title: Standing hand-assisted laparoscopic treatment of left dorsal displacement of the large colon and closure of the nephrosplenic space.
abstract: OBJECTIVE
  To report a standing hand-assisted laparoscopic technique for closure of the nephrosplenic space (NS), and short-term outcome in horses.
  
  
  METHODS
  Case series.
  
  
  METHODS
  Horses (n = 12) aged 5-14 years.
  
  
  METHODS
  Medical records (2007-2010) of horses treated for left dorsal displacement of the large colon (LDDLC) using a hand-assisted laparoscopic correction technique with closure of the NS in the same surgical procedure were reviewed. A modified grid laparotomy in the left paralumbar fossa was used with manual correction of LDDLC, after which the NS was closed with a laparoscopic technique. Follow up was obtained by telephone interview of owners or referring veterinarians.
  
  
  RESULTS
  Resolution of LDDLC and closure of the NS was successful, with only minor postoperative complications, in all horses. On short-term follow-up (>10 months; mean, 23.8 months), 2 horses had displacement of the large colon between the spleen and the body wall.
  
  
  CONCLUSIONS
  Standing hand-assisted laparoscopic correction of LDDLC and closure of the NS in a single surgical procedure is feasible. Appropriate case selection is mandatory when performing this combined technique.
authors: Clinique vétérinaire du Grand Renaud, Saint-Saturnin, France. jamunozmoran@yahoo.es
authors: Juan
authors: J
authors: Muňoz
authors: Christian
authors: C
authors: Bussy
mesh_terms: D000818:Animals; D003085:Colic / Q000601:surgery / Q000662:veterinary*; D003108:Colonic Diseases / Q000601:surgery / Q000662:veterinary*; D005260:Female; D006734:Horse Diseases / Q000601:surgery*; D006736:Horses; D010535:Laparoscopy / Q000379:methods / Q000662:veterinary*; D008297:Male; D012189:Retrospective Studies