Comparison of Pneumoperitoneum Volumes in Lift Laparoscopy With Variable Lift Locations and Tensile Forces

Kennedy, Katie C.; Fransson, Boel A.; Roberts, Gregory

doi:10.1002/vsu.12306

Cited by 8 publications

(7 citation statements)

References 38 publications

(104 reference statements)

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“…The lift laparoscopy was found to be a safe and feasible alternative to classical laparoscopy, in which CO 2 is used for insufflation of the abdominal cavity. The same group recently published a subsequent study on the influence of different positions/ combinations of lifting devices and different tensile force (Kennedy, Fransson, Gay, & Roberts, 2015). The results supported several recommendations on placement and tensile force for surgeries involving different compartments of the coeliac cavity.…”

Section: Working Space In Abdominal Endoscopic Surgerysupporting

confidence: 55%

Advances in endoscopic surgery for small animal reproduction

Katic

Dupré

2016

Reprod Domestic Animals

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Although endoscopic surgery entered its "golden era" in the mid-1980s, it is still advancing at a tremendous pace. Novel surgical techniques and devices are continuously developed and applied, and new indications (and/or contraindications) for the use of endoscopic surgery are routinely reported in the literature and subjected to systematic assessments. Although endoscopic surgery (laparoscopy in particular) has already become established as the gold standard in human medicine, it has yet to be proven as a viable alternative to open surgery in the field of veterinary medicine. The advantages of minimally invasive surgery include better intra-operative visualization, reduced postoperative pain, reduced scar formation and increased postoperative mobility. Therefore, it is reasonable to expect that the application of this will continue to expand. Small animal reproduction, a field within the broad discipline of veterinary medicine, has already recognized and begun to reap the benefits of endoscopic surgery. Herein, we retrospectively review the most recent successful novel applications of endoscopic surgery in the small animal reproduction system to provide small animal reproductive surgeons with important knowledge to help improve their own veterinarian medical practice.

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Section: Working Space In Abdominal Endoscopic Surgerysupporting

confidence: 55%

Advances in endoscopic surgery for small animal reproduction

Katic

Dupré

2016

Reprod Domestic Animals

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“…In this study, the device was empirically pulled to the point that surgeons considered suitable for performing the procedure. Adequate visualization and working space have been reported in dog cadavers with a pulling force of 20% body weight in the umbilical region (KENNEDy et al, 2015). The increase in lift forces provided a greater volume of workspace; however, the pressure on tissues in direct contact with the lifting device also increases, & RAMSEY, 2015).…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic adrenalectomy: comparison between pneumoperitoneum and the use of a laparoscopic lift device in dog cadavers

et al. 2023

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This study evaluated the feasibility of abdominal liftfor laparoscopic adrenalectomy and compared it with the conventional laparoscopic technique using pneumoperitoneum with medicinal CO2 in dog cadavers. The total surgical time (TST), adrenalectomy time (AT), and gland integrity after removal were evaluated. Thirty-eight adrenalectomies were performed in 19 cadavers. Regardless of the antimere, the TST was significantly lower in the CO2 procedures than in the lift laparoscopy procedures (P=0.001). When comparing the techniques between antimeres, the TST was significantly higher on the left side with lift laparoscopy than with CO2 (P=0.015) and similar between the techniques on the right side of the animals (P=0.086). In the comparison of AT, regardless of the execution side, no differences were observed between the techniques (P=0.05). The same was observed when AT was evaluated separately using antimeres (P=0.902). Of the 38 adrenals evaluated, 92.1% were removed in a single block, and 32.29% had a superficial lesion in the capsule. There was no difference between the groups in the removal capacity in a single block (P=0.340) and capsule integrity (P=0.287). Abdominal lift for laparoscopic adrenalectomy is a feasible technique in dog cadavers; however, it requires a longer surgical time than the conventional technique. The traction force used to elevate the abdominal wall must be evaluated.

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“…According to Kennedy et al (2015), a caudal abdominal lift is useful in abdominal surgeries in this location, where minimal abdominal exploration is required. Fransson et al (2015) stated that laparoscopy performed by abdominal elevation is adequate when repeated procedures are required, such as multiple biopsies in different organs.…”

Section: Discussionmentioning

confidence: 99%

Gasless laparoscopic renal biopsy in canine cadavers: a preclinical study

Milech,

Antunes,

Caye

et al. 2023

Braz. J. Vet. Med.

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In this study we aimed to analyze the feasibility of the gasless renal biopsy technique in canine cadavers. The cadavers were randomly divided into two groups: laparoscopic GCG, in which gasless laparoscopy was performed and GCP, laparoscopy with pneumoperitoneum was performed. The procedures were randomly performed on the right and left kidneys. The total surgical time, procedural steps, and intraoperative complications were recorded. The degree of difficulty of the surgical approaches was evaluated by the surgeon, assistant, and external evaluators. Renal samples were evaluated for quality, number of glomeruli, and proportion of renal cortex. The total operative time was higher in the GCG group than in the GCP group (p < 0.01). Additionally, positioning of the second portal and platform positioning took longer than the other steps. The surgical groups differed from each other in the Likert scale values for almost all the parameters regarding the difficulty of the surgical approaches (p < 0.05), with higher scores in the GCG group than in the GCP group. Based on the video recordings, the GCP group had higher scores than the GCG group for degrees of difficulty of the approach (p < 0.05). Renal histological parameters were similar between the surgical groups and surgical sides. Our study findings indicate that the proposed gasless renal biopsy technique is feasible. The longer operative time and technical difficulties in the gasless approach did not affect the quality of the renal specimens.

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Comparison of Pneumoperitoneum Volumes in Lift Laparoscopy With Variable Lift Locations and Tensile Forces

Cited by 8 publications

References 38 publications

Advances in endoscopic surgery for small animal reproduction

Advances in endoscopic surgery for small animal reproduction

Laparoscopic adrenalectomy: comparison between pneumoperitoneum and the use of a laparoscopic lift device in dog cadavers

Gasless laparoscopic renal biopsy in canine cadavers: a preclinical study

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