Thoracoscopic treatment of bullous emphysema in 3 dogs

Brissot, Hervé; Dupré, Gilles; Bouvy, Bernard; Paquet, Laurent

doi:10.1111/j.1532-950x.2003.00524.x

Cited by 62 publications

(69 citation statements)

References 19 publications

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“…The introduction of safe linear stapling devices has made thoracoscopic-assisted segmental long resections possible in human medicine (De Letter and Proot 1995). Previous veterinary reports related to thoracoscopic lobectomy have also used automatic stapling equipment as an alternative suturing technique, and the patients undergoing thoracoscopic lobectomy were medium or large breed dogs weighing more than 15 kg (Brissot et al 2003;Lansdowne et al 2005;Laksito et al 2010;Pelaez and Jolliffe 2012). However, the stapling device is difficult to position in a small thorax owing to the size of the cartridges (He et al 1996), as was the case in this Maltese dog.…”

Section: Discussionmentioning

confidence: 86%

“…The use of thoracoscopy for diagnostic and therapeutic procedures has increased in veterinary medicine owing to its advantages of reduced postoperative morbidity and rapid recovery (Walsh et al 1999;De Rycke et al 2001;Brissot et al 2003). Among indications, thoracoscopy has successfully been used on lung lobectomies in dogs with tumours (Lansdowne et al 2005;Laksito et al 2010), foreign bodies (Pelaez and Jolliffe 2012) and bullous emphysema (Brissot et al 2003).…”

Section: Discussionmentioning

confidence: 99%

“…Among indications, thoracoscopy has successfully been used on lung lobectomies in dogs with tumours (Lansdowne et al 2005;Laksito et al 2010), foreign bodies (Pelaez and Jolliffe 2012) and bullous emphysema (Brissot et al 2003). The introduction of safe linear stapling devices has made thoracoscopic-assisted segmental long resections possible in human medicine (De Letter and Proot 1995).…”

Section: Discussionmentioning

confidence: 99%

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Thoracoscopic-assisted lung lobectomy using hem-o-lok clips in a dog with lung lobe torsion: a case report

Lee¹,

Park²,

Seok³

et al. 2014

Vet. Med. - Czech

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An eleven-year-old, 3-kg, intact female Maltese was presented for depression, anorexia and dyspnoea. Thoracic radiographs showed right-side pleural effusion, a vesicular emphysema pattern and consolidation of the right middle lung lobe. A presumptive diagnosis of lung lobe torsion (LLT) in the right middle lobe was made using a computed tomography scan. Thoracoscopic exploration was performed without one-lung ventilation in the right hemithorax. Pleural fluid and engorgement of the torsed lung lobe were observed. A total lung lobectomy of the right middle lung lobe was performed with a thoracoscopic-assisted procedure using hem-o-lok clips applied to the hilus. The dog was discharged three days after surgery, and no recurrence of the clinical signs of disease related to the respiratory system was observed during the follow-up time period of six months. Based on these findings, we conclude that thoracoscopic-assisted lung lobectomy using hem-o-lok clips is a minimally invasive surgical alternative to thoracotomy and successful operative intervention for lung lesions in small breed dogs.

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Section: Discussionmentioning

confidence: 86%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Thoracoscopic-assisted lung lobectomy using hem-o-lok clips in a dog with lung lobe torsion: a case report

Lee¹,

Park²,

Seok³

et al. 2014

Vet. Med. - Czech

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“…Long-term outcome for lobe torsion disorder in surgically treated animals appears to be fair-to-guarded, with an overall survival rate of approximately 50% in the first postoperative months (Neath et al 2000). In surgical patients with lobular emphysematous lesions, the long-term outcome is good-to-excellent; however a risk of continuing air leakage from disseminated lesions persists (Brissot et al 2003;Lipscomb et al 2003). According to the published literature, there is a minimal rate of recurrence in dogs treated with surgery (Puerto et al 2002); but useful quantities of clinical data are missing in cats.…”

Section: Discussionmentioning

confidence: 98%

“…Bullae are divided into several subtypes, depending on the size and location (near the lung surface versus deep within the parenchyma). Blebs are superficial air pockets trapped inside visceral pleura and, therefore, more prone to deterioration when a sudden rise in intrathoracic pressure occurs (Brissot et al 2003;Bertolini et al 2009;Milne et al 2010;Ruth et al 2011). Bullae and blebs formation are reported as either primary idiopathic or secondary effects (i.e., a result of underlying disease or trauma) (Kramek et al 1985;Grosslinger et al 2000;White et al 2003;Matsumoto et al 2004).…”

mentioning

confidence: 99%

Emphysematous lesions in the right cranial lung lobe and torsion of the right medial lung lobe in a British shorthair cat: a case report

Dokic¹,

Pirog²

2015

Vet. Med. - Czech

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ABSTRACT:A three-year-old male British shorthair cat that had exhibited progressive lethargy and intermittent dyspnoea for 14 days was referred for evaluation of acute respiratory deterioration. Clinical findings included rapid and shallow breathing, pale mucous membranes, sound suppression on the right side, and a subcutaneous haematoma in the right epigastric area. Serum biochemistry analysis showed leukocytosis and thrombocytosis. Radiographs revealed hydropneumothorax, a broken eighth right rib, atelectatic right cranial lung lobe (RCrL), and consolidation of the right middle lobe (RML). Doppler examination revealed sonographic changes in the echotexture of both lobes and venous flow was absent in the twisted RML. Furthermore, bronchoscopy showed proximal narrowing of the cat's RML bronchus. Exploratory surgery via medial sternotomy confirmed torsion of the RML and identified deteriorated gas-containing lesions in the collapsed RCrL. Both lung lobes were removed by standard lobectomy, and postoperative recovery was without major complications. Histopathological examination diagnosed multiple bullae and blebs, with significant subpleural haemorrhages in the atelectatic RCrL, whereas tissue congestion with haemorrhages, necrosis, and thrombosis typical for lung lobe torsion were observed in the RML. No other underlying aetiology was apparent. Two months post-operatively, the cat presented with similar acute onset of dyspnoea and spontaneous pneumothorax and was euthanised at the owner's request. The autopsy revealed identical new emphysematous changes in the contra-lateral lung lobes that had been absent at the time of surgery. Emphysematous lesions, regardless of their origin, should be considered in the etiopathology of lung lobe torsion.

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Pleural Space Disease: Pneumothorax

Puerto¹,

Waddell

2015

Small Animal Surgical Emergencies

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Thoracoscopic treatment of bullous emphysema in 3 dogs

Abstract: Thoracoscopy offers several advantages compared with thoracotomy for treatment and diagnosis of idiopathic pneumothorax, including ease of identification of bullae and reduced postoperative pain and morbidity.

Cited by 62 publications

References 19 publications

Thoracoscopic-assisted lung lobectomy using hem-o-lok clips in a dog with lung lobe torsion: a case report

Thoracoscopic-assisted lung lobectomy using hem-o-lok clips in a dog with lung lobe torsion: a case report

Emphysematous lesions in the right cranial lung lobe and torsion of the right medial lung lobe in a British shorthair cat: a case report

Pleural Space Disease: Pneumothorax

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