LAPAROSCOPIC ANATOMY OF CAPRINE ABDOMEN AND LAPAROSCOPIC LIVER BIOPSY

Document Type : Original Article

Authors

1 Dept. of Surgery , Fac. Vet. Med., Alex. University

2 Dept. of Anatomy, Fac. Vet. Med., Alex. University

3 Dept. of Surgery, Fac. Vet. Med., Alex. University

Abstract

This study was carried out on (10) apparently healthy adult non pregnant female baladi goats weighting 205-30 kg and aging 1.5-3 years old to provide normal laparoscopic anatomy of the abdomen and to assess feasibility of laparoscopy for liver biopsy. Following preparation of animals, equipments and instruments, the primary port and laparoscope was placed on the umbilicus and 360o scan was performed for orientation and exploration of the abdominal cavity. Secondary ports were placed under direct laparoscopic observation to allow insertion of accessory instruments for tissue grasping, coagulation and severing. The obtained results cleared that ventral laparoscopic approach and tilting and rotating the animal during laparoscopic procedures provided better exposure of internal abdomen. Laparoscopy provided a comprehensive description of cranial and caudal abdominal regions offering good visualization of the liver, gallbladder, reticulum, abomasum, intestine, spleen, reproductive organs and urinary bladder. Laparoscopic liver biopsy required two secondary ports; one 5 mm assisting port inserted in right subcostal area and one operating port inserted subxiphoid. The procedure was safe, practical and easily performed offering the advantage of direct visualization of liver and selection of the exact biopsy site. Wedge biopsy technique proved advantageous than the Tru-cut needle biopsy technique.

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