Chesapeake Veterinary Surgical Specialists, Annapolis, Maryland, USA.
J Small Anim Pract. 2022 Sep;63(9):692-698. doi: 10.1111/jsap.13524. Epub 2022 Jun 17.
To identify and describe the type and frequency of perioperative factors in dogs and cats undergoing pancreatic surgery under referral care.
Medical records from a small animal surgical referral practice were retrospectively reviewed to identify dogs and cats that underwent pancreatic surgery between 2008 and 2019. Inclusion criteria included complete medical record, histopathology results and follow-up of at least 14 days postoperatively or until death. Variables collected included signalment, history, presenting complaint, preoperative diagnostic results, intraoperative complications, surgical findings/procedures, postoperative complications and histopathology results. Cases were excluded if pertinent information or a histopathology report was missing from the medical record. The frequency of these variables was reported.
There were 81 client-owned animals identified that met the inclusion criteria (57 dogs and 24 cats). The most common pancreatic procedure performed in dogs was partial pancreatectomy 63.2% (36/57) and in cats was pancreatic biopsy 62.5% (15/24). The most common histologic diagnosis in dogs was pancreatic islet cell carcinoma 50.9% (29/57) and in cats was pancreatitis 41.7% (10/24). The overall mortality rate was 13.6% (11/81), with a 10.5% (6/57) mortality rate in dogs and a 20.8% (5/24) mortality rate in cats.
In this series of dogs and cats, pancreatic surgery under referral care carried a low to moderate mortality rate.
确定并描述接受转诊护理的行胰腺手术的犬猫围手术期的因素的类型和频率。
回顾性分析一家小动物外科转诊中心 2008 年至 2019 年间接受胰腺手术的犬猫的病历。纳入标准包括完整的病历、组织病理学结果和至少 14 天的术后或直至死亡的随访。收集的变量包括年龄、性别、病史、临床表现、术前诊断结果、术中并发症、手术发现/手术过程、术后并发症和组织病理学结果。如果病历中缺少相关信息或组织病理学报告，则将病例排除在外。报告了这些变量的频率。
共确定了 81 例符合纳入标准的患宠（57 只犬和 24 只猫）。在犬中最常见的胰腺手术是部分胰腺切除术（63.2%，36/57），在猫中是胰腺活检（62.5%，15/24）。犬中最常见的组织学诊断是胰岛细胞瘤（50.9%，29/57），猫中最常见的是胰腺炎（41.7%，10/24）。总死亡率为 13.6%（11/81），犬的死亡率为 10.5%（6/57），猫的死亡率为 20.8%（5/24）。
在本系列犬猫中，接受转诊护理的胰腺手术死亡率较低至中等。
