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Triple-combination surgery with thoracic duct ligation, partial pericardiectomy, and cisterna chyli ablation for treatment of canine idiopathic chylothorax
This study aimed to evaluate the outcomes and complications of triple-combination surgery consisting of thoracic duct ligation (TDL), partial pericardiectomy (PPC), and cisterna chyli ablation (CCA) for the treatment of idiopathic chylothorax in dogs. Eleven privately owned dogs with idiopathic chyl...
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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The Japanese Society of Veterinary Science
2022
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9412061/ https://www.ncbi.nlm.nih.gov/pubmed/35675979 http://dx.doi.org/10.1292/jvms.22-0043 |
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author | ISHIGAKI, Kumiko NAGUMO, Takahiro SAKURAI, Naoki ASANO, Kazushi |
author_facet | ISHIGAKI, Kumiko NAGUMO, Takahiro SAKURAI, Naoki ASANO, Kazushi |
author_sort | ISHIGAKI, Kumiko |
collection | PubMed |
description | This study aimed to evaluate the outcomes and complications of triple-combination surgery consisting of thoracic duct ligation (TDL), partial pericardiectomy (PPC), and cisterna chyli ablation (CCA) for the treatment of idiopathic chylothorax in dogs. Eleven privately owned dogs with idiopathic chylothorax underwent the triple-combination surgery: TDL and PPC were performed in left recumbency, followed by CCA in dorsal recumbency. Of the 11 dogs, seven were Shiba, two were Afghan hounds, and one each was Borzoi and mixed-breed. TDL and PPC required two intercostal thoracotomies in five dogs, whereas they were performed through a single intercostal incision in the other dogs. None of the dogs showed major intraoperative complications. The median operation time was 190 min (range, 151–234 min). Nine dogs showed no pleural effusion after surgery without medical management. Another dog showed the disappearance of chylous effusion, followed by the pleural accumulation of modified transudate. However, the residual one dog in whom chylothorax did not improve postoperatively died 4 months after the combination surgery. The mortality rate at the conclusion of this study was 9.1%. Although the triple-combination surgery with TDL, PPC, and CCA was complex and required a prolonged operation time, the success rate of resolving chylothorax in our study was comparable to that of open surgery as previously reported. Therefore, this study suggests that such triple-combination surgery can become one of the therapeutic options for the management of canine idiopathic chylothorax. |
format | Online Article Text |
id | pubmed-9412061 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | The Japanese Society of Veterinary Science |
record_format | MEDLINE/PubMed |
spelling | pubmed-94120612022-08-30 Triple-combination surgery with thoracic duct ligation, partial pericardiectomy, and cisterna chyli ablation for treatment of canine idiopathic chylothorax ISHIGAKI, Kumiko NAGUMO, Takahiro SAKURAI, Naoki ASANO, Kazushi J Vet Med Sci Surgery This study aimed to evaluate the outcomes and complications of triple-combination surgery consisting of thoracic duct ligation (TDL), partial pericardiectomy (PPC), and cisterna chyli ablation (CCA) for the treatment of idiopathic chylothorax in dogs. Eleven privately owned dogs with idiopathic chylothorax underwent the triple-combination surgery: TDL and PPC were performed in left recumbency, followed by CCA in dorsal recumbency. Of the 11 dogs, seven were Shiba, two were Afghan hounds, and one each was Borzoi and mixed-breed. TDL and PPC required two intercostal thoracotomies in five dogs, whereas they were performed through a single intercostal incision in the other dogs. None of the dogs showed major intraoperative complications. The median operation time was 190 min (range, 151–234 min). Nine dogs showed no pleural effusion after surgery without medical management. Another dog showed the disappearance of chylous effusion, followed by the pleural accumulation of modified transudate. However, the residual one dog in whom chylothorax did not improve postoperatively died 4 months after the combination surgery. The mortality rate at the conclusion of this study was 9.1%. Although the triple-combination surgery with TDL, PPC, and CCA was complex and required a prolonged operation time, the success rate of resolving chylothorax in our study was comparable to that of open surgery as previously reported. Therefore, this study suggests that such triple-combination surgery can become one of the therapeutic options for the management of canine idiopathic chylothorax. The Japanese Society of Veterinary Science 2022-06-08 2022-08 /pmc/articles/PMC9412061/ /pubmed/35675979 http://dx.doi.org/10.1292/jvms.22-0043 Text en ©2022 The Japanese Society of Veterinary Science https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial No Derivatives (by-nc-nd) License. (CC-BY-NC-ND 4.0: https://creativecommons.org/licenses/by-nc-nd/4.0/) |
spellingShingle | Surgery ISHIGAKI, Kumiko NAGUMO, Takahiro SAKURAI, Naoki ASANO, Kazushi Triple-combination surgery with thoracic duct ligation, partial pericardiectomy, and cisterna chyli ablation for treatment of canine idiopathic chylothorax |
title | Triple-combination surgery with thoracic duct ligation, partial
pericardiectomy, and cisterna chyli ablation for treatment of canine idiopathic
chylothorax |
title_full | Triple-combination surgery with thoracic duct ligation, partial
pericardiectomy, and cisterna chyli ablation for treatment of canine idiopathic
chylothorax |
title_fullStr | Triple-combination surgery with thoracic duct ligation, partial
pericardiectomy, and cisterna chyli ablation for treatment of canine idiopathic
chylothorax |
title_full_unstemmed | Triple-combination surgery with thoracic duct ligation, partial
pericardiectomy, and cisterna chyli ablation for treatment of canine idiopathic
chylothorax |
title_short | Triple-combination surgery with thoracic duct ligation, partial
pericardiectomy, and cisterna chyli ablation for treatment of canine idiopathic
chylothorax |
title_sort | triple-combination surgery with thoracic duct ligation, partial
pericardiectomy, and cisterna chyli ablation for treatment of canine idiopathic
chylothorax |
topic | Surgery |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9412061/ https://www.ncbi.nlm.nih.gov/pubmed/35675979 http://dx.doi.org/10.1292/jvms.22-0043 |
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