Other language title :
ﺑﺮداﺷﺖ ﻃﺤﺎل ﺑﻪ ﻛﻤﻚ ﻻﭘﺎروﺳﻜﻮﭘﻲ در ﺳﮓ: ﻣﻌﺮﻓﻲ روش ﻛﺎرﮔﺬاري ﻟﻴﮕﺎﺗﻮرﻫﺎي داﺧﻞ ﺻﻔﺎﻗﻲ
Title of article :
Laparoscopic Assisted Splenectomy in Dogs: Introducing the Intracorporeal Ligature Placement Technique
Author/Authors :
Aryazand, Yazdan Department of Veterinary Surgery - School of Veterinary Medicine - Shiraz University , Dehghani Nazhvani, Seifollah Department of Veterinary Surgery - School of Veterinary Medicine - Shiraz University , Pedram, Mir Sepehr Department of Surgery & Radiology - Faculty of Veterinary Medicine - University of Tehran , Ashegh, Hosein Endoscopic Surgery Training Center - Tehran University of Medical Sciences , Yasan Bangash, Mohammad Department of Surgery & Radiology - Faculty of Veterinary Medicine - University of Tehran , Nazhvani, Dehghani Department of Veterinary Surgery - School of Veterinary Medicine - Shiraz University
Abstract :
Objective- To assess the feasibility of splenectomy using intracorporeal ligature placement technique.
Design- Randomized experimental study.
Animals- Dogs (n=7) weighting≥ 20 kg.
Procedures- Dogs were randomly selected. A lap-assisted splenectomy was performed. The feasibility of
splenectomy was examined using intracorporeal ligatures. Comparisons were made regarding the
anesthesia, surgery and splenectomy time. Moreover, oxygen saturation, end tidal CO2, heart rate
respiratory rate and rectal temperature were recorded and compared. Descriptive analyses were used.
Results- Mean durations were as follows: 114 min for anesthesia (range 80-210), 48 min for splenectomy
(range 27-100 min) and 74.31 min for surgery (45-140 min). Mean RR for all 7 dogs was 16 per/min
(PM) .The maximum was 29 PM and the minimum 8 PM. Mean HR was 66 beats per minute (BPM) .The
maximum was 129 BPM and the minimum 38 BPM. Mean SPO2 was 96.2% for all 7 dogs. Minimum
and maximum SPO2 levels were 84% and 99% respectively. The lowest and highest temperatures were
96.8 and 99.7 ° F during the procedure. Mean temperature was reported to be 97.9° F. Mean ETCO2 was
38.2. Minimum and maximum levels were 29 and 43 Respectively.
Conclusion and Clinical Relevance- lap-assisted splenectomy could be safely performed using
intracorporeal ligature. It is a safe technique which provides solid vessel sealing.
Farsi abstract :
ﻫﺪف- اﺛﺒﺎت اﻣﻜﺎن ﭘﺬﻳﺮي اﻧﺠﺎم ﺟﺮاﺣﻲ ﻻﭘﺎروﺳﻜﻮﭘﻲ ﺑﺮداﺷﺖ ﻃﺤﺎل در ﺳﮓ ﺑﻪ ﻛﻤﻚ ﻗﺮار دادن ﻟﻴﮕﺎﺗﻮر روي ﻋـﺮوق ﻃﺤـﺎل ﺑـﻪ ﺷـﻴﻮه ي ﻻﭘﺎروﺳﻜﻮﭘﻲ.
ﻃﺮح- ﻣﻄﺎﻟﻌﻪ ﺗﺠﺮﺑﻲ
ﺣﻴﻮاﻧﺎت- 20 ﻗﻠّﺎده ﺳﮓ ﺑﺎ وزن ﺑﻴﺸﺘﺮ از 20 ﻛﻴﻠﻮﮔﺮم.
روش ﻛﺎر- ﺳﮓ ﻫﺎ ﺑﻪ ﺻﻮرت اﺗﻔﺎﻗﻲ از ﻳﻚ ﻧﻤﻮﻧﻪ ﺑﺰرگ اﻧﺘﺨﺎب ﺷﺪﻧﺪ. ﺟﺮاﺣﻲ ﻻﭘﺎروﺳﻜﻮﭘﻲ ﺑﺮداﺷـﺖ ﻃﺤـﺎل روي آﻧﻬـﺎ اﻧﺠـﺎم ﺷـﺪ اﻣﻜـﺎن ﭘﺬﻳﺮي روش ﻗﺮار دادن ﻟﻴﮕﺎﺗﻮر روي ﻋﺮوق ﻃﺤﺎل ﺑﺎ روش ﻻﭘﺎروﺳﻜﻮﭘﻲ ﻣﻮرد آزﻣﺎﻳﺶ ﻗﺮار ﮔﺮﻓﺖ. ﭘﺎراﻣﺘﺮﻫﺎي ﻣﺨﺘﻠﻔﻲ ﺗﺤﺖ ﺑﻴﻬﻮﺷـﻲ ﻣـﻮرد ﺑﺮرﺳﻲ ﻗﺮار ﮔﺮﻓﺘﻨﺪ از ﺟﻤﻠﻪ: ﻃﻮل ﻣﺪت ﺑﻴﻬﻮﺷﻲ، ﺟﺮاﺣﻲ، ﺑﺮداﺷﺖ ﻃﺤﺎل. ﻋﻼوه ﺑﺮ اﻳﻨﻬﺎ درﺻﺪ اﺷﺒﺎع اﻛﺴﻴﮋن، ﻣﻴﺰان دي اﻛﺴﻴﺪ ﻛﺮﺑﻦ ﺑـﺎز دﻣﻲ، ﺿﺮﺑﺎن ﻗﻠﺐ و ﺗﻌﺪاد ﺗﻨﻔﺲ ﻫﻢ ﻣﻮرد اﻧﺪازه ﮔﻴﺮي ﻗﺮار ﮔﺮﻓﺘﻨﺪ. از آﻣﺎر ﺗﻮﺻﻴﻔﻲ ﺑﺮاي ﻣﻘﺎﻳﺴﻪ ﻫﺎ اﺳﺘﻔﺎده ﺷﺪ.
ﻧﺘﺎﻳﺞ- ﻣﻴﺎﻧﮕﻴﻦ ﻃﻮل ﻣﺪت ﺑﻴﻬﻮﺷﻲ 114 دﻗﻴﻘﻪ )120-80 دﻗﻴﻘﻪ(، ﻣﻴﺎﻧﮕﻴﻦ ﻃﻮل ﻣﺪت ﺑﺮداﺷﺖ ﻃﺤﺎل 48 دﻗﻴﻘﻪ )100-27 دﻗﻴﻘﻪ(، و ﻣﻴﺎﻧﮕﻴﻦ ﻃﻮل زﻣﺎن ﺟﺮاﺣﻲ 74/31 دﻗﻴﻘﻪ 140-45 دﻗﻴﻘﻪ( ﺑﻮد. ﻣﻴﺎﻧﮕﻴﻦ ﺗﻌﺪاد ﺗﻨﻔﺲ 16 ﺑﺎر در دﻗﻴﻘﻪ )29-8 ﺑﺎر در دﻗﻴﻘﻪ(، ﻣﻴﺎﻧﮕﻴﻦ تعداد ضربان قلب 66 بار در دقيقه ( 38- 129 بار در دقيقه). ميانگين درصد اشباع اكسيژن 96/2درصد 84 -99 %). ميانگين دماي ركتال 37/4 ) )38,9-36,1(، ﻣﻴﺎﻧﮕﻴﻦ دي اﻛﺴﻴﺪ ﻛﺮﺑﻦ ﺑﺎز دﻣﻲ 38/2 )43-29 ﺑﻮد.
ﻧﺘﻴﺠﻪ ﮔﻴﺮي و ﻛﺎرﺑﺮد ﺑﺎﻟﻴﻨﻲ- ﺟﺮاﺣﻲ ﺑﺮداﺷﺖ ﻻﭘﺎروﺳﻜﻮﭘﻲ ﻃﺤﺎل در ﺳﮓ ﺑﺎ روش ﻗﺮار دادن ﻟﻴﮕﺎﺗﻮر ﺑﻪ ﺻﻮرت ﻻﭘﺎروﺳﻜﻮﭘﻲ روي ﻋﺮوق ﻃﺤﺎل اﻣﻜﺎنﭘﺬﻳﺮ ﻣﻲﺑﺎﺷﺪ. ﻟﻴﮕﺎﺗﻮرﻫﺎﻳﻲ ﻛﻪ ﺑﻪ اﻳﻦ روش روي ﻋﺮوق ﻗﺮار داده ﻣﻲﺷﻮﻧﺪ ﺗﻮاﻧﺎﻳﻲ ﺧﻮن ﺑﻨﺪي ﻛﺎﻓﻲ را دارا ﺑﻮده و ﻳﻚ روش اﻣﻦ ﺑﺮاي ﺟﺮاﺣﻲ ﺑﺮداﺷﺖ ﻃﺤﺎل ﻣﻲﺑﺎﺷﺪ.
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Keywords :
Laparoscopy , Splenectomy , Dog
Journal title :
Astroparticle Physics