Department of Clinical Science, Kansas State University, Manhattan, Kansas, 66506, USA.
Department of Clinical Science, Texas A&M University, College Station, Texas, 77843, USA.
J Small Anim Pract. 2021 Jul;62(7):547-553. doi: 10.1111/jsap.13312. Epub 2021 Feb 15.
The purpose of this study was to describe elective and nonelective post-cholecystectomy complications and mortality rates in dogs with a gall bladder mucocele. The secondary purpose was to report complications and mortality rates for different methods of common bile duct catheterisation.
A multi-institutional retrospective case series was performed to identify dogs with a gall bladder mucocele between 2004 and 2018 that underwent a cholecystectomy. Dogs were classified into nonelective or elective based on the presence or absence, respectively, of gall bladder rupture, biliary duct distension, clinical signs or hyperbilirubinemia. Each cholecystectomy was classified into three groups: duodenotomy and retrograde catheterisation, normograde catheterisation or no catheterisation. Complications were divided into four grades based on increasing severity and mortality rates were assessed for each.
The mortality rate was 2 (6%) out of 31 for dogs undergoing an elective cholecystectomy and 21 (23%) out of 90 for dogs undergoing a nonelective cholecystectomy. The complication rate was 52% for the elective cholecystectomy and 50% for nonelective cholecystectomy. The majority of the complications in the elective category were grade 1 (mild). Post-operative hyperthermia developed in 35% of dogs that had a duodenotomy and retrograde common bile duct catheterisation, in 4% of dogs with a normograde common bile duct catheterisation and in 7% of dogs that did not have the common bile duct catheterised.
Elective cholecystectomy in dogs with a gall bladder mucocele in this study carried a low mortality rate and a relatively high frequency of minor complications.
本研究旨在描述患有胆囊粘液囊肿的犬的择期和非择期胆囊切除术后并发症和死亡率。次要目的是报告不同方法的胆总管置管术的并发症和死亡率。
进行了一项多机构回顾性病例系列研究，以确定 2004 年至 2018 年间患有胆囊粘液囊肿并接受胆囊切除术的犬。根据是否存在胆囊破裂、胆管扩张、临床症状或高胆红素血症，将犬分为非择期或择期。每例胆囊切除术分为十二指肠切开和逆行置管、顺行置管或无置管三组。根据严重程度将并发症分为四级，并评估每级的死亡率。
在接受择期胆囊切除术的 31 只犬中，死亡率为 2 只（6%），在接受非择期胆囊切除术的 90 只犬中，死亡率为 21 只（23%）。择期胆囊切除术的并发症发生率为 52%，非择期胆囊切除术的并发症发生率为 50%。择期组的大多数并发症为 1 级（轻度）。行十二指肠切开和逆行胆总管置管术的犬中 35%出现术后发热，行顺行胆总管置管术的犬中 4%出现术后发热，未行胆总管置管术的犬中 7%出现术后发热。
在本研究中，患有胆囊粘液囊肿的犬行择期胆囊切除术的死亡率低，且轻微并发症的发生率相对较高。
