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Transgastric Endoscopic Cholecystectomy in a Dog : Natural Orifice Transluminal Endoscopic Surgery  

Jeong, Seong-Mok (College of Veterinary Medicine, Chungnam National University)
Kim, Young-Ill (CS Clinic)
Lee, Jae-Yeon (College of Veterinary Medicine, Chungnam National University)
Jee, Hyun-Chul (College of Veterinary Medicine, Chungnam National University)
Park, Ji-Young (College of Veterinary Medicine, Chungnam National University)
Park, Jong-Heon (College of Medicine, Chungnam National University)
Kim, Ji-Yeon (College of Medicine, Chungnam National University)
Lee, Sang-Il (College of Medicine, Chungnam National University)
Kim, Myung-Cheol (College of Veterinary Medicine, Chungnam National University)
Shin, Sang-Tae (College of Veterinary Medicine, Chungnam National University)
Lee, Young-Won (College of Veterinary Medicine, Chungnam National University)
Publication Information
Journal of Veterinary Clinics / v.24, no.3, 2007 , pp. 315-319 More about this Journal
Abstract
Transgastric endoscopic cholecystectomy was successfully accomplished in a 1-year-old, 15 kg, female, mongrel dog. Single-working channel flexible gastric endoscope was used with the aid of one abdominal laparoscopic port. Gastrotomy was performed using endoscopic needle knife at the ventral antral region. Through the gastric incision endoscope was advanced and retroflexed for the visualization of gallbladder. For the better exposure of surgical field, gentle traction was applied at the fundus of the gallbladder using laparoscopic grasping forceps. Cystic duct and artery was ligated using endoclips. After transecting the duct and artery, gallbladder was dissected using endoscopic coagulating grasping forceps and needle knife. Resected gallbladder was retrieved through the mouth and gastric incision site was sutured using endoclips. There was no evidence of bile leakage or stomach leakage on postoperative day (POD) 3. On POD 16, gastric endoscopy and laparoscopy was performed. Gastric endoscopy revealed complete adhesion of incision site. The content of the peritoneum appeared healthy, with no sign of infection, bile staining, or organ injury. The omentum was adhered over resected gallbladder fossa and the serosal surface of gastrotomy site. This is the first report of NOTES cholecystectomy in the dog and provides new concept of cholecystectomy of the dog.
Keywords
cholecystectomy; transgastric; dog; NOTES;
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