Video-assisted thoracic surgery for the management of pyothorax in dogs: 14 cases.
Vet Surg
; 46(5): 722-730, 2017 Jul.
Article
em 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:
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Base de dados:
MEDLINE
Assunto principal:
Empiema Pleural
/
Cirurgia Torácica Vídeoassistida
/
Doenças do Cão
Tipo de estudo:
Observational_studies
/
Prognostic_studies
Limite:
Animals
Idioma:
En
Ano de publicação:
2017
Tipo de documento:
Article