Smith Andrea L, Wilson Aliya P, Hardie Robert J, Krick Erika L, Schmiedt Chad W
Department of Small Animal Medicine and Surgery, College of Veterinary Medicine, University of Georgia, Athens, GA, USA.
Vet Surg. 2011 Oct;40(7):849-52. doi: 10.1111/j.1532-950X.2011.00863.x. Epub 2011 Jul 19.
To determine perioperative risk factors for complications that occur before hospital discharge after gastrointestinal (GI) surgery in cats with alimentary lymphosarcoma (LSA).
Case series.
Cats (n=70) with a histopathologically confirmed diagnosis of alimentary LSA that had full-thickness GI surgery.
Medical record data (February 1996-March 2009) from 3 academic referral centers were reviewed. Retrieved data included signalment, preoperative clinical signs and laboratory findings, perioperative medications administered, type and location of GI surgery performed and outcome until hospital discharge.
In 38 surgeries, intestinal resection and anastomosis was performed. Gastrotomy and/or enterotomy was performed in 53 surgeries. A preoperative serum albumin concentration <2.5 g/dL was recorded for 11 cases. There was no clinical evidence of postoperative leakage from any biopsy or anastomosis site. Postoperative complications that occurred before hospital discharge included: anorexia or decreased appetite (n=8), hyperthermia (3), pancreatitis (1) and constipation (1).
Cats with alimentary LSA do not appear to be at high risk of postoperative dehiscence after full-thickness GI surgery.
确定患有消化道淋巴肉瘤(LSA)的猫在胃肠道(GI)手术后出院前发生并发症的围手术期危险因素。
病例系列。
70只经组织病理学确诊为消化道LSA且接受了全层GI手术的猫。
回顾了来自3个学术转诊中心的病历数据(1996年2月至2009年3月)。检索到的数据包括特征、术前临床症状和实验室检查结果、围手术期使用的药物、所进行的GI手术类型和位置以及直至出院的结果。
38例手术进行了肠切除和吻合术。53例手术进行了胃切开术和/或肠切开术。11例术前血清白蛋白浓度<2.5 g/dL。没有任何活检或吻合部位术后渗漏的临床证据。出院前发生的术后并发症包括:厌食或食欲减退(n = 8)、体温过高(3例)、胰腺炎(1例)和便秘(1例)。
患有消化道LSA的猫在全层GI手术后似乎没有很高的术后裂开风险。