Laparoscopic Cholecystectomy with Single Port Access System in 15 Dogs

Abstract

Objective To evaluate the outcome of laparoscopic cholecystectomy performed with a single port access system (SPAS) in dogs. Study Design Retrospective study. Animals Fifteen client‐owned dogs with nonobstructive gallbladder disease. Methods Medical records were reviewed for signalment, clinical signs, diagnostic imaging, surgical findings, and outcome until suture removal. Results The SPAS was placed 1 cm caudal to the umbilicus. The procedure was completed with the SPAS alone in two cases. An additional cannula was added in 12 cases. In the last 10 cases, the additional cannula was placed at the beginning of the procedure. Dissection began at the cystic duct in 11 dogs (73%). In three cases (20%), the SPAS procedure was converted to a laparotomy; two of these conversions were elective, and one was emergent. The risk of conversion was affected by the experience of the surgeon (odds ratio = 0.53; P = .0105), and the rate of conversion was reduced when a cannula was added at the beginning of the procedure (P = .022). Fourteen dogs were discharged from the hospital. One dog died after being discharged due to severe cholangiohepatitis, and another dog died due to leakage of a gastrostomy tube. Conclusions The use of SPAS for cholecystectomy in dogs has an acceptable outcome. The experience gained by the surgeon and the addition of a cannula reduced the risk of conversion. Clinical Relevance/Impact Laparoscopic cholecystectomy can be performed with a SPAS. The placement of an additional cannula at the beginning of the procedure is highly recommended.

Evaluation of coagulation parameters in dogs with gallbladder mucoceles

“…[29][30][31][32] The technique for successful laparoscopic removal of the gallbladder has been described in the veterinary literature. [33][34][35] Although the TEG G value characterized most dogs with GBM as hypercoagulable, whether a hypercoagulable G value can be used as a biomarker for the presence of clinical thrombosis is controversial.…”

“… 29 , 30 , 31 , 32 The technique for successful laparoscopic removal of the gallbladder has been described in the veterinary literature. 33 , 34 , 35 …”

“…In addition, switching from open surgical procedures for cholecystectomy to laparoscopic approaches, which are associated with a diminished acute phase response, might minimize thrombotic tendencies 29‐32 . The technique for successful laparoscopic removal of the gallbladder has been described in the veterinary literature 33‐35 …”

Case Report: Surgical Correction of a Cystic Duct Stump Leakage Following Cholecystectomy Using an Autologous Rectus Sheath Graft in a Dog

“…For the treatment of CDSL in dogs, biliary diversion surgery has not been well-developed because of technical challenges and the unclear relationship between increased CBD pressure and CDSL (12). Therefore, open surgical treatment remains the preferred approach for CDSL in dogs (2,6,13).…”

Intraoperative cholangiography and bile duct flushing in 47 dogs receiving laparoscopic cholecystectomy for benign gallbladder disease: A retrospective analysis

“…Laparoscopic cholecystectomy (LC) is a well established procedure in human general surgery and is increasingly advocated for use in dogs 1–4 . Whether open or laparoscopic, cholecystectomy can be technically challenging 5 .…”