Assisted laparoscopic splenectomy: current concept for treatment of splenic hemangiosarcoma in dogs.

IF 0.8 4区 农林科学 Q3 VETERINARY SCIENCES
Sh A Ezzeldein, Sh A Elgaml, N M Elseddawy, E A Hashish, Sh M Gouda
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Abstract

Background: Hemangiosarcoma (HSA) is a common devastating malignant splenic tumor with high mortalities in dogs. Laparoscopic splenectomy (LS) is safe and gold standard technique for diseases required splenectomy. However, LS operation is a sensitive approach, which requires a restricted control for the vascular sealing procedures.

Aims: We modified the LS technique through the application of hemostatic clips assisted-LS as an improved approach for the treatment of splenic HSA.

Methods: Twelve dogs were admitted to the Veterinary Teaching Hospital, Zagazig University, Egypt for investigation of splenic HSA. Abdominal ultrasonography reveals the presence of large hypoechoic splenic masses with no further abnormalities within the peritoneal cavity. Thoracic radiographs, hematological assays, tumor necrosis factor-α (TNF-α) and histopathological investigations were done.

Results: Hemostatic clips assisted-LS showed no major intra or post-operative complications. Laboratory analysis revealed anemia with an increase in TNF-α. Significant increase in platelets count with a slight increase in TNF-α was detected post-operative.

Conclusion: Application of the improved hemostatic clips-assisted-LS is cost effective, with shorter operative time, feasible method for vessel sealing, as well as having few complications during the HAS treatment in dogs.

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辅助腹腔镜脾切除术:目前治疗犬脾血管肉瘤的概念。
背景:血管肉瘤(HSA)是犬常见的破坏性脾恶性肿瘤,死亡率高。腹腔镜脾切除术(LS)是一种安全的金标准技术。然而,LS手术是一种敏感的方法,需要对血管封闭过程进行严格的控制。目的:我们通过应用止血夹辅助LS技术改进LS技术,作为治疗脾HSA的一种改进方法。方法:12只狗在埃及Zagazig大学兽医教学医院接受脾脏HSA检查。腹部超声显示存在大的低回声脾肿块,腹膜腔内无进一步异常。进行胸片、血液学检查、肿瘤坏死因子-α (TNF-α)和组织病理学检查。结果:止血夹辅助ls术中、术后无明显并发症。实验室分析显示贫血伴TNF-α升高。术后发现血小板计数明显增加,TNF-α略有升高。结论:应用改良止血夹辅助ls治疗犬HAS具有成本效益高、手术时间短、血管封闭方法可行、并发症少等优点。
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来源期刊
CiteScore
1.70
自引率
8.30%
发文量
10
期刊介绍: The Iranian Journal of Veterinary Research(IJVR) is published quarterly in 4 issues. The aims of this journal are to improve and expand knowledge in all veterinary fields. It is an international journal indexed by the Thomson Institute for Scientific Information (ISI), Elsevier, Scopus, CAB International, Veterinary Bulletin and several other international databases. Research papers and reports on a wide range of veterinary topics are published in the journal after being evaluated by expert reviewers.The Editor-in-Chief is responsible for the editorial content of the journal—including peer-reviewed manuscripts—and the timing of its publication.
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