Development of a technique for standing hand‐assisted laparoscopic splenectomy in five horses

• DOI: 10.1111/avj.12326
• Publication Date: 2015-05-26T13:14:43Z
• Authors: LA Gracia‐Calvo; M Martín‐Cuervo; J Jiménez; V Vieítez; D Argüelles; ME Durán; J Ezquerra
• Keywords: Postoperative Care; 24 Ciencias de la Vida; 31 Ciencias Agrarias; Conscious Sedation; Caballos; 04 agricultural and veterinary sciences; Laparoscopic surgery; Esplenectomía; 3. Good health; 0403 veterinary science; 03 medical and health sciences; Hand-assisted techniques; 0302 clinical medicine; Técnicas manuales; Cirugía laparoscópica equina; Splenectomy; Animals; Hand-Assisted Laparoscopy; Horses; Laparoscopic equine surgery; Ligation; Spleen; Cirugía laparoscópica; Anesthesia, Local

To develop an experimental standing hand-assisted laparoscopic splenectomy (HALS) technique, report the associated peri-operative complications and document short-term surgical outcomes.Five healthy 300-470 kg horses that underwent HALS. Spleens of different weights (2.25-7.0 kg) were removed using this technique. The main complication during surgery was difficulty sectioning gastrosplenic ligament. postoperative included adhesions colon to nephrosplenic ligament stump incisional discharge in two horses.Standing HALS is a feasible procedure for medium-sized horses, which avoids rib excision general anaesthesia, but requires further development.