Rossanese Matteo, Williams Phillipa, Tomlinson Andrew, Cinti Filippo
Department of Clinical Science and Services, Royal Veterinary College, London NW1 0TU, UK.
Dick White Referrals, Six Mile Bottom CB8 0UH, UK.
Animals (Basel). 2022 Aug 17;12(16):2112. doi: 10.3390/ani12162112.
The aim of this study is to report outcomes of dogs undergoing cholecystectomy for gall bladder mucocele (GBM) without flushing and catheterization of the common bile duct (CBD). This is a retrospective multicentric study from three veterinary referral hospitals and included 82 dogs diagnosed with GBM. Medical records were reviewed for clinical and histopathological findings. Long-term outcome was assessed with an owner questionnaire. The common bile duct was considered normal (<4 mm), mildly dilated (5−6 mm) and moderately dilated (>7 mm) in 88%, 10% and 2.4% of dogs, respectively. Surgery was uncomplicated in 83% of dogs. Intraoperative complications were recorded in 21% of dogs, with hypotension being the most common, whereas postoperative complications were documented in 20% of dogs, with vomiting/regurgitation being the most common. Ninety-six percent of dogs that underwent cholecystectomy in this study survived to discharge. Follow-up ranged from 142 to 3930 days (median: 549 days). Eighty-five percent of dogs were alive at the time of follow-up. Dogs undergoing cholecystectomy for GBM without catheterization and flushing of the CBD have a favourable prognosis for recovery and quality of life.
本研究的目的是报告未进行胆总管冲洗和置管的情况下，因胆囊黏液囊肿（GBM）接受胆囊切除术的犬只的预后情况。这是一项来自三家兽医转诊医院的回顾性多中心研究，纳入了82只被诊断为GBM的犬只。对病历进行了临床和组织病理学检查结果的回顾。通过主人问卷调查评估长期预后。分别有88%、10%和2.4%的犬只胆总管被认为正常（<4 mm）、轻度扩张（5 - 6 mm）和中度扩张（>7 mm）。83%的犬只手术过程顺利。21%的犬只记录有术中并发症，其中低血压最为常见，而20%的犬只记录有术后并发症，其中呕吐/反流最为常见。本研究中接受胆囊切除术的犬只96%存活至出院。随访时间为142至3930天（中位数：549天）。随访时85%的犬只存活。未进行胆总管置管和冲洗而因GBM接受胆囊切除术的犬只恢复和生活质量预后良好。
