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Laparoscopic versus open splenectomy in dogs

机译:腹腔镜与开放式脾切除术在狗中

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In the last few years, the use of laparoscopy in veterinary medicine has expanded and consequently so was the need for studies that establish the advantages, disadvantages and possible complications of each procedure. The purpose of the current study was to describe a laparoscopic splenectomy technique and the alterations due to this access, and compare it to the open procedure in dogs. A total of 15 healthy female mongrel dogs were used, with mean weight of 17.4±2.5kg. The animals were distributed into three groups: Group IA of open splenectomy (laparotomy) using double ligation of the vessels of the splenic hilum with poliglicolic acid, Group IB of open splenectomy (laparotomy) with bipolar electrocoagulation of the splenic hilum, and Group II of laparoscopic access with bipolar electrocoagulation of the splenic hilum. Operative time, blood loss, size of incisions, complications during and after surgery were evaluated. Other parameters included pain scores, white blood cell (WBC) counts and postoperative serum concentrations of alanine aminotransferase (ALT), alkaline phosphatase (ALP), creatine kinase (CK), C-reactive protein (CRP), glucose and cortisol. No differences were found in the evaluation of parameters between both open splenectomy techniques employed. Laparoscopic access presented significant differences (p
机译:在过去的几年中,腹腔镜在兽医学中的应用已经扩大,因此,需要进行研究以确立每种方法的优缺点和可能的并发症。本研究的目的是描述腹腔镜脾切除术及其造成的改变,并将其与犬的开放手术进行比较。总共使用了15只健康的雌性杂种犬,平均体重为17.4±2.5kg。将动物分为三组:开放脾切除术的IA组(开腹术)和脾脏双结扎术,用于脾门肺血管的结扎;开放脾切除术的IB组(开腹术),脾门的双极电凝,以及第二组。腹腔镜检查,脾门的双极电凝。评估手术时间,失血量,切口大小,手术期间和术后并发症。其他参数包括疼痛评分,白细胞(WBC)计数和丙氨酸氨基转移酶(ALT),碱性磷酸酶(ALP),肌酸激酶(CK),C反应蛋白(CRP),葡萄糖和皮质醇的术后血清浓度。两种开放式脾切除术之间在参数评估中均未发现差异。腹腔镜通路表现出显着差异(p

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