Evaluation of minimally invasive small intestinal exploration and targeted abdominal organ biopsy with use of a wound retraction device in dogs: 27 cases (2010-2017)
| Autor: | Shelly K. Shamir, Alex zur Linden, Jessica J. Kilkenny, Michelle A. Giuffrida, Philipp D. Mayhew, Ingrid M. Balsa, J. Brad Case, William T. N. Culp, Jeffrey J. Runge, Ameet Singh, Michele A. Steffey |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
040301 veterinary sciences medicine.medical_treatment Biopsy 030308 mycology & parasitology 0403 veterinary science 03 medical and health sciences Dogs Interquartile range Laparotomy Intestine Small medicine Animals Medical history Clinical significance Dog Diseases Prospective Studies Prospective cohort study Retrospective Studies 0303 health sciences General Veterinary medicine.diagnostic_test business.industry Retrospective cohort study 04 agricultural and veterinary sciences Cannula Surgery Laparoscopy business |
| Zdroj: | Journal of the American Veterinary Medical Association. 255(1) |
| ISSN: | 1943-569X |
| Popis: | OBJECTIVE To describe surgical technique, biopsy sample quality, and short-term outcome of minimally invasive small intestinal exploration and targeted abdominal organ biopsy (MISIETB) with use of a wound retraction device (WRD) in dogs. ANIMALS 27 client-owned dogs that underwent MISIETB with a WRD at 1 of 4 academic veterinary hospitals between January 1, 2010, and May 1, 2017. PROCEDURES Medical records were retrospectively reviewed, and data collected included signalment; medical history; findings from physical, ultrasonographic, laparoscopic, cytologic, and histologic evaluations; surgical indications, procedures, duration, and complications; and short-term (14-day) outcomes. The Shapiro-Wilk test was used to evaluate the normality of continuous variables, and descriptive statistics were calculated for numeric variables. RESULTS Laparoscopic exploration was performed through a multicannulated single port (n = 18), multiple ports (5), or a single 6-mm cannula (4). Median length of the incision for WRD placement was 4 cm (interquartile [25th to 75th percentile] range, 3 to 6 cm). All biopsy samples obtained had sufficient diagnostic quality. The 2 most common histologic diagnoses were lymphoplasmacytic enteritis (n = 14) and intestinal lymphoma (5). Twenty-five of 27 (93%) dogs survived to hospital discharge, and 3 (12%) dogs had postsurgical abnormalities unrelated to surgical technique. CONCLUSIONS AND CLINICAL RELEVANCE Results indicated that MISIETB with WRD was an effective method for obtaining diagnostic biopsy samples of the stomach, small intestine, pancreas, liver, and mesenteric lymph nodes in dogs. Prospective comparison between MISIETB with WRD and traditional laparotomy for abdominal organ biopsy in dogs is warranted. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|