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Hand-assisted laparoscopic left nephrectomy in standing horses
Curry G Keoughan1, Dwayne H Rodgerson, Murray P Brown
1Department of Large Animal Clinical Sciences, College of Veterinary Medicine, Gainesville, FL 32610-0136, USA.
Veterinary Surgery : VS
|June 5, 2003
Summary
This study demonstrates that hand-assisted laparoscopic nephrectomy is a viable surgical option for removing the left kidney in standing horses. The procedure was successful in all cases, offering a minimally invasive approach for equine kidney removal.
Area of Science:
- Veterinary Surgery
- Equine Medicine
- Minimally Invasive Procedures
Background:
- Laparoscopic surgery is increasingly utilized in equine medicine for its minimally invasive benefits.
- Left kidney removal in horses traditionally involves more invasive techniques.
Purpose of the Study:
- To describe and evaluate a hand-assisted laparoscopic technique for left kidney removal in standing horses.
- To assess the feasibility and safety of this surgical approach.
Main Methods:
- A prospective evaluation was conducted on eight horses undergoing left kidney removal.
- The procedure involved standing sedation, local anesthesia, and a hand-assisted laparoscopic approach through the paralumbar fossa.
- Key steps included isolation, ligation, and transection of the kidney and associated vasculature.
Main Results:
- Successful laparoscopic removal of the left kidney was achieved in all eight horses.
- Intraoperative hemorrhage occurred in three horses, highlighting the need for careful vessel identification.
- Surgical times ranged from 20 to 90 minutes, with good postoperative pain control noted in some cases.
Conclusions:
- Hand-assisted laparoscopic nephrectomy is a safe and effective method for left kidney removal in standing horses.
- Careful identification of accessory renal artery branches is crucial to prevent intraoperative hemorrhage.
- This technique offers a minimally invasive alternative for equine kidney surgery.