Case J Brad, Mayhew Philipp D, Singh Ameet
Department of Small Animal Clinical Sciences, College of Veterinary Medicine, University of Florida, Gainesville, Florida.
Department of Surgical and Radiological Sciences, School of Veterinary Medicine, University of California, Davis, California.
Vet Surg. 2015 Jul;44 Suppl 1:31-8. doi: 10.1111/j.1532-950X.2014.12288.x. Epub 2014 Oct 13.
To describe the operative findings and clinical outcome in dogs undergoing video-assisted thoracic surgery (VATS) for treatment of spontaneous pneumothorax and pulmonary bullae.
Multi-institutional retrospective case series.
Dogs (n = 12) with spontaneous pneumothorax and/or pulmonary bullae.
Medical records (2008-2013) were reviewed for signalment, clinical signs, diagnostic imaging, surgical and histopathologic findings, and outcome in 12 dogs that had VATS for treatment of spontaneous pneumothorax and pulmonary bullae. In particular, conversion to median sternotomy and surgical success were evaluated.
Twelve dogs had initial VATS for spontaneous pneumothorax and/or pulmonary bullae. Conversion to median sternotomy because of inability to identify a parenchymal lesion/leak was necessary in 7 (58%) dogs. VATS without conversion to median sternotomy was performed in 6 (50%) dogs. Successful surgical outcomes occurred in 5 (83%) dogs that had conversion to median sternotomy, and in 3 (50%) dogs that had VATS without conversion to median sternotomy.
Exploratory thoracoscopy was associated with a high rate of conversion to median sternotomy because of inability to identify leaking pulmonary lesions in dogs with spontaneous pneumothorax and pulmonary bullae. Failure to convert to a median sternotomy may be associated with recurrent or persistent pneumothorax.
描述接受电视辅助胸腔镜手术（VATS）治疗自发性气胸和肺大疱的犬的手术发现及临床结果。
多机构回顾性病例系列研究。
患有自发性气胸和/或肺大疱的犬（n = 12）。
回顾2008年至2013年期间12只接受VATS治疗自发性气胸和肺大疱的犬的病历，包括特征、临床症状、诊断性影像学检查、手术及组织病理学发现和结果。特别评估中转开胸正中切口手术及手术成功率。
12只犬最初接受VATS治疗自发性气胸和/或肺大疱。7只（58%）犬因无法识别实质病变/漏气而需要中转开胸正中切口手术。6只（50%）犬未中转开胸正中切口直接接受VATS手术。中转开胸正中切口手术的5只（83%）犬和未中转开胸正中切口直接接受VATS手术的3只（50%）犬手术成功。
对于患有自发性气胸和肺大疱的犬，由于无法识别漏气的肺部病变，探索性胸腔镜检查中转开胸正中切口手术的比例较高。未中转开胸正中切口手术可能与气胸复发或持续存在有关。
