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引用次数: 0
摘要
本报告描述了在一只甲状腺功能减退症未获治疗的狗身上成功实施肝内导管切开和闭合术以治疗多发性胆石症的过程。一只 12 岁的绝育雌性斯比茨犬,体重 11.3 千克,被诊断为多发性胆石症,并进行了四侧肝叶切除术和胆囊切除术。大块胆结石位于左侧肝叶的肝内导管中,在左侧内叶和外叶肝内导管吻合口的远端。用湿纱布包扎了扩张的肝内管,并在最大胆结石近端最扩张的部分进行了切开和闭合。术后,患者肝功能正常,出院时总胆红素和 C 反应蛋白水平正常。术后第83天,在扩张的胆总管(CBD)中未发现结石,CBD的扩张程度从9毫米降至4毫米,且无梗阻。确认右肝内胆结石没有扩张。甲状腺功能减退得到了药物治疗。对于患有多发性胆石症的狗,可以进行肝管切开和闭合手术。肝内胆管切开术虽然不是首选方案,但已被证明是成功治疗犬胆石症的新选择。
Intrahepatic Duct Incision and Closure for the Treatment of Multiple Cholelithiasis in a Dog.
This report describes the successful intrahepatic duct incision and closure for the treatment of multiple cholelithiasis in a dog with untreated hypothyroidism. A 12-year-old spayed female Spitz dog weighing 11.3 kg was diagnosed with multiple cholelithiasis, and a quadrate liver lobectomy and cholecystectomy were performed. Large gallstones were located in the left liver lobe's intrahepatic duct distal to the anastomosis of the intrahepatic ducts of the left medial and lateral lobes. The dilated intrahepatic duct was packed off with wet gauze, and incision and closure were performed on the most dilated section, which was proximal to the largest gallstone. After surgery, the patient showed normal liver function and was discharged with normal total bilirubin and C-reactive protein levels. On postoperative day 83, no stones were observed in the dilated common bile duct (CBD), and the degree of dilatation of the CBD had decreased from 9 mm to 4 mm, with no obstructions. Right intrahepatic gallstones were confirmed without dilatation. Hypothyroidism was managed medically. Hepatic duct incision and closure can be performed in dogs with multiple cholelithiasis. Although not the first option, intrahepatic bile duct incision proves to be a new alternative for the successful treatment of cholelithiasis in dogs.
期刊介绍:
Veterinary Sciences is an international and interdisciplinary scholarly open access journal. It publishes original that are relevant to any field of veterinary sciences, including prevention, diagnosis and treatment of disease, disorder and injury in animals. This journal covers almost all topics related to animal health and veterinary medicine. Research fields of interest include but are not limited to: anaesthesiology anatomy bacteriology biochemistry cardiology dentistry dermatology embryology endocrinology epidemiology genetics histology immunology microbiology molecular biology mycology neurobiology oncology ophthalmology parasitology pathology pharmacology physiology radiology surgery theriogenology toxicology virology.