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Laparoscopic Splenectomy with Pericardial Devascularization for Hypersplenism and Esophageal Variceal Hemorrhage Due to Portal Hypertension
Published on: November 15, 2024
Comparison between single and three portal laparoscopic splenectomy in dogs
Alireza Khalaj1, Jalal Bakhtiari, Amir Niasari-Naslaji
1Minimally Invasive Surgery Research Centre, Rasool Akram Hospital, Tehran University of Medical Sciences, Tehran, Iran.
BMC Veterinary Research
|September 12, 2012
Summary
Single incision laparoscopic surgery (SILS) offers a faster and less invasive alternative to conventional splenectomy in dogs. This study confirms SILS is a safe and effective approach for canine splenectomy.
Area of Science:
- Veterinary Surgery
- Minimally Invasive Techniques
Background:
- Single incision laparoscopic surgery (SILS) is an emerging minimally invasive surgical technique.
- Conventional laparoscopic surgery utilizes multiple portals, potentially increasing invasiveness.
Purpose of the Study:
- To compare the efficacy and safety of single incision laparoscopic splenectomy (SILS) versus conventional three-portal laparoscopic splenectomy in dogs.
- To evaluate operative time and surgical scar length between the two laparoscopic techniques.
Main Methods:
- Eighteen mongrel dogs underwent either SILS (n=12) or conventional laparoscopic splenectomy (n=6).
- Procedures were performed under aseptic conditions with CO2 pneumoperitoneum and specialized instrumentation.
- Key metrics included operative time and surgical scar length.
Main Results:
- SILS significantly reduced operative time (29.1 ± 1.65 min) compared to conventional surgery (42.0 ± 2.69 min).
- SILS resulted in a shorter surgical scar length (51.6 ± 1.34 mm) versus conventional (72.0 ± 1.63 mm).
- No significant post-operative complications or need for conversion to open surgery were observed in either group.
Conclusions:
- Single incision laparoscopic splenectomy (SILS) is a safe and feasible alternative to conventional three-portal laparoscopic splenectomy in dogs.
- SILS offers advantages in reduced operative time and smaller scar length.
- This technique represents a viable option for canine splenectomy procedures.
