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KMID : 1094020160330040214
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Journal of Veterinary Clinics
2016 Volume.33 No. 4 p.214 ~ p.217
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Laparoscopic Splenectomy in Two Dogs Using SonicisionTM
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Park Tae-Yeong
Kim Hyun-Jin
Kim Jung-Hoon
Kim Jun-Min
Seok Seong-Hoon
Yeon Seong-Chan
Lee Hee-Chun
Jung Dong-In
Hong Il-Hwa
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Abstract
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A 10-year-old, 24.1 kg, intact female Siberian husky dog (case 1) and 11-year-old, 5.0 kg, intact male Shihtzudog (case 2) presented with chief complaints of polydipsia, anorexia, vomiting and exercise intolerance (case 1)and stranguria (case 2). Splenic nodule (case 1) and mass (case 2) were identified in these patients throughultrasonographic examination. Laparoscopic splenectomy was conducted for the histopathologic evaluation. In addition,laparoscopic ovariohysterectomy, liver biopsy (case 1) and castration (case 2) were performed for treatment or diagnosisof primary symptoms. Under general anesthesia, 5 mm three-portal access laparoscopic splenectomy was performedusing the SonicisionTM equipment. The dogs were rotated onto right lateral recumbency. The spleen was elevated usinga fan or goldfinger retractor, which revealed the ventral aspect of the spleen. Resection of vessels was started at thecaudal aspect of the spleen using the SonicisionTM. The excised spleen was removed from the abdominal cavity usinga 12 mm endo-bag via the enlarged instrument portal. There were no post-operative complications in either patient. Histopathologic diagnoses were splenic lymphoid hyperplasia (case 1) and splenic nodular hyperplasia (case 2). Basedon our experience, laparoscopic splenectomy is sufficient to replace traditional splenectomy in small animal surgery. The use of the SonicisionTM could be a novel surgical technique for three-portal laparoscopic splenectomy, regardlessof patient size.
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KEYWORD
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dog, laparoscopic splenectomy, SonicisionTM
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