Kedilerde Diagnostik Laparoskopik Uygulama Sonuçlarının Değerlendirilmesi

Yıl 2021, Cilt: 32 Sayı: 2, 57 - 61, 31.07.2021

Maide Bal Elgin Orçum Uzunlu Mustafa Arıcan

https://doi.org/10.36483/vanvetj.882298

Öz

Laparoskopinin uygulanılabilirliği, invaziv cerrahiye kıyasla noninvaziv cerrahinin etkileyici sonuçlarına bağlıdır. İnsanlarda uygulanılan birçok cerrahi işlem, etkin ve düşük morbidite nedeniyle veteriner hekimlikte de yer almaktadır. Veteriner hekimlikte karaciğer, ekstrahepatik biliyer sistem, pankreas, böbrekler, dalak, bağırsak ve genitoüriner sistem dahil olmak üzere çeşitli organların noninvazif değerlendirilmesi için birçok teknik geliştirilmiştir. Çalışma materyallerini, abdominal organlarda problem şühpeli ve travma öyküsü olan farklı cins, yaş, cinsiyet ve ağırlıktaki yirmi kedi oluşturdu. Klinik incelemelerin ardından olgulara laparoskopik cerrahi uygulandı. Klinik muayenede vakaların tamamı vital olarak stabildi. Laparoskopik incelemede karaciğer, safra kesesi, mide, böbrek, bağırsaklar, mesane, uterus ve dalak net olarak izlendi. Olguların tamamına yakınında herhangi bir patoloji ile karşılaşılmazken; bir olguda dalak renginde değişiklik gözlendi. Bazı olgularda kontrollü sistozentez uygulandı. Bu makale, kedilerde laparoskopi için gerekli ekipman ve tekniklerin gerekli olduğunu vurgulamaktadır. Laparoskopik muayenenin intraabdominal organların incelenmesinde veya patolojik kitlelere biyopsi uygulanmasında diğer yöntemlerine göre daha başarılı sonuçlar verdiği görülmektedir.

Anahtar Kelimeler

Abdomen, Kedi, Laparoskopi

Destekleyen Kurum

Selçuk Üniversitesi Bilimsel Araştırma Projeleri Koordinatörlüğü

Proje Numarası

20212037

Teşekkür

Selçuk Üniversitesi Bilimsel Araştırma Projeleri Koordinatörlüğü'ne

Diagnostic Laparoscopic Procedure In Cats With Abdominal Disorders

Öz

The use of diagnostic and therapeutic laparoscopy has increased tremendously in human medicine in the last 10 years. The widespread acceptance of laparoscopy is due to technological advances in equipment and the impressive results of this noninvasive modality compared to invasive surgery. Many procedures performed in humans are accepted for veterinary medicine due to the convenience, efficiency, and low morbidity of many procedures. Techniques have been developed in veterinary medicine for noninvasive evaluation of various organs including the liver, extrahepatic biliary system, pancreas, kidneys, spleen, intestine, and genitourinary system. Biopsy procedures of these organs can be performed in most patients with minimal risk. Twenty cats of different breeds, ages, genders, and weights with abdominal complications and a history of trauma were used as study material. After the clinical examination of the patients, laparoscopic surgery was performed. Clinical examination revealed that the cases were stable. Liver, gall bladder, stomach, kidney, intestines, urinary bladder, ovary, and spleen were clearly observed during the laparoscopic examination. While almost all of the cases are not encountered with any pathology in the organs; It was observed comfortably that in one case the spleen color changed regardless of age. Laparoscopy enabled controlled cytosynthesis in some cases. This article reviews that the equipment and techniques should be required for performing laparoscopy in cats. As a result, it was concluded that laparoscopic examination yielded more successful results in the examination of abdominal organs or the application of surgical techniques on the biopsy of pathological masses compared to other diagnostic methods. Further studies with a larger group of cats should be considered to compare the efficacy of laparoscopic procedures.

Anahtar Kelimeler

Abdomen, Cat, Laparoscopy

Proje Numarası

20212037

Kaynakça

• Boute N, McClaran J (2015). Laparoscopic contraindications, complications and conversions In: Small Animal Laparoscopy and Thoracoscopy, Mayhew PD, Fransson BA (Eds), 180-192. Wiley-Blackwell, New Jersey.
• Bowers SP, Hunter JG (2006). Contraindications to laparoscopy. Whelan RL, Fleshman JW, Fowler DL (Eds). The Sages Manual (pp. 25-32). Springer, New York.
• Collard F, Nadeau ME, Carmel ÉN (2010). Laparoscopic splenectomy for treatment of splenic hemangiosarcoma in a dog. Vet Surg, 39 (7), 870-872.
• Cosford K, Shmon C, Myers S et al. (2010). Prospective evaluation of laparoscopic pancreatic biopsies in 11 healthy cats. J Vet Intern Med, 24 (1) 104-13.
• Freeman LJ, Rahmani EY, Al-Haddad Met al. (2010). Comparison of pain and postoperative stress in dogs undergoing natural orifice transluminal endoscopic surgery, laparoscopic, and open oophorectomy. Gastrointest Endosc, 72 (2), 373-80.
• Gómez-Arrue J, Viloria AJ (2019). Laparokopi ve Cerrahi. Rodríguez J (Ed). Hayvan Cerrahisi (pp. 201-206). Güneş, Ankara.
• Holak P, Adamiak Z, Jałyński M, Chyczewski M (2010). Laparoscopy-guided prostate biopsy in dogs-a study of 13 cases. Pol J Vet Sci, 13 (4), 765-766.
• Mathon DH, Dossin O, Palierne S et al. (2009). A laparoscopic‐sutured gastropexy technique in dogs: mechanical and functional evaluation. Vet Surg, 38 (8), 967-74.
• Mathon DH, Palierne S, Meynaud‐Collard P et al. (2011). Laparoscopic‐assisted colopexy and sterilization in male dogs: short‐term results and physiologic consequences. Vet Surg, 40 (4), 500-508.
• Matyjasik H, Adamiak A, Pesta W, Zhalniarovich Y (2011). Laparoscopic Procedures in Dogs and Cats. Pol J Vet Sci, 14 (2), 305-316.
• Moran E, Hanes M, Huebner M, Gostout CJ, Bingener J (2011). Pulmonary and peritoneal inflammatory findings in transgastric NOTES compared with laparoscopy: pooled analysis from randomized porcine survival studies. Gastrointest Endosc, 74 (5), 1103-7.
• Richter KP (2001). Laparoscopy in dogs and cats. Vet Clin North Am Small Anim Pract, 31 (4), 707-727. Stuart Wolf J, Stoller ML (1994). The physiology of laparoscopy: basic principles, complications and other considerations. J Urol, 152 (2), 294-302.
• Sussman L, Lewis M, Secker A et al. (1999). Randomized clinical trial of early laparoscopy in the management of acute non-specific abdominal pain. Br J Surg, 86 (11), 1383-1386.
• Twedt DC, Monnet E (2005). Laparoscopy: technique and clinical experience. McCarthy TC (Ed). Veterinary endoscopy for the small animal practitioner (pp. 357-385). Elsevier, Missour.
• Urbanová L, Crha M, Raušer P, Nečas A (2011). Clinical results and complications of preventive laparoscopic assisted gastropexy in 17 dogs: preliminary study. Acta Vet Brno, 80 (1), 93-99.
• Webb C, Trott C (2008). Laparoscopic diagnosis of pancreatic disease in dogs and cats. J Vet Intern Med, 22 (6), 1263-1266.