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Single Incision Laparoscopic‐Assisted Intestinal Surgery (SILAIS) in 7 Dogs and 1 Cat

J. Brad Case, Gary Ellison · Veterinary Surgery · 2013

AbstractObjectivesTo describe the clinical findings and short‐term outcome in 7 dogs and 1 cat undergoing single‐incision laparoscopic‐assisted intestinal surgery (SILAIS) using an SILS™ or EndoCone™ port.Study DesignProspective case series.AnimalsDogs (n = 7) and cat (n = 1).MethodsAn SILS™ port using three 5‐mm instrument cannulas or EndoCone™ port was used to perform an initial limited laparoscopic abdominal exploration. The stomach and descending duodenum were explored intracorporeally and the jejunum through orad descending colon was explored extracorporeally. All intestinal procedures (enterotomy, biopsy, resection, and anastomosis) were performed extracorporeally. Omentalization of affected bowel was accomplished either intracorporeally or extracorporeally. Short‐term outcome was determined.ResultsSILAIS was completed successfully in all but 1 dog and all animals had a good short‐term outcome. Most (n = 5) animals were discharged the day after surgery. SILAIS was performed in a median of 120 minutes (interquartile range; 82–148 minutes) and was associated with a moderate level of difficulty. No major complications occurred but conversion to celiotomy (n = 1) and enlargement

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