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Laparoskopinin uygulanılabilirliği, invaziv cerrahiye kıyasla noninvaziv cerrahinin etkileyici sonuçlarına bağlıdır. İnsanlarda uygulanılan birçok cerrahi işlem, etkin ve düşük morbidite nedeniyle veteriner hekimlikte de yer almaktadır. Veteriner hekimlikte karaciğer, ekstrahepatik biliyer sistem, pankreas, böbrekler, dalak, bağırsak ve genitoüriner sistem dahil olmak üzere çeşitli organların noninvazif değerlendirilmesi için birçok teknik geliştirilmiştir. Çalışma materyallerini, abdominal organlarda problem şühpeli ve travma öyküsü olan farklı cins, yaş, cinsiyet ve ağırlıktaki yirmi kedi oluşturdu. Klinik incelemelerin ardından olgulara laparoskopik cerrahi uygulandı. Klinik muayenede vakaların tamamı vital olarak stabildi. Laparoskopik incelemede karaciğer, safra kesesi, mide, böbrek, bağırsaklar, mesane, uterus ve dalak net olarak izlendi. Olguların tamamına yakınında herhangi bir patoloji ile karşılaşılmazken; bir olguda dalak renginde değişiklik gözlendi. Bazı olgularda kontrollü sistozentez uygulandı. Bu makale, kedilerde laparoskopi için gerekli ekipman ve tekniklerin gerekli olduğunu vurgulamaktadır. Laparoskopik muayenenin intraabdominal organların incelenmesinde veya patolojik kitlelere biyopsi uygulanmasında diğer yöntemlerine göre daha başarılı sonuçlar verdiği görülmektedir.
The applicability of laparoscopy depends on the impressive results of non-invasive surgery compared to invasive surgery. Many of the surgical procedures applied to humans are also included in veterinary medicine due to effective and low morbidity. In veterinary medicine, many techniques have been developed for non-invasive assessment of various organs, including the liver, extrahepatic cognitive system, pancreas, kidneys, branches, intestines and genitouriner system. The study material was composed of twenty cats of different gender, age, gender and weight, with problems in the abdominal organs and trauma history. After clinical trials, laparoscopic surgery was applied to the cases. In clinical trials, all cases were vitally stable. In the laparoscopic examination, the liver, the gallbladder, the stomach, the kidneys, the intestines, the urethra, the uterus and the womb were clearly monitored. While there was no pathology near all of the cases; in one case, a change in the colour of the wave was observed. In some cases, controlled systosenthesis was applied. This article emphasizes the need for equipment and techniques for laparoscopy in cats. Laparoscopic examination is shown to give more successful results in the study of intraabdominal organs or in the application of biopsy to pathological masses than other methods.
The use of diagnostic and therapeutic laparoscopy has increased tremendously in human medicine in the last 10 years. The widespread acceptance of laparoscopy is due to technological advances in equipment and the impressive results of this noninvasive modality compared to invasive surgery. Many procedures performed in humans are accepted for veterinary medicine due to the convenience, efficiency, and low morbidity of many procedures. Techniques have been developed in veterinary medicine for noninvasive evaluation of various organs including the liver, extrahepatic biliary system, pancreas, kidneys, spleen, intestine, and genitourinary system. Biopsy procedures of these organs can be performed in most patients with minimal risk. Twenty cats of different breeds, ages, genders, and weights with abdominal complications and a history of trauma were used as study material. After the clinical examination of the patients, laparoscopic surgery was performed. Clinical examination revealed that the cases were stable. Liver, gall bladder, stomach, kidney, intestines, urinary bladder, ovary, and spleen were clearly observed during the laparoscopic examination. While almost all of the cases are not encountered with any pathology in the organs; It was observed comfortably that in one case the spleen color changed regardless of age. Laparoscopy enabled controlled cytosynthesis in some cases. This article reviews that the equipment and techniques should be required for performing laparoscopy in cats. As a result, it was concluded that laparoscopic examination yielded more successful results in the examination of abdominal organs or the application of surgical techniques on the biopsy of pathological masses compared to other diagnostic methods. Further studies with a larger group of cats should be considered to compare the efficacy of laparoscopic procedures.
Alan : Sağlık Bilimleri
Dergi Türü : Uluslararası
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