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[三只特发性乳糜胸猫的乳糜池消融术]

[Cisterna chyli ablation in three cats with idiopathic chylothorax].

作者信息

Thiel C, Held S, Kramer M

机构信息

Dr. Cetina Thiel, Klinikum Veterinärmedizin, Klinik für Kleintiere, Chirurgie, der Justus Liebig Universität Gießen, Frankfurter Straße 108, 35390 Gießen, E-Mail:

出版信息

Tierarztl Prax Ausg K Kleintiere Heimtiere. 2013;41(4):221-8.

Abstract

OBJECTIVE

Presentation of three cats with chronic, idiopathic chylothorax treated with ablation of the cisterna chyli as an additional or a sole surgical treatment.

MATERIAL AND METHODS

Results of clinical and diagnostic examination, therapy and course of disease in three cats as well as the surgical technique of ablation of the cisterna chyli in cats are described.

RESULTS

There were no intraoperative or postoperative complications regarding cisterna chyli ablation. Intraoperative visualization of the cisterna chyli is easily achieved by administering a small portion of a fatty aliment preoperatively or by injection of diluted methylene blue into the lymphatic system intraoperatively. Ablation of the cisterna chyli was performed following an unsuccessful ligation of the thoracic duct, in combination with the ligation of the thoracic duct and subtotal pericardectomy or as a single surgical treatment.

CLINICAL RELEVANCE

Cisterna chyli ablation can be performed without complications in cats. This technique should be considered in cases of previously failed surgical therapy or as an adjunct therapy used with other surgical options to decrease the risk of recurrence.

摘要

目的

介绍三只患有慢性特发性乳糜胸的猫,采用乳糜池消融术作为辅助或唯一的手术治疗方法。

材料与方法

描述了三只猫的临床和诊断检查结果、治疗方法及病程,以及猫乳糜池消融术的手术技巧。

结果

乳糜池消融术无术中或术后并发症。术前给予少量脂肪性食物或术中向淋巴系统注射稀释的亚甲蓝,可轻松实现术中乳糜池的可视化。在胸导管结扎失败后,结合胸导管结扎和心包次全切除术进行乳糜池消融,或作为单一手术治疗。

临床意义

猫乳糜池消融术可无并发症地进行。对于先前手术治疗失败的病例,或作为与其他手术选择联合使用的辅助治疗以降低复发风险的情况,应考虑采用该技术。

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