Lansdowne Jennifer L, Monnet Eric, Twedt David C, Dernell William S
Department of Clinical Sciences, College of Veterinary Medicine and Biomedical Sciences, Colorado State University, Fort Collins, CO, USA.
Vet Surg. 2005 Sep-Oct;34(5):530-5. doi: 10.1111/j.1532-950X.2005.00080.x.
To report use of thoracoscopic lung lobectomy (TLL) for treatment of lung tumors (LT) in dogs.
Retrospective study.
Nine dogs.
Dogs that had TLL for tumor removal were included. Using general anesthesia and 1-lung ventilation, TLL was performed using a 30-60 mm endoscopic gastrointestinal anastomosis stapler. If the visual field was obscured, lobe resection was completed via thoracotomy.
Metastatic and primary LT were resected by thoracoscopic lobectomy in 9 dogs (6 male, 3 female; mean (+/-SD) weight, 29+/-7 kg; mean age, 10.7+/-1.9 years). Six dogs had a solitary mass and 3 dogs had 2 masses within a single lobe. The left caudal lobe was removed in 3 dogs. In 5 dogs, TLL was used alone whereas conversion to thoracotomy was required in 4 dogs because of poor visibility. There were 7 metastatic LT and 2 primary LT. Mean duration of thoracoscopic surgery was 108.8+/-30.3 minutes compared with 150.75+/-55.4 minutes in dogs requiring conversion to thoracotomy. Mean hospitalization was 3.1+/-1.3 days.
Provided the visual field is not obscured, TLL can be performed effectively in dogs.
Dogs with metastatic or primary LTs should be considered for TLL, particularly for small masses positioned away from the hilus in the left caudal lung lobe.
报告胸腔镜肺叶切除术（TLL）用于治疗犬类肺部肿瘤（LT）的情况。
回顾性研究。
9只犬。
纳入接受TLL以切除肿瘤的犬。采用全身麻醉和单肺通气，使用30 - 60毫米的内镜胃肠吻合器进行TLL。若视野受阻，则通过开胸手术完成肺叶切除。
9只犬（6只雄性，3只雌性；平均（±标准差）体重，29±7千克；平均年龄，10.7±1.9岁）通过胸腔镜肺叶切除术切除了转移性和原发性LT。6只犬有单个肿块，3只犬在单个肺叶内有2个肿块。3只犬切除了左后叶。5只犬单独使用了TLL，4只犬因视野不佳需要转为开胸手术。有7例转移性LT和2例原发性LT。胸腔镜手术的平均持续时间为108.8±30.3分钟，而需要转为开胸手术的犬平均为150.75±55.4分钟。平均住院时间为3.1±1.3天。
若视野不受阻，TLL可在犬类中有效实施。
患有转移性或原发性LT的犬应考虑进行TLL，特别是对于位于左后肺叶远离肺门的小肿块。
