Case et al: Laparoscopic partial pancreatectomy of the left limb using a harmonic scalpel in nine cats
Veterinary Surgery 2, 2024

🔍 Key Findings Summary

  • Success rate: All 9 cats underwent successful laparoscopic partial pancreatectomy.
  • Complications:
    • 1 minor intraoperative hemorrhage (Grade 1)
    • 1 sterile peritonitis (Grade 2) post-op, resolved conservatively
  • Pancreatic function:
    • fTLI decreased by 37% (p = .03), but stayed within normal limits
    • fPLI and A1C were unchanged
  • Resection details:
    • Mean weight: 3.0 ± 1.4 g
    • Mean surgical time: 59.7 ± 16.2 min
  • Follow-up: 250–446 days — all cats remained clinically healthy
  • Conclusion: Ultrasonic LPP is safe and effective in healthy cats, preserving endocrine/exocrine function

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Case et al: Laparoscopic partial pancreatectomy of the left limb using a harmonic scalpel in nine cats
Veterinary Surgery 2, 2024

🔍 Key Findings Summary

  • Success rate: All 9 cats underwent successful laparoscopic partial pancreatectomy.
  • Complications:
    • 1 minor intraoperative hemorrhage (Grade 1)
    • 1 sterile peritonitis (Grade 2) post-op, resolved conservatively
  • Pancreatic function:
    • fTLI decreased by 37% (p = .03), but stayed within normal limits
    • fPLI and A1C were unchanged
  • Resection details:
    • Mean weight: 3.0 ± 1.4 g
    • Mean surgical time: 59.7 ± 16.2 min
  • Follow-up: 250–446 days — all cats remained clinically healthy
  • Conclusion: Ultrasonic LPP is safe and effective in healthy cats, preserving endocrine/exocrine function

Simini Surgery Review Podcast

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Multiple Choice Questions on this study

In Case 2024 et al., on feline pancreatectomy, what was the average weight of the resected pancreatic tissue?

A. 1.6 g
B. 3.0 g
C. 4.2 g
D. 5.1 g
E. 2.4 g

Answer: 3.0 g

Explanation: The resected pancreatic tissue averaged 3.0 ± 1.4 g among all cats.
In Case 2024 et al., on feline pancreatectomy, what conclusion was made regarding long-term pancreatic function?

A. Function was impaired in most cats
B. Severe endocrine loss occurred
C. Exocrine function was lost
D. Function was preserved
E. All cats became diabetic

Answer: Function was preserved

Explanation: Despite a drop in TLI, both endocrine and exocrine function remained clinically adequate long-term.
In Case 2024 et al., on feline pancreatectomy, which complication occurred postoperatively in one cat?

A. Pancreatic necrosis
B. Sterile peritonitis
C. Incisional hernia
D. Hemorrhagic pancreatitis
E. Diabetes mellitus

Answer: Sterile peritonitis

Explanation: One cat developed a localized sterile peritonitis near the pancreatic angle; it resolved with conservative treatment.
In Case 2024 et al., on feline pancreatectomy, what significant change was observed in trypsin-like immunoreactivity postoperatively?

A. It increased by 20%
B. It remained unchanged
C. It decreased by 37%
D. It dropped below reference range
E. It was not measured

Answer: It decreased by 37%

Explanation: Mean fTLI declined by 37% after surgery (p = .03) but remained within the normal range.
In Case 2024 et al., on feline pancreatectomy, which anatomical region was resected in all cats?

A. Right limb
B. Pancreatic body
C. Left limb
D. Entire pancreas
E. Tail of pancreas

Answer: Left limb

Explanation: All cats underwent laparoscopic resection of the left pancreatic limb using a harmonic scalpel.

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