Thoracoscopic Versus Open Partial Pericardectomy in Dogs: Comparison of Postoperative Pain and Morbidity

Walsh, Peter; Remedios, Audrey M.; Ferguson, James F.; Walker, David; Cantwell, Shawna; Duke, Tanya

doi:10.1111/j.1532-950x.1999.00472.x

Cited by 168 publications

(176 citation statements)

References 22 publications

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“…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%

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: 99%

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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“…Saha et al (2004) afirmaram que a formação de aderências pericárdicas retroesternais se constitui no maior risco durante a reintervenção cirúrgica na artéria coronária. A cirurgia de invasão mínima tem despontado como alternativa a minimizar o dano tecidual e melhor recuperação pós-operatória (Maxfield, 2004;Walsh et al, 1999).…”

Section: ____________________________________________________________unclassified

TORACOSCOPIA NO DIAGNÓSTICO E NA LIBERAÇÃO DE ADERÊNCIAS PÓS-TORACOTOMIA E PÓS-CTVA (Cirurgia Torácica Vídeo-Assistida): ESTUDO EXPERIMENTAL EM CÃES

Richter

Pippi

Rocha³

et al. 2009

AVS

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Foram utilizados 14 cães, 7 machos e 7 fêmeas, provenientes do Biotério Central da UFSM, objetivando-se utilizar a toracoscopia para avaliar comparativamente a presença e a possibilidade de liberação de aderências pós-toracotomia e pós-CTVA (Cirurgia Torácica Vídeo-Assistida). Todos os animais foram submetidos à toracotomia TI e após, estes foram divididos em 2 grupos. No grupo X, a visibilização, a liberação das aderências e a CTVA foram realizadas entre 3 e 5 dias (B1) e entre 9 e 11 dias (B3) de pós-operatório, e no grupo Y, os procedimentos foram realizados entre 6 e 8 dias após a toracotomia (B2). Foi colhido sangue para dosagem de CK (creatina quinase) em diferentes tempos para avaliar a intensidade de trauma tecidual. As aderências localizaram-se nos locais das incisões de CTVA e de toracotomia, apresentando extensão menor após CTVA, devido a menor extensão de dano tecidual. Foi possível realizar a liberação de aderências por toracoscopia em até cinco dias de pós-operatório utilizando dois portais. Nas condições em que este trabalho foi realizado, conclui-se que a toracoscopia mostra-se eficiente para diagnosticar aderências provenientes de toracotomia e de CTVA e podem-se liberar as aderências até cinco dias de pós-operatório. A alta incidência de aderências para os procedimentos testados predispõe a sérios riscos cirúrgicos e requer cuidados especiais em futuras re-intervenções, Este estudo foi aprovado pela comissão de ética da UFSM (012/2005). Todos os animais foram adotados.Palavras-chave: aderências; cão; CTVA; toracoscopia; toracotomia A AB BS ST TR RA AC CT TFourteen adult mongrel dogs were used, 7 males and 7 females, proceeding from the Federal University of Santa Maria, aiming to study thoracoscopy to evaluate comparatively the presence and attempt to liberate post thoracotomy adhesions (TI) and post video-assisted thoracic surgery (VATS). The animals were divided in 2 groups. In the X group, the visibilization and attempt of liberate adhesions after VATS were carried through from 3 to 5 days (B1) and from 9 to 11 days (B3) after thoracotomy. In group Y, the procedures were carried through from 6 to 8 days post thoracotomy (B2). Blood samples for CK screening were taken before TI (A0), after the end of the surgical procedure (A1), and in the next 2 days (A2 and A3). The adhesions enclose the location of VATS and thoracotomy incisions, and their extension is smaller after VATS, due to smaller tissue damage extension. It is possible to liberate the adhesions by thoracoscopy in up to 5 days from surgical procedure, using two work ports. The increase of the CK seric levels is proportional to the tissue damage. In conclusion, thoracoscopy can be used to diagnose thoracotomy and VATS adhesions, and liberate the adhesion in up to 5 days after the surgical procedure. High incidence of adhesions in this study may lead to serious surgical risks and requires special care in future reinterventions. The ethic commission from UFSM approved this study UFSM (012/2005). All animals were adopted.

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“…Os estudos iniciais restringiram-se à exploração diagnóstica da cavidade (McCARTHY & McDERMID, 1990). Porém, ultimamente a toracoscopia vem ganhando terreno também na Medicina Veterinária, sendo utilizada experimentalmente nas biópsias pulmonares, lobectomias (GARCÍA et al, 1998) e pericardiectomias (WALSH et al, 1999) O presente estudo objetivou avaliar o acesso toracoscópico no diagnóstico e na terapêutica cirúrgica de hérnias diafragmáticas produzidas experimentalmente em cães.…”

Section: Hage and Iwasaki 2001unclassified

Toracoscopia nas hérnias diafragmáticas: estudo experimental em cães

et al. 2004

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Thoracoscopic Versus Open Partial Pericardectomy in Dogs: Comparison of Postoperative Pain and Morbidity

Abstract: Thoracoscopic partial pericardectomy has several advantages over open partial pericardectomy including decreased postoperative pain, fewer wound complications, and more rapid return to function.

Cited by 168 publications

References 22 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

TORACOSCOPIA NO DIAGNÓSTICO E NA LIBERAÇÃO DE ADERÊNCIAS PÓS-TORACOTOMIA E PÓS-CTVA (Cirurgia Torácica Vídeo-Assistida): ESTUDO EXPERIMENTAL EM CÃES

Toracoscopia nas hérnias diafragmáticas: estudo experimental em cães

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