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KMID : 1094020140310050371
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Journal of Veterinary Clinics
2014 Volume.31 No. 5 p.371 ~ p.375
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Removal of Urinary Calculi by Laparoscopic-Assisted Cystoscopy in Five Dogs
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Lee Seung-Yong
Park Se-Jin
Kim Min-Hyang
Seok Seong-Hoon
Yeon Seong-Chan
Kim Young-Ki
Lee Hee-Chun
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Abstract
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This article describes the use of laparoscopic-assisted cystoscopy for removal of urinary calculi in five dogs. All dogs had micturition disorder due to urinary calculi. The surgical technique used was same in all cases. A urethralcatheter passed into the urinary bladder through the urethra preoperatively. A 5-mm diameter cannula was placed inthe ventral midline, 1 to 2 cm cranial to the umbilicus, and the 5-mm laparoscope was introduced via the cannula. A 10-mm diameter cannula was placed adjacent to the apex of the bladder under the visual guidance of laparoscopy. The bladder was then partially exteriorized through the 10-mm portal site, and a stab incision was performed on thebladder wall. The incisional margin of the bladder was sutured to the skin of the second portal site in 360o simplecontinuous suture. A 2.7-mm diameter cystoscope with a sheath was introduced into the bladder lumen. The cysticand urethral calculi were removed under the visual guidance of cystoscopy with continuous fluid flushing. No majorpostoperative complications were identified. During the follow up period (range 7 to 21 months), no episodes of urinarydysfunction or recurrence of clinical signs were observed.
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KEYWORD
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cystoscopy, dog, laparoscopic-assisted cystoscopy, urinary calculi
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