Peer-reviewed veterinary case report
Laparoscopic gallbladder removal using single port in 15 dogs
By Simon, Allen & Monnet, Eric·Published in Veterinary Surgery·2019·Department of Clinical Sciences Colorado State University Fort Collins Colorado, United States·View original on Crossref →
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Original publication title: Laparoscopic Cholecystectomy with Single Port Access System in 15 Dogs
- Species:
- dog
Plain-English summary
Fifteen dogs with gallbladder disease underwent a minimally invasive surgery called laparoscopic cholecystectomy using a single port access system. Most surgeries went smoothly, but in three cases, the procedure had to be converted to a more traditional surgery due to complications. Fourteen of the dogs were able to go home after their surgery, but unfortunately, one dog passed away later due to severe liver complications. Overall, the use of this technique showed promising results, especially when an additional cannula was used at the start of the procedure to help reduce complications.
People also search for: dog gallbladder surgery recovery · laparoscopic surgery for dogs · dog gallbladder disease symptoms
Abstract
AbstractObjectiveTo evaluate the outcome of laparoscopic cholecystectomy performed with a single port access system (SPAS) in dogs.Study DesignRetrospective study.AnimalsFifteen client‐owned dogs with nonobstructive gallbladder disease.MethodsMedical records were reviewed for signalment, clinical signs, diagnostic imaging, surgical findings, and outcome until suture removal.ResultsThe SPAS was placed 1 cm caudal to the umbilicus. The procedure was completed with the SPAS alone in two cases. An additional cannula was added in 12 cases. In the last 10 cases, the additional cannula was placed at the beginning of the procedure. Dissection began at the cystic duct in 11 dogs (73%). In three cases (20%), the SPAS procedure was converted to a laparotomy; two of these conversions were elective, and one was emergent. The risk of conversion was affected by the experience of the surgeon (odds ratio = 0.53; P = .0105), and the rate of conversion was reduced when a cannula was added at the beginning of the procedure (P = .022). Fourteen dogs were discharged from the hospital. One dog died after being discharged due to severe cholangiohepatitis, and another dog died due to leakage of a gastrostomy tube.ConclusionsThe use of SPAS for cholecystectomy in dogs has an acceptable outcome. The experience gained by the surgeon and the addition of a cannula reduced the risk of conversion.Clinical Relevance/ImpactLaparoscopic cholecystectomy can be performed with a SPAS. The placement of an additional cannula at the beginning of the procedure is highly recommended.
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Search related cases →Original publication on Crossref: https://doi.org/10.1111/vsu.13289