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Hand‐assisted laparoscopic nephrectomy in a standing horse for the management of renal cell carcinoma |
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| Authors: | H G Hilton M Aleman O Maher T S Peterson M B Whitcomb L D Galuppo |
| Institution: | 1. William R. Pritchard Veterinary Medical Teaching Hospital, School of Veterinary Medicine, University of California, One Shields Avenue, Davis, California 95616, USA.;2. Departments of Medicine and Epidemiology, School of Veterinary Medicine, University of California, One Shields Avenue, Davis, California 95616, USA.;3. Pathology, Microbiology and Immunology, School of Veterinary Medicine, University of California, One Shields Avenue, Davis, California 95616, USA.;4. Surgical and Radiological Sciences, School of Veterinary Medicine, University of California, One Shields Avenue, Davis, California 95616, USA. |
| Abstract: | 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. |
| Keywords: | horse kidney haematuria neoplasia laparoscopy |