Laparoscopic-assisted, laparoscopic, and endoscopic gastropexy techniques have been proven successful in recent years. Thanks to minimal invasiveness, low morbidity, and fast recovery, total laparoscopic gastropexy techniques have been gaining popularity. The objective of this study was to describe the use of a modified minimally invasive technique to perform prophylactic gastropexy in dogs. A case series study of 39 client-owned dogs was undertaken from June 2019 to August 2020. Each dog underwent total laparoscopic prophylactic gastropexy using a simple continuous barbed suture line and two laparoscopic needle holders without incising the seromuscular layer of the stomach and the abdominal wall. Surgical time, the number of stitches, and the length of suture were recorded. Telephone checks, owner questionnaires, and ultrasonographic exams were used to evaluate the effectiveness of the procedure after surgery. The median gastropexy surgical time was 12 min (range 4–30 min), and the median length of the suture line was 3 cm (range 2–4 cm). The last follow-up check was carried out 9 months (mean, range 3–14 months) after surgery, and all ultrasonographic exams (n = 29) showed an intact gastropexy. Intraoperative and postoperative complications were noted. This total laparoscopic gastropexy technique was found to be safe, fast, simple, and with a low morbidity rate. It appears to be a new alternative to other methods of prophylactic gastropexy; however, further research in this area is warranted.

中文翻译：

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使用改良技术的39例腹腔镜预防性胃病患者病例系列的结局和并发症

近年来，腹腔镜辅助，腹腔镜和内窥镜下胃镜检查技术已被证明是成功的。由于微创，低发病率和快速恢复，全腹腔镜腹腔镜检查技术已获得普及。这项研究的目的是描述一种改良的微创技术在狗中进行预防性胃轻瘫的方法。从2019年6月至2020年8月，对39只客户拥有的狗进行了病例系列研究。每只狗均使用简单的连续带刺缝合线和两个腹腔镜持针器进行了全部腹腔镜预防性胃切除术，而没有切开胃和腹壁的肌层。记录手术时间，针数和缝合长度。电话检查，所有者问卷调查，和超声检查被用来评估手术后的效果。胃切除术的中位手术时间为12分钟（4至30分钟），缝合线的中位长度为3厘米（2至4厘米）。上次随访检查是在手术后9个月（平均3-14个月）进行的，所有超声检查（n = 29）均显示完整的胃轻瘫。注意到术中和术后并发症。发现这种总的腹腔镜胃切除术技术安全，快速，简单并且发病率低。它似乎是其他预防性胃轻瘫方法的新选择。但是，有必要在这一领域进行进一步的研究。缝合线的中位长度为3厘米（范围2-4厘米）。上次随访检查是在手术后9个月（平均3-14个月）进行的，所有超声检查（n = 29）均显示完整的胃轻瘫。注意到术中和术后并发症。发现这种总的腹腔镜胃切除术技术安全，快速，简单并且发病率低。它似乎是其他预防性胃轻瘫方法的新选择。但是，有必要在这一领域进行进一步的研究。缝合线的中位长度为3厘米（范围2-4厘米）。上次随访检查是在手术后9个月（平均3-14个月）进行的，所有超声检查（n = 29）均显示完整的胃轻瘫。注意到术中和术后并发症。发现这种总的腹腔镜胃切除术技术安全，快速，简单并且发病率低。它似乎是其他预防性胃轻瘫方法的新选择。但是，有必要在这一领域进行进一步的研究。而且发病率低。它似乎是其他预防性胃轻瘫方法的新选择。但是，有必要在这一领域进行进一步的研究。而且发病率低。它似乎是其他预防性胃轻瘫方法的新选择。但是，有必要在这一领域进行进一步的研究。