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Hand‐assisted laparoscopic nephrectomy in a standing horse for the management of renal cell carcinoma
Author(s) -
Hilton H. G.,
Aleman M.,
Maher O.,
Peterson T. S.,
Whitcomb M. B.,
Galuppo L. D.
Publication year - 2008
Publication title -
equine veterinary education
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.304
H-Index - 31
eISSN - 2042-3292
pISSN - 0957-7734
DOI - 10.2746/095777308x295783
Subject(s) - medicine , nephrectomy , renal cell carcinoma , horse , abdomen , histopathological examination , kidney , surgery , laparoscopy , kidney disease , physical examination , pathology , paleontology , biology
Summary An 18‐year‐old Quarter Horse gelding was examined for haematuria of 6 weeks' duration. Rectal examination identified an enlarged left kidney and ultrasonographic examination of the kidney identified grossly abnormal renal architecture. Hand‐assisted laparoscopic nephrectomy was performed following laparoscopic exploration of the abdomen for metastatic disease. A laparoscopic stapling device was successfully used to transect and ligate the renal vasculature and ureter. Histopathological examination of the kidney identified renal cell carcinoma. A 7 month survival was documented following surgery. Unilateral nephrectomy should be considered a therapeutic or palliative procedure for horses with renal cell carcinoma.