Comparison of Single Port Access Versus Multiple Port Access Systems in Elective Laparoscopy: 98 Dogs (2005-2014)

Area of Science:

• Veterinary Surgery
• Minimally Invasive Procedures
• Surgical Outcomes

Background:

• Laparoscopic surgery in dogs offers benefits but requires skilled technique.
• Comparing single incision port access systems (SPAS) and multiple port access systems (MPAS) is crucial for optimizing outcomes.
• Veress needle use in MPAS has potential complications.

Purpose of the Study:

• To compare the surgical duration, complication rates, and conversion to open surgery between SPAS and MPAS in elective canine laparoscopic procedures.
• To evaluate the safety and efficacy of SPAS versus MPAS in veterinary laparoscopy.

Main Methods:

• Retrospective case series of 98 client-owned dogs undergoing elective laparoscopic surgery.
• Dogs were categorized into SPAS or MPAS groups based on the initial surgical approach.
• Data collected included surgical duration, intraoperative and postoperative complications, and reasons for open conversion.

Main Results:

• SPAS significantly reduced surgical time for gastropexy, ovariectomy, and combined procedures compared to MPAS.
• Intraoperative complications were significantly lower in the SPAS group (0/44) than the MPAS group (12/54).
• No significant difference in conversion to open surgery or postoperative incisional complications was observed between the groups.

Conclusions:

• Single incision port access systems (SPAS) are associated with reduced surgical time and fewer intraoperative complications in elective laparoscopic procedures.
• SPAS represents a potentially safer and more efficient alternative to MPAS for specific veterinary laparoscopic surgeries.