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Peer-reviewed veterinary case report

Using a pre-tied ligating loop for liver biopsy and lobectomy in dogs

By Cuddy, L C et al.·Published in The Journal of small animal practice·2013·Department of Small Animal Clinical Sciences, United States·View original on PubMed

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Original publication title: Clinical evaluation of a pre-tied ligating loop for liver biopsy and liver lobectomy.

Plain-English summary

A group of six dogs and three cats underwent liver biopsy or surgery to remove part of the liver using a special pre-tied loop. This technique was found to be effective and safe, with only a few minor bleeding issues that were easily managed. In one case, the surgery did not completely remove all cancerous tissue, but overall, the pets tolerated the procedure well. This method shows promise for diagnosing and treating liver diseases in pets.

People also search for: dog liver biopsy procedure · cat liver surgery recovery · liver cancer treatment in pets

Abstract

OBJECTIVES: The aim of this prospective case series was to evaluate the suitability of a pre-tied ligating loop for liver biopsy or partial or complete liver lobectomy via midline coeliotomy for diagnosis or treatment of hepatic disease. METHODS: Nine client-owned animals (six dogs and three cats) in which liver biopsy or partial or complete liver lobectomy was performed using a 2-0 Polysorb™ pre-tied ligating loop (SurgiTie™; Covidien) via midline coeliotomy were included. The fit of the loop, space for incision and presence and character of bleeding from the incised surface were assessed. Pre- and postoperative haematocrit and peri-operative complications were noted. Dimensions, histopathology and mineral analysis of acquired specimens were reviewed. RESULTS: The pre-tied ligating loop was successfully employed for liver biopsy and resection of torsed liver lobes and neoplastic tissue. Dirty margins were obtained in one case in which complete resection of neoplastic tissue was the primary goal. Few perioperative complications were noted, the most common being generalised oozing from the cut surface in four cases, effectively controlled with local haemostasis. CLINICAL SIGNIFICANCE: The pre-tied ligating loop is a versatile and safe method for liver biopsy or lobectomy. As with other surgical techniques, alternative methods of haemostasis should always be available.

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Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/23278965/