Wavreille Vincent, Boston S E, Souza C, Ham K, Chanoit G, Rossetti D, Takacs J, Milner R
Department of Veterinary Clinical Sciences, College of Veterinary Medicine, University of Florida, Gainesville, Florida.
Department of Veterinary Clinical Sciences, College of Veterinary Medicine, Ohio State University, Columbus, Ohio.
Vet Surg. 2016 Aug;45(6):782-9. doi: 10.1111/vsu.12517. Epub 2016 Jul 11.
To report the signalment, presenting clinical signs, surgical complications, histologic diagnosis, postoperative complications, and outcome of dogs and cats undergoing pneumonectomy.
Retrospective case series; multicenter study.
Client-owned dogs (n=17) and cats (n=10).
Signalment, clinical signs, side affected, surgical data, preoperative diagnostic tests (including complete blood count, serum biochemistry, cytologic diagnosis, chest radiographs, and computed tomography), histologic diagnosis, surgical complications, adjunctive therapy, and date and cause of death were collected from records of dogs and cats that underwent pneumonectomy. Survival estimates and complication were assessed.
Seventeen animals had a left-sided pneumonectomy performed (12 dogs, 5 cats) and 10 animals had a right-sided pneumonectomy (5 dogs, 5 cats). Fourteen animals were diagnosed with neoplasia (52%). The overall incidence of complications for dogs and cats were 76 and 80%, respectively, with major complications in 41 and 50%, respectively. Respiratory complications (persistent pleural effusion, oxygen dependence, persistent increased respiratory rate, or coughing) were the most frequent complications. No animals died or were euthanatized intraoperative or within the first 24 hours postoperative. One dog (6%) and 2 cats (20%) died, or were euthanatized in the first 2 weeks postoperative.
Based on this case series, right and left pneumonectomy can be performed with low perioperative mortality in dogs and cats, with some animals experiencing prolonged survival.
报告接受肺切除术的犬猫的特征、临床表现、手术并发症、组织学诊断、术后并发症及预后情况。
回顾性病例系列研究;多中心研究。
客户拥有的犬(n = 17)和猫(n = 10)。
从接受肺切除术的犬猫记录中收集其特征、临床症状、患侧、手术数据、术前诊断检查(包括全血细胞计数、血清生化、细胞学诊断、胸部X光片和计算机断层扫描)、组织学诊断、手术并发症、辅助治疗以及死亡日期和原因。评估生存估计和并发症情况。
17只动物接受了左侧肺切除术(12只犬,5只猫),10只动物接受了右侧肺切除术(5只犬,5只猫)。14只动物被诊断为肿瘤(52%)。犬和猫的总体并发症发生率分别为76%和80%,主要并发症分别为41%和50%。呼吸并发症(持续性胸腔积液、氧依赖、持续性呼吸频率增加或咳嗽)是最常见的并发症。没有动物在术中或术后24小时内死亡或安乐死。1只犬(6%)和2只猫(20%)在术后2周内死亡或被安乐死。
基于该病例系列,犬猫行左右肺切除术围手术期死亡率较低,部分动物存活时间延长。