Acta Cirúrgica Brasileira (Sep 2018)

A technical note on low cost rat laparoscopy an initial experience

  • José Marcus Raso Eulálio,
  • Manoel Luiz Ferreira,
  • Paulo César Silva,
  • José Eduardo Ferreira Manso,
  • Andrei Ferreira Costa Nicolau,
  • Thales Penna de Carvalho,
  • Julia Radicetti de Siqueira Paiva e Silva,
  • Adrielle Rodas Fernandes,
  • Alberto Schanaider

DOI
https://doi.org/10.1590/s0102-865020180090000014
Journal volume & issue
Vol. 33, no. 9
pp. 853 – 861

Abstract

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Abstract Purpose: To evaluate a novel and adapted low-cost set model for laparoscopic surgery in rats. Methods: Nine Wistar rats underwent two different laparoscopic procedures, splenectomy (n=3) and distal pancreatectomy with splenectomy (n = 6), after assembling a low-cost set replacing the conventional one (monitor, micro camera, image processor, light source, laparoscope and insufflator). The new set included an Android Tablet 10.5 ", a 5mm USB Endoscope and semiautomatic sphygmomanometer monitor. Results: The same surgeon performed the laparoscopic procedures. Total surgical time ranged from 36 to 60 minutes with a mean of 45.8 minutes. Three rats died during the distal pancreatic and splenectomy procedure (33.3%), due to respiratory failure (n = 1), uncontrolled abdominal hemorrhage (n=1) and iatrogenic gastric perforation (n = 1). We followed the other six rats (66.6%) for seven days with no further evidence of complications. Conclusions: The laparoscopic partial pancreatectomy and splenectomy can be performed with the novel low-cost set assembled in the present experimental study. Both specific training and skills development are required to validate more advanced laparoscopic procedures and achieve a desirable outcome.

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