Peer-reviewed veterinary case report
Laparoscopic removal of a large abdominal testicular teratoma in a standing horse.
- Journal:
- Veterinary surgery : VS
- Year:
- 2010
- Authors:
- Cribb, Nicola C & Bouré, Ludovic P
- Affiliation:
- Department of Clinical Studies · Canada
- Species:
- horse
Plain-English summary
A team of veterinarians successfully removed a large testicular tumor from an 11-month-old Thoroughbred horse using a minimally invasive technique called laparoscopy, while the horse was standing. The tumor, which was filled with fluid and measured about 24 by 19 centimeters, could not be taken out through a traditional surgical approach due to its size. They first reduced the size of the tumor by draining some of the fluid, which made it easier to handle and remove. This method helped keep the horse stable during the procedure and reduced the risk of complications. Overall, the use of laparoscopy for this type of surgery proved to be safe and effective.
Abstract
OBJECTIVE: To describe laparoscopic removal of a large testicular teratoma in a standing horse. STUDY DESIGN: Clinical report. ANIMALS: Thoroughbred horse (11 months) with a testicular teratoma. METHODS: A unilateral cryptorchid testicle could not be removed by an inguinal approach under general anesthesia because of it s large size. After recovery from general anesthesia, ultrasound evaluation revealed a 24 x 19 cm fluid-filled testicular mass. The mass was removed by paralumbar fossa laparoscopy with the horse in a standing position. After fluid aspiration of the mass, the mesorchium and ductus deferens were ligated with extracorporeal knots and the mass retrieved inside a laparoscopic specimen pouch. Morphologic features were consistent with a teratoma. RESULTS: Laparoscopic-guided aspiration of fluid from the teratoma decreased mass size and increased ease of manipulation and retrieval. Retrieval of the teratoma in a laparoscopic specimen pouch prevented loss of abdominal insufflation, helped reduce fluid leakage, and potential seeding of neoplastic cells. CONCLUSION: Use of laparoscopy for removal of neoplastic cryptorchid testicles offers many advantages including minimal invasiveness and increased safety associated with good visibility of structures. CLINICAL RELEVANCE: Standing laparoscopic surgery should be considered for removal of testicular neoplasms in horses.
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Search related cases →Original publication: https://pubmed.ncbi.nlm.nih.gov/20210958/