏活检样本。样品用于支持药代动力学组织-流体相关性研究。在8个健康的荷斯坦牛中,每个腹腔镜检查均进行了3次,从右侧到左侧,然后再到右侧。在给动物静脉内给予3剂量的磺胺二甲氧嘧啶硫酸盐并禁食至少18小时后,以站立状态进行手术。使用醋丙嗪和甲苯噻嗪可达到镇静和镇痛作用。将2%的利多卡因注射到腰椎旁大窝的中央(左或右),并切开切口以引入套管针-套管组件。插入时,允许室内空气通过套管进入腹部。到达腹膜腔后,插入手术内窥镜。没有进行加压吹入。将活检钳引入内窥镜的操作通道,以获得100毫克的肾脏或肝脏样品。没有遇到并发症。 24例腹腔镜手术提供了24例肾脏和16例肝脏样本。结果表明,等压(无气)单端口腹腔镜技术可用于站立式kidney牛和肝的活检。该过程可以在镇静的站立牛中以可靠和有效的方式进行。

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