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Laparoscopic cholecystectomy under field conditions in Asiatic black bears (Ursus thibetanus) rescued from illegal bile farming in Vietnam.

Pizzi, R, Cracknell, J, David, S, Laughlin, D, Broadis, N, Rouffignac, M, Duong, DV, Girling, S and Hunt, M (2011) Laparoscopic cholecystectomy under field conditions in Asiatic black bears (Ursus thibetanus) rescued from illegal bile farming in Vietnam. The Veterinary Record, 169 (18).

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Abstract

Nine adult Asiatic black bears (Ursus thibetanus) previously rescued from illegal bile farming in Vietnam were examined via abdominal ultrasound and exploratory laparoscopy for liver and gall bladder pathology. Three bears demonstrated notable gall bladder pathology, and minimally invasive cholecystectomies were performed using an open laparoscopic access approach, standard 10 to 12 mmHg carbon dioxide pneumoperitoneum and a four-port technique. A single bear required insertion of an additional 5 mm port and use of a flexible liver retractor due to the presence of extensive adhesions between the gall bladder and quadrate and left and right medial liver lobes. The cystic duct was dissected free and this and the cystic artery were ligated by means of extracorporeal tied Meltzer knot sutures. The gall bladder was dissected free of the liver by blunt and sharp dissection, aided by 3.8 MHz monopolar radiosurgery. Bears that have had open abdominal cholecystectomies are reported as taking four to six weeks before a return to normal activity postoperatively. In contrast, these bears demonstrated rapid unremarkable healing, and were allowed unrestricted access to outside enclosures to climb trees, swim and interact normally with other bears within seven days of surgery.

Item Type: Article
Authors :
NameEmailORCID
Pizzi, RUNSPECIFIEDUNSPECIFIED
Cracknell, JUNSPECIFIEDUNSPECIFIED
David, SUNSPECIFIEDUNSPECIFIED
Laughlin, DUNSPECIFIEDUNSPECIFIED
Broadis, NUNSPECIFIEDUNSPECIFIED
Rouffignac, MUNSPECIFIEDUNSPECIFIED
Duong, DVUNSPECIFIEDUNSPECIFIED
Girling, Ss.girling@surrey.ac.ukUNSPECIFIED
Hunt, MUNSPECIFIEDUNSPECIFIED
Date : 6 September 2011
Identification Number : https://doi.org/10.1136/vr.d4985
Uncontrolled Keywords : Asiatic black bear, Ursus thibetanus, Laparoscopic cholecystectomy
Depositing User : Symplectic Elements
Date Deposited : 17 May 2017 10:03
Last Modified : 17 May 2017 14:47
URI: http://epubs.surrey.ac.uk/id/eprint/826231

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