Evaluation of short-term outcome after lung lobectomy for resection of primary lung tumors via video-assisted thoracoscopic surgery or open thoracotomy in medium- to large-breed dogs

Abstract

In medium- to large-breed dogs, short-term outcomes for dogs that underwent VATS for lung lobectomy were comparable to those of dogs that underwent OT. Further studies are required to evaluate the effects of surgical approach on indices of postoperative pain and long-term outcomes.

Advances in Video-Assisted Thoracic Surgery, Thoracoscopy

“…21,22 Although early experience suggested that lesions away from the hilus of the left caudal lung lobe were most ideal for VATS lung lobectomy, a recent study has demonstrated feasibility in most lung lobes provided mass lesions are less than 8 cm in diameter or less than 150 cm 3 in dogs greater than 30 kg. 22 Video-assisted lung lobectomy has been described.…”

“…21,22 Although early experience suggested that lesions away from the hilus of the left caudal lung lobe were most ideal for VATS lung lobectomy, a recent study has demonstrated feasibility in most lung lobes provided mass lesions are less than 8 cm in diameter or less than 150 cm 3 in dogs greater than 30 kg. 22 Video-assisted lung lobectomy has been described. [21][22][23] The use of one-lung ventilation (OLV) is recommended during VATS lung resection to improve visibility and to facilitate application of the stapling device to the collapsed lung.…”

“…22 Video-assisted lung lobectomy has been described. [21][22][23] The use of one-lung ventilation (OLV) is recommended during VATS lung resection to improve visibility and to facilitate application of the stapling device to the collapsed lung. 21,22 Identification of surgical margins is challenging and tracheobronchial lymphadenectomy and histopathology is recommended to better assess prognosis and the need for adjunctive treatment in dogs with lung tumors.…”

“…21,22 Identification of surgical margins is challenging and tracheobronchial lymphadenectomy and histopathology is recommended to better assess prognosis and the need for adjunctive treatment in dogs with lung tumors. 22,24,25 Recently, near-infrared field fluorescent (NIRF) technology has been investigated for pulmonary neoplasia VATS applications experimentally. 26 NIRF allows for activation of cancer cells in tissues, such as the pleura and lung.…”

“…[21][22][23] The use of one-lung ventilation (OLV) is recommended during VATS lung resection to improve visibility and to facilitate application of the stapling device to the collapsed lung. 21,22 Identification of surgical margins is challenging and tracheobronchial lymphadenectomy and histopathology is recommended to better assess prognosis and the need for adjunctive treatment in dogs with lung tumors. 22,24,25 Recently, near-infrared field fluorescent (NIRF) technology has been investigated for pulmonary neoplasia VATS applications experimentally.…”