Surgical technique, complications and follow-up of laparoscopic treatment of prostatic cysts in dogs: 12 cases (2017-2022).

IF 1.7 2区 农林科学 Q2 VETERINARY SCIENCES
F Massari, S Monti, M Jiménez Peláez
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引用次数: 0

Abstract

Objective: To describe the surgical technique, associated complications and 12-month outcomes in dogs that underwent laparoscopic treatment of prostatic cysts.

Materials and methods: The medical records of dogs with prostatic cysts that were managed laparoscopically between 2017 and 2022 at two referral institutions were retrospectively reviewed. Intra- and post-operative complications were evaluated, and patients were required to have a minimum follow-up of 12 months for inclusion in the study.

Results: Twelve client-owned dogs met the inclusion criteria. A three- or four-port technique was used depending on the surgeon's preference. Following deroofing of the prostatic cyst, urethral integrity was assessed intraoperatively. The cystic cavity was inspected for leakage while injecting saline into the distal urethra, confirming the absence of communication between the urethra and the prostatic cyst. The omentum was anchored to the prostatic body using either simple interrupted sutures or haemostatic clips, with the latter method considered subjectively more challenging by the authors. No major intra- or post-operative complications were reported. Minor intraoperative complications occurred in three of 12 patients, consisting of self-limiting haemorrhage. Minor post-operative complications included one case of transient urinary tenesmus, which resolved within 24 hours, and mild haematuria in one dog, which lasted for 3 days. No recurrence of the prostatic cysts was observed over the 12-month follow-up period.

Clinical significance: Laparoscopic excision with omentalisation is a feasible, effective and safe therapeutic approach for prostatic cysts in dogs confirmed to lack a communication between the prostatic cyst and the urethra.

犬腹腔镜前列腺囊肿手术技术、并发症及随访:12例(2017-2022)
目的:描述腹腔镜下前列腺囊肿治疗犬的手术技术、相关并发症和12个月的预后。材料与方法:回顾性分析两家转诊机构2017 - 2022年腹腔镜治疗前列腺囊肿犬的病历。评估手术内和术后并发症,并要求患者至少随访12个月以纳入研究。结果:12只客户拥有的狗符合纳入标准。根据外科医生的喜好,采用三孔或四孔技术。除前列腺囊肿后,术中评估尿道完整性。在尿道远端注射生理盐水时检查囊腔是否渗漏,确认尿道与前列腺囊肿之间没有交通。使用简单的中断缝合线或止血夹将大网膜固定在前列腺体上,作者主观认为后一种方法更具挑战性。无重大术中或术后并发症报告。12例患者中有3例出现轻微术中并发症,包括自限性出血。轻微的术后并发症包括1例短暂性尿急,24小时内消退,1例轻度血尿,持续3天。随访12个月未见前列腺囊肿复发。临床意义:对于确认前列腺囊肿与尿道缺乏沟通的犬,腹腔镜前列腺囊肿切除加网膜化是一种可行、有效、安全的治疗方法。
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来源期刊
Journal of Small Animal Practice
Journal of Small Animal Practice 农林科学-兽医学
CiteScore
3.30
自引率
6.20%
发文量
117
审稿时长
12-24 weeks
期刊介绍: Journal of Small Animal Practice (JSAP) is a monthly peer-reviewed publication integrating clinical research papers and case reports from international sources, covering all aspects of medicine and surgery relating to dogs, cats and other small animals. These papers facilitate the dissemination and implementation of new ideas and techniques relating to clinical veterinary practice, with the ultimate aim of promoting best practice. JSAP publishes high quality original articles, as well as other scientific and educational information. New developments are placed in perspective, encompassing new concepts and peer commentary. The target audience is veterinarians primarily engaged in the practise of small animal medicine and surgery. In addition to original articles, JSAP will publish invited editorials (relating to a manuscript in the same issue or a topic of current interest), review articles, which provide in-depth discussion of important clinical issues, and other scientific and educational information from around the world. The final decision on publication of a manuscript rests with the Editorial Board and ultimately with the Editor. All papers, regardless of type, represent the opinion of the authors and not necessarily that of the Editor, the Association or the Publisher. The Journal of Small Animal Practice is published on behalf of the British Small Animal Veterinary Association and is also the official scientific journal of the World Small Animal Veterinary Association
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