Laparoscopic Cholecystectomy

Mayhew, Philipp D.; Singh, Ameet

doi:10.1002/9781118845912.ch17

Cited by 3 publications

(8 citation statements)

References 26 publications

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“…In people, the use of a self‐locking polymer clip (Hem‐O‐Lok clip TM , Weck, Research Triangle Park, NC) is preferred over concern for migration or dislodgement of the metallic clips . The polymer clip has not been evaluated in laparoscopic cholecystectomy in dogs, but clinical reports have been favourable . The use of a bioabsorbable polymer clip (Laparo clip TM , Covidien Inc) has also been investigated, which may be preferential to avoid potential nidus stone formation in the cystic duct .…”

Section: Discussionmentioning

confidence: 99%

“…[36][37][38] The polymer clip has not been evaluated in laparoscopic cholecystectomy in dogs, but clinical reports have been favourable. 39 The use of a bioabsorbable polymer clip (Laparo clip TM , Covidien Inc) has also been investigated, 36 which may be preferential to avoid potential nidus stone formation in the cystic duct. 40 The best method of cystic duct ligation cannot be discerned from our study or others due to the lack of randomized control trials.…”

Section: Discussionmentioning

confidence: 99%

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Perioperative Complications and Outcome of Laparoscopic Cholecystectomy in 20 Dogs

et al. 2016

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Perioperative Complications and Outcome of Laparoscopic Cholecystectomy in 20 Dogs

et al. 2016

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“…In this study, intraluminal debris obstructed the CBD during LC in one dog. When handling the gallbladder during LC or open cholecystectomy, debris from the gallbladder can be dislodged and obstruct the CBD 13 . In this dog, BDF was unsuccessful, and a contrast agent was not injected into the bile duct.…”

Section: Discussionmentioning

confidence: 95%

“…In addition, BDF and IOC can be performed regardless of the diameter of the cystic duct or any adhesion around it. In contrast, conventional CDF transects the cystic duct first, and then dissects the gallbladder in a retrograde direction 1,13 . Although the CDF method is relatively easy to perform, BDF and IOC cannot be performed because the cystic duct is transected first, and its length is not sufficient for the catheter insertion.…”

Section: Discussionmentioning

confidence: 99%

“…Dogs were positioned in dorsal recumbency. Portal positioning for the fundic dissection first (FDF) method differs from that of the cystic dissection first (CDF) method 13 . Three standard ports were placed, and then a fourth port was placed on the right side at the mid‐abdominal level, 4 which was used by an assistant to elevate the liver cranially.…”

Section: Methodsmentioning

confidence: 99%

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

Kanai¹,

Minamoto

Nukaya

et al. 2021

Veterinary Surgery

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Objective To describe a laparoscopic approach for performing intraoperative cholangiography (IOC) and bile duct flushing (BDF) during laparoscopic cholecystectomy (LC) in dogs. To investigate the clinical outcomes of dogs undergoing these procedures for the treatment of benign gallbladder disease, ie gallbladder mucocele (GM) or cholecystitis. Study design Retrospective study. Animals Forty‐seven client‐owned dogs. Methods Medical records of client‐owned dogs with benign gallbladder diseases that underwent IOC and BDF during LC between September 2016 and December 2019 were reviewed. Of these dogs, only dogs with GM or cholecystitis were included in the study. The fundus dissection first method was used for LC. Intraoperative cholangiography and BDF procedures were performed laparoscopically using a catheter inserted into the cystic duct following dissection within the subserosal layer of the gallbladder. Videos recorded during each procedure were reviewed, and data on procedure duration, completion, outcome, and technical approach were recorded. Results Forty‐seven dogs were included in the study. The median procedure time for BDF and IOC was 4 min (range, 2‐48 min), and no intraoperative or postoperative complications occurred. Conclusion During LC, BDF and IOC were performed safely and successfully. Intraoperative cholangiography identified obstructions and strictures in the common bile duct that were not detected using BDF alone. Clinical significance Our findings suggest that BDF and IOC are both safe and time effective and should be considered for routine use by surgeons during LC.

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Gallbladder leiomyoma treated by laparoscopic cholecystectomy in a dog

Lovell

Singh

Linden

et al. 2019

javma

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CASE DESCRIPTION A 12-year-old spayed female Chinese Crested was referred because of a mass detected in the gallbladder during ultrasonographic evaluation of the abdomen, which had been prompted by a history of high serum liver enzyme activities. CLINICAL FINDINGS Serum biochemical analysis revealed mild hypoglobulinemia and high alkaline phosphatase, γ-glutamyltransferase, and alanine aminotransferase activities. Abdominal ultrasonography revealed diffuse hepatopathy and multiple pedunculated mucosal structures within the gallbladder. TREATMENT AND OUTCOME Following initial treatment with ursodiol (11.4 mg/kg [5.18 mg/lb], PO, q 12 h) and S-adenosylmethionine (30 mg/kg [13.6 mg/lb], PO, q 24 h) for 1 month to address possible cholestasis, no change was noted in ultrasonographic or serum biochemical findings. Consequently, laparoscopic cholecystectomy was performed concurrently with laparoscopic liver biopsy. Histologic evaluation of resected gallbladder tissue and the liver biopsy specimen revealed evidence of multifocal to coalescing leiomyomas of the gallbladder and multifocal lipogranulomas of the liver. Eleven days after the dog was discharged from the hospital, it was taken to an emergency clinic because of anorexia, vomiting, and diarrhea. Mild pancreatitis or gastroenteritis was suspected, supportive treatment was provided, and ursodiol and S-adenosylmethionine administration was reinitiated. At the time of follow-up telephone contact with the owner 234 days after surgery, the dog continued to receive ursodiol and S-adenosylmethionine and had no clinical signs associated with hepatobiliary disease. CLINICAL RELEVANCE Leiomyomas, although rare, can develop in dogs and should be considered as a differential diagnosis for intramural gallbladder lesions. Laparoscopic cholecystectomy served as a minimally invasive surgical treatment for this benign neoplasia.

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Laparoscopic Cholecystectomy

Cited by 3 publications

References 26 publications

Perioperative Complications and Outcome of Laparoscopic Cholecystectomy in 20 Dogs

Perioperative Complications and Outcome of Laparoscopic Cholecystectomy in 20 Dogs

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

Gallbladder leiomyoma treated by laparoscopic cholecystectomy in a dog

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