Department of Surgery, The Ralph Veterinary Referral Centre, Marlow, UK.
Department of Surgery, San Marco Veterinary Clinic and Laboratory, Padova, Italy.
J Small Anim Pract. 2024 Nov;65(11):799-806. doi: 10.1111/jsap.13756. Epub 2024 Jul 10.
To investigate the use of endovascular gastrointestinal stapling devices to perform intestinal functional end-to-end stapled anastomosis in small dogs and cats.
Medical records of dogs (≤10 kg) and cats that underwent intestinal resection and functional end-to-end stapled anastomosis with an endovascular gastrointestinal anastomosis (endovascular-GIA) stapling device at five small animal referral centres between April 2014 and September 2023 were retrospectively reviewed. Data including clinical findings, surgical technique, histopathology and complications were collected. A minimum follow-up of 10 days was required. Patients with follow-up of less than 10 days were included if they developed a major complication. Outcome was obtained from assessing the clinical records and contacting the referring veterinarians or owners. Estimated survival was generated according to the Kaplan-Meier method. Differences between survival curves were tested by log-rank test.
Twenty-five patients (10 dogs and 15 cats) were included. The median bodyweight was 4.6 kg (range 2.6 to 10 kg). Nine patients were diagnosed with intestinal neoplasia, 16 with non-neoplastic intestinal disease. The median follow-up was 126 days (range 18 to 896 days). Five patients developed minor postoperative complications, including three superficial surgical site infections. No major postoperative complications were reported. Eighteen patients were alive at the end of the study, one patient was lost to follow-up. Kaplan-Meier estimated median survival time was not reached. Survival was significantly longer for patients with non-neoplastic versus neoplastic intestinal.
The study suggests that the use of endovascular gastrointestinal anastomosis staplers is safe and effective to perform intestinal functional end-to-end stapled anastomosis in dogs ≤10 kg and cats.
研究在小型犬猫中使用血管内胃肠吻合器进行肠内功能性端端吻合吻合的效果。
回顾性分析 2014 年 4 月至 2023 年 9 月，五家小动物转诊中心的 10kg 以下犬猫因肠切除术和功能端端吻合血管内胃肠吻合术（血管内-GIA）吻合器而接受肠切除术和功能端端吻合血管内胃肠吻合术的病历。收集了临床资料、手术技术、组织病理学和并发症等数据。需要至少随访 10 天。如果患者出现重大并发症，随访时间少于 10 天的患者也被纳入。通过评估临床记录并联系转诊兽医或主人来获得结果。根据 Kaplan-Meier 方法计算估计生存率。通过对数秩检验比较生存曲线之间的差异。
共纳入 25 例患者（10 只犬和 15 只猫）。中位体重为 4.6kg（范围 2.6-10kg）。9 例患者诊断为肠肿瘤，16 例患者诊断为非肿瘤性肠疾病。中位随访时间为 126 天（范围 18-896 天）。5 例患者出现轻微术后并发症，包括 3 例浅表手术部位感染。无重大术后并发症报告。研究结束时 18 例患者存活，1 例患者失访。Kaplan-Meier 估计的中位生存时间未达到。非肿瘤性肠病患者的生存时间明显长于肿瘤性肠病患者。
本研究表明，在体重≤10kg 的犬和猫中，使用血管内胃肠吻合器进行肠内功能性端端吻合是安全有效的。
