Laparoscopy for percutaneous tube cystostomy in dogs.
OBJECTIVE
To describe a laparoscopic technique for percutaneous tube cystostomy in dogs.


METHODS
Prospective cohort study.


METHODS
8 healthy mixed-breed dogs.


METHODS
A laparoscope portal and 2 instrumental portals were created in the abdomen of anesthetized dogs that were in dorsal recumbency. Intracorporeal suturing was performed to place 2 simple interrupted sutures between the ventral body wall and urinary bladder. A purse-string suture was placed in the urinary bladder wall approximately 1 cm cranial to the 2 simple interrupted sutures. A stab incision was made into the urinary bladder in the middle of the purse-string suture; an 8F Foley catheter was inserted through the stab incision and into the urinary bladder. Two other sutures were placed between the ventral body wall and bladder 1 cm cranial to the Foley catheter to create a cystopexy. The Foley catheter was secured to the skin with a finger-trap suture and was attached to a closed urine collection bag. All dogs underwent follow-up laparoscopy 1 month later.


RESULTS
Median time for laparoscopic percutaneous tube cystostomy was 85 minutes (range, 72 to 103 minutes); there were no major intraoperative or postoperative complications. On follow-up laparoscopy, focal fibrous adhesions between the ventral body wall and bladder were observed in all dogs and omentum attached to the cystopexy site was observed in 2 dogs.


CONCLUSIONS
In this study, a laparoscopic percutaneous tube cystostomy was accomplished in healthy dogs by use of a 3-portal technique and appeared to be an effective and safe procedure.
Zhang
Jian-Tao
JT
Department of Veterinary Surgery, College of Veterinary Medicine, Northeast Agricultural University, Harbin 150030, PR China.
Wang
Hong-Bin
HB
Shi
Jiao
J
Zhang
Nan
N
Zhang
Shi-Xia
SX
Fan
Hong-Gang
HG
D000818:Animals; D003559:Cystostomy / Q000295:instrumentation / Q000379:methods / Q000662:veterinary*; D004285:Dogs / Q000601:surgery*; D005260:Female; D010535:Laparoscopy / Q000662:veterinary*; D008297:Male