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首页> 外文期刊>Journal of feline medicine and surgery >Diagnostic laparoscopy in the cat: 2. Common procedures. (Special Issue: Endoscopy and endosurgery, part 2.)
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Diagnostic laparoscopy in the cat: 2. Common procedures. (Special Issue: Endoscopy and endosurgery, part 2.)

机译：在猫中进行腹腔镜诊断：2.常用程序。 （特刊：内窥镜和内窥镜手术，第2部分。）

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Practical relevance: Minimally invasive techniques are becoming increasingly available in both first opinion and referral veterinary surgeries. Clients may be reluctant to pursue open surgery for the collection of biopsy samples in a sick cat but may be more open to a laparoscopic approach. Furthermore, a laparoscopic approach provides excellent visualization of the abdominal organs and enables high quality biopsies to be taken that are invariably more diagnostic than percutaneous needle biopsies. Although the feline patient is small in size, its distensible abdomen allows more room for surgical manipulation than afforded by a similar sized canine patient. Clinical challenges: Clinical challenges for the most part relate to mastering laparoscopic technique. Familiarity with the use of long instrumentation viewed on a two-dimensional screen is essential. Hemostasis is an important consideration and suitable instrumentation for achieving hemostasis should be available at all times. Insufflation of the abdomen carries its own challenges with regard to anesthesia and this is covered in an accompanying article in this Special Issue series. Aim: This article introduces the feline practitioner to basic techniques required to effectively utilize diagnostic laparoscopy within feline medical investigations. It focuses on the common procedures of liver biopsy, cholecystocentesis, pancreatic biopsy, kidney biopsy and laparoscopic-assisted intestinal biopsy. Evidence base: Information provided in this article is drawn from the published literature and the authors' own clinical experience.
机译：实用意义：急诊和转诊兽医手术中越来越多地使用微创技术。客户可能不愿进行开放式手术以收集患病猫的活检样本，但可能更愿意接受腹腔镜手术。此外，腹腔镜检查方法可提供出色的腹部器官可视化效果，并能进行高质量的活检，而这些活检总是比经皮穿刺活检更具诊断性。尽管猫科动物患者体型较小，但其可扩张腹部比类似大小的犬科动物患者具有更大的手术操作空间。临床挑战：临床挑战大部分与掌握腹腔镜技术有关。熟悉在二维屏幕上查看长仪器的使用至关重要。止血是一个重要的考虑因素，并且应始终配备用于止血的合适仪器。在麻醉方面，腹部吹气有其自身的挑战，本特刊系列的随附文章对此进行了介绍。目的：本文向猫科医师介绍在猫科医学研究中有效利用诊断性腹腔镜检查所需的基本技术。它着重于肝活检，胆囊穿刺术，胰腺活检，肾脏活检和腹腔镜辅助肠活检的常见程序。证据基础：本文提供的信息来自已发表的文献和作者自身的临床经验。

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