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Laparoscopic Splenectomy in Goats

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Abstract:

Objective

To report laparoscopic splenectomy in goats. Study Design

Experimental study. Animals

Healthy female goats (n=9); aged, 10–18 months; weighing, 22–30 kg. Methods

Food was withheld for 24 hours and water for 10 hours. Anesthetized right laterally recumbent goats had a laparoscopic portal and 3 instrumental portals created in the left flank. Splenic attachments were dissected with monopolar electrocautery and blunt dissection through 2 instrument portals. Exposure and isolation of splenic vessels was performed with laparoscopic “right-angle” preparation forceps. Vessels were ligated with a medium-titanium clip and 2 silk sutures and then transected between the silk sutures. The detached spleen was manipulated into a specimen retrieval bag, morcellated, and the bag retrieved through an enlarged portal. Repeat laparoscopic examination was performed at 1 month. Results

Laparoscopic splenectomy required 70 minutes (range, 52–88 minutes) and was successful without major intraoperative and postoperative complications. Postoperatively, all goats had signs of mild abdominal discomfort. On repeat laparoscopy, with the exception of 1 goat that had a focal omental adhesion to the enlarged portal site, no other abnormalities were identified. Conclusions

Laparoscopic splenectomy can be accomplished in goats using 4 portals in the left flank and a combination of monopolar cautery dissection of splenic attachments, ligation of vessels using metal clips and intracorporeal ligatures, and intra-abdominal morcellation of the detached spleen in a specimen retrieval bag. Clinical Relevance

Laparoscopic splenectomy is an effective and safe technique in goats.

Document Type: Research Article

DOI: https://doi.org/10.1111/j.1532-950X.2009.00507.x

Affiliations: College of Veterinary Medicine, Northeast Agricultural University, Harbin, China and Animal Science and Veterinary Bureau of Heihe City, Heihe, China

Publication date: 2009-04-01

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