Laparoscopic Splenectomy in Goats
Article first published online: 1 APR 2009
© Copyright 2009 by The American College of Veterinary Surgeons
Volume 38, Issue 3, pages 406–410, April 2009
How to Cite
ZHANG, J.-T., WANG, H.-B., LIU, Y.-F., SUN, Y.-G., SHAO, J.-T. and SHI, J. (2009), Laparoscopic Splenectomy in Goats. Veterinary Surgery, 38: 406–410. doi: 10.1111/j.1532-950X.2009.00507.x
- Issue published online: 1 APR 2009
- Article first published online: 1 APR 2009
- Submitted July 2008; Accepted October 2008
Objective— To report laparoscopic splenectomy in goats.
Study Design— Experimental study.
Animals— Healthy female goats (n=9); aged, 10–18 months; weighing, 22–30 kg.
Methods— Food was withheld for 24 hours and water for 10 hours. Anesthetized right laterally recumbent goats had a laparoscopic portal and 3 instrumental portals created in the left flank. Splenic attachments were dissected with monopolar electrocautery and blunt dissection through 2 instrument portals. Exposure and isolation of splenic vessels was performed with laparoscopic “right-angle” preparation forceps. Vessels were ligated with a medium-titanium clip and 2 silk sutures and then transected between the silk sutures. The detached spleen was manipulated into a specimen retrieval bag, morcellated, and the bag retrieved through an enlarged portal. Repeat laparoscopic examination was performed at 1 month.
Results— Laparoscopic splenectomy required 70 minutes (range, 52–88 minutes) and was successful without major intraoperative and postoperative complications. Postoperatively, all goats had signs of mild abdominal discomfort. On repeat laparoscopy, with the exception of 1 goat that had a focal omental adhesion to the enlarged portal site, no other abnormalities were identified.
Conclusions— Laparoscopic splenectomy can be accomplished in goats using 4 portals in the left flank and a combination of monopolar cautery dissection of splenic attachments, ligation of vessels using metal clips and intracorporeal ligatures, and intra-abdominal morcellation of the detached spleen in a specimen retrieval bag.
Clinical Relevance— Laparoscopic splenectomy is an effective and safe technique in goats.