Laparoendoscopic Single-Site Surgery in performing laparoscopic cryptorchidectomy in a cat

Abstract

The most common congenital disease in domestic animals is cryptorchidism, which is characterized by the failure of one or both testicles to descend into the scrotum. The objective of this paper is to describe a video-assisted cryptorchidectomy through a single access (LESS), without specific portal multifunctional, in a two-year-old siamese cat weighing 3.9kg. To perform the cryptorchidectomy, it was inserted a single portal (5mm) in the ventral midline in the pre-pubic region. The cavity was insufflated with medicinal CO2 at a rate of 1l/minute in order to obtain a pneumoperitoneum (8mmHg). After the inspection of the abdominal cavity with an endoscope (5mm/25º) the ectopic testicle was identified. With a minilaparoscopy, forceps (3mm) was introduced in the side of the first portal (same access), the testicle was grasped and pulled outside to realize hemostasis, without need to extend surgical wound. After sectioning the testicular vessels, the testicle was fully released and the vascular stump was returned to the abdominal cavity. The present report demonstrates that laparoscopic surgery by a single access (LESS) may be successful in the diagnosis and treatment of cryptorchidism in cats, considering the potential benefits that this procedure brings in relation to conventional surgery.