Single Incision Laparoscopic‐Assisted Intestinal Surgery (SILAIS) in 7 Dogs and 1 Cat
Identifieur interne : 001275 ( Main/Exploration ); précédent : 001274; suivant : 001276Single Incision Laparoscopic‐Assisted Intestinal Surgery (SILAIS) in 7 Dogs and 1 Cat
Auteurs : J. Brad Case [États-Unis] ; Gary Ellison [États-Unis]Source :
- Veterinary Surgery [ 0161-3499 ] ; 2013-06.
English descriptors
- Teeft :
- Abdominal ultrasonography, American college, Anastomosis, Babcock, Biopsy, Bowel, Carmalt forceps, Celiotomy, Clinical signs, Endocone, Enterotomy, Exploratory celiotomy, Forceps, Incision, Incision enlargement, Inner cannulas, Insertion, Intestinal, Intestinal adhesions, Intestinal procedures, Intestinal surgery, Jejunal, Karl storz, Laparoscopic, Laparoscopic babcock forceps, Laparoscopic ovariectomy, Multiple ports, Obstruction, Omentalization, Peritoneal cavity, Resection, Silais, Sils, Single incision, Small animal, Small intestine, Surgery, Surgical, Ultrasonography, Veress needle, Veterinary surgeons, Veterinary surgery.
Abstract
Objectives: To describe the clinical findings and short‐term outcome in 7 dogs and 1 cat undergoing single‐incision laparoscopic‐assisted intestinal surgery (SILAIS) using an SILS™ or EndoCone™ port. Study Design: Prospective case series. Animals: Dogs (n = 7) and cat (n = 1). Methods: An SILS™ port using three 5‐mm instrument cannulas or EndoCone™ port was used to perform an initial limited laparoscopic abdominal exploration. The stomach and descending duodenum were explored intracorporeally and the jejunum through orad descending colon was explored extracorporeally. All intestinal procedures (enterotomy, biopsy, resection, and anastomosis) were performed extracorporeally. Omentalization of affected bowel was accomplished either intracorporeally or extracorporeally. Short‐term outcome was determined. Results: SILAIS was completed successfully in all but 1 dog and all animals had a good short‐term outcome. Most (n = 5) animals were discharged the day after surgery. SILAIS was performed in a median of 120 minutes (interquartile range; 82–148 minutes) and was associated with a moderate level of difficulty. No major complications occurred but conversion to celiotomy (n = 1) and enlargement of the incision (n = 3) was required because of inability to exteriorize the affected bowel. Conclusions: SILAIS using an SILS™ or EndoCone™ port in dogs and cats is feasible and appears effective in selected cases. Single portal laparoscopic‐assisted intestinal surgery might be an effective method of minimizing morbidity in dogs and cats with uncomplicated intestinal disease.
Url:
DOI: 10.1111/j.1532-950X.2013.12017.x
Affiliations:
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Brad" last="Case">J. Brad Case</name><affiliation wicri:level="2"><country xml:lang="fr">États-Unis</country><placeName><region type="state">Floride</region></placeName><wicri:cityArea>Department of Small Animal Clinical Sciences, College of Veterinary Medicine, University of Florida, Gainesville</wicri:cityArea></affiliation><affiliation wicri:level="2"><country xml:lang="fr">États-Unis</country><placeName><region type="state">Floride</region></placeName><wicri:cityArea>Dr. J. Brad Case, DVM, MS, Diplomate ACVS, Department of Small Animal Clinical Sciences, University of Florida, PO Box 100116, Gainesville</wicri:cityArea></affiliation><affiliation wicri:level="1"><country wicri:rule="url">États-Unis</country></affiliation></author><author><name sortKey="Ellison, Gary" sort="Ellison, Gary" uniqKey="Ellison G" first="Gary" last="Ellison">Gary Ellison</name><affiliation wicri:level="2"><country xml:lang="fr">États-Unis</country><placeName><region type="state">Floride</region></placeName><wicri:cityArea>Department of Small Animal Clinical Sciences, College of Veterinary Medicine, University of Florida, Gainesville</wicri:cityArea></affiliation></author></analytic><monogr></monogr><series><title level="j" type="main">Veterinary Surgery</title><title level="j" type="alt">VETERINARY SURGERY</title><idno type="ISSN">0161-3499</idno><idno type="eISSN">1532-950X</idno><imprint><biblScope unit="vol">42</biblScope><biblScope unit="issue">5</biblScope><biblScope unit="page" from="629">629</biblScope><biblScope unit="page" to="634">634</biblScope><biblScope unit="page-count">6</biblScope><date type="published" when="2013-06">2013-06</date></imprint><idno type="ISSN">0161-3499</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0161-3499</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="Teeft" xml:lang="en"><term>Abdominal ultrasonography</term><term>American college</term><term>Anastomosis</term><term>Babcock</term><term>Biopsy</term><term>Bowel</term><term>Carmalt forceps</term><term>Celiotomy</term><term>Clinical signs</term><term>Endocone</term><term>Enterotomy</term><term>Exploratory celiotomy</term><term>Forceps</term><term>Incision</term><term>Incision enlargement</term><term>Inner cannulas</term><term>Insertion</term><term>Intestinal</term><term>Intestinal adhesions</term><term>Intestinal procedures</term><term>Intestinal surgery</term><term>Jejunal</term><term>Karl storz</term><term>Laparoscopic</term><term>Laparoscopic babcock forceps</term><term>Laparoscopic ovariectomy</term><term>Multiple ports</term><term>Obstruction</term><term>Omentalization</term><term>Peritoneal cavity</term><term>Resection</term><term>Silais</term><term>Sils</term><term>Single incision</term><term>Small animal</term><term>Small intestine</term><term>Surgery</term><term>Surgical</term><term>Ultrasonography</term><term>Veress needle</term><term>Veterinary surgeons</term><term>Veterinary surgery</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Objectives: To describe the clinical findings and short‐term outcome in 7 dogs and 1 cat undergoing single‐incision laparoscopic‐assisted intestinal surgery (SILAIS) using an SILS™ or EndoCone™ port. Study Design: Prospective case series. Animals: Dogs (n = 7) and cat (n = 1). Methods: An SILS™ port using three 5‐mm instrument cannulas or EndoCone™ port was used to perform an initial limited laparoscopic abdominal exploration. The stomach and descending duodenum were explored intracorporeally and the jejunum through orad descending colon was explored extracorporeally. All intestinal procedures (enterotomy, biopsy, resection, and anastomosis) were performed extracorporeally. Omentalization of affected bowel was accomplished either intracorporeally or extracorporeally. Short‐term outcome was determined. Results: SILAIS was completed successfully in all but 1 dog and all animals had a good short‐term outcome. Most (n = 5) animals were discharged the day after surgery. SILAIS was performed in a median of 120 minutes (interquartile range; 82–148 minutes) and was associated with a moderate level of difficulty. No major complications occurred but conversion to celiotomy (n = 1) and enlargement of the incision (n = 3) was required because of inability to exteriorize the affected bowel. Conclusions: SILAIS using an SILS™ or EndoCone™ port in dogs and cats is feasible and appears effective in selected cases. Single portal laparoscopic‐assisted intestinal surgery might be an effective method of minimizing morbidity in dogs and cats with uncomplicated intestinal disease.</div></front></TEI><affiliations><list><country><li>États-Unis</li></country><region><li>Floride</li></region></list><tree><country name="États-Unis"><region name="Floride"><name sortKey="Case, J Brad" sort="Case, J Brad" uniqKey="Case J" first="J. Brad" last="Case">J. Brad Case</name></region><name sortKey="Case, J Brad" sort="Case, J Brad" uniqKey="Case J" first="J. Brad" last="Case">J. Brad Case</name><name sortKey="Case, J Brad" sort="Case, J Brad" uniqKey="Case J" first="J. Brad" last="Case">J. Brad Case</name><name sortKey="Ellison, Gary" sort="Ellison, Gary" uniqKey="Ellison G" first="Gary" last="Ellison">Gary Ellison</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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