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Laparoscopic Cholecystectomy
A. Singh
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Introduction
Cholecystectomy is commonly performed in veterinary patients for mucocele, cholelithiasis, neoplasia or trauma. In people, laparoscopic cholecystectomy (LC) is performed for symptomatic cholelithiasis and has been shown to result in significantly shorter hospital stay and shorter convalescence compared with open cholecystectomy(OC). Conversion rates for LC in people are ~5-10% based on recent reports and most often due to adhesions obscuring visualization of the cystic/common bile duct, iatrogenic bile duct injury and hemorrhage.
Laparoscopic cholecystectomy has been described in a case series of six dogs and more recently in a multiinstitutional retrospective study that included 20 dogs. In the study by Scott et. al., six dogs were converted to OC (30%), however, factors associated with conversion were not identified.
Despite being an advanced laparoscopic procedure, surgeons with experience in minimally invasive surgery (MIS) can perform this procedure without complication using strict case selection. [...]
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Affiliation of the authors at the time of publication
Ontario Veterinary College, University of Guelph, Guelph, Canada
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