Video-assisted thoracic surgery for the management of pyothorax in dogs: 14 cases.
Vet Surg
; 46(5): 722-730, 2017 Jul.
Article
en En
| MEDLINE
| ID: mdl-28460424
ABSTRACT
OBJECTIVE:
To report the perioperative findings and outcome of dogs undergoing video-assisted thoracic surgery (VATS) for the management of pyothorax.DESIGN:
Multi-institutional, retrospective study. ANIMALS Client-owned dogs (n = 14).METHODS:
Medical records of dogs with pyothorax managed via VATS were reviewed for signalment, history, clinical signs, clinicopathological findings, diagnostic imaging results, surgical variables, bacterial culture and sensitivity results, post-operative management and outcome. VATS was performed after placing a paraxyphoid endoscopic portal and 2-3 intercostal instrument portals. VATS exploration was followed by one or more of the following mediastinal debridement, tissue sampling, pleural lavage, and placement of a thoracostomy tube.RESULTS:
Two dogs (14%) required conversion from VATS to an open thoracotomy to completely resect proliferative mediastinal tissue. These dogs had severe pleural effusion on preoperative thoracic radiographs and one had severely thickened contrast-enhancing mediastinum on preoperative computed tomography (CT). The cause of pyothorax was identified as a penetrating gastric foreign body (n = 2), migrating plant material (n = 2), and idiopathic (n = 10). The median follow-up time was 143 days (range, 14-2402 days). All dogs were discharged from the hospital and their clinical signs resolved. One patient had recurrence of a pyothorax requiring revision surgery 17 months postoperatively.CONCLUSION:
VATS allows minimally invasive treatment of uncomplicated canine pyothorax. Preoperative thoracic CT may help identify candidates for VATS among dogs with pyothorax.
Texto completo:
1
Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Empiema Pleural
/
Cirugía Torácica Asistida por Video
/
Enfermedades de los Perros
Tipo de estudio:
Observational_studies
/
Prognostic_studies
Límite:
Animals
Idioma:
En
Revista:
Vet Surg
Año:
2017
Tipo del documento:
Article
País de afiliación:
Canadá