Abstract
Objective: To report the perioperative findings and outcome of dogs undergoing video-assisted thoracic surgery (VATS) for the management of pyothorax. Design: Multi-institutional, retrospective study. Animals: Client-owned dogs (n=14). Methods: Medical records of dogs with pyothorax managed via VATS were reviewed for signalment, history, clinical signs, clinicopathological findings, diagnostic imaging results, surgical variables, bacterial culture and sensitivity results, post-operative management and outcome. VATS was performed after placing a paraxyphoid endoscopic portal and 2-3 intercostal instrument portals. VATS exploration was followed by one or more of the following: mediastinal debridement, tissue sampling, pleural lavage, and placement of a thoracostomy tube. Results: Two dogs (14%) required conversion from VATS to an open thoracotomy to completely resect proliferative mediastinal tissue. These dogs had severe pleural effusion on preoperative thoracic radiographs and one had severely thickened contrast-enhancing mediastinum on preoperative computed tomography (CT). The cause of pyothorax was identified as a penetrating gastric foreign body (n=2), migrating plant material (n=2), and idiopathic (n=10). The median follow-up time was 143 days (range, 14-2402 days). All dogs were discharged from the hospital and their clinical signs resolved. One patient had recurrence of a pyothorax requiring revision surgery 17 months postoperatively. Conclusion: VATS allows minimally invasive treatment of uncomplicated canine pyothorax. Preoperative thoracic CT may help identify candidates for VATS among dogs with pyothorax.
| Original language | English (US) |
|---|---|
| Journal | Veterinary Surgery |
| DOIs | |
| State | Accepted/In press - 2017 |
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ASJC Scopus subject areas
- veterinary(all)
Cite this
Video-assisted thoracic surgery for the management of pyothorax in dogs : 14 cases. / Scott, Jacqueline; Singh, Ameet; Monnet, Eric; Coleman, Kristin A.; Runge, Jeffrey J.; Case, Joseph Brad; Mayhew, Philipp.
In: Veterinary Surgery, 2017.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Video-assisted thoracic surgery for the management of pyothorax in dogs
T2 - 14 cases
AU - Scott, Jacqueline
AU - Singh, Ameet
AU - Monnet, Eric
AU - Coleman, Kristin A.
AU - Runge, Jeffrey J.
AU - Case, Joseph Brad
AU - Mayhew, Philipp
PY - 2017
Y1 - 2017
N2 - Objective: To report the perioperative findings and outcome of dogs undergoing video-assisted thoracic surgery (VATS) for the management of pyothorax. Design: Multi-institutional, retrospective study. Animals: Client-owned dogs (n=14). Methods: Medical records of dogs with pyothorax managed via VATS were reviewed for signalment, history, clinical signs, clinicopathological findings, diagnostic imaging results, surgical variables, bacterial culture and sensitivity results, post-operative management and outcome. VATS was performed after placing a paraxyphoid endoscopic portal and 2-3 intercostal instrument portals. VATS exploration was followed by one or more of the following: mediastinal debridement, tissue sampling, pleural lavage, and placement of a thoracostomy tube. Results: Two dogs (14%) required conversion from VATS to an open thoracotomy to completely resect proliferative mediastinal tissue. These dogs had severe pleural effusion on preoperative thoracic radiographs and one had severely thickened contrast-enhancing mediastinum on preoperative computed tomography (CT). The cause of pyothorax was identified as a penetrating gastric foreign body (n=2), migrating plant material (n=2), and idiopathic (n=10). The median follow-up time was 143 days (range, 14-2402 days). All dogs were discharged from the hospital and their clinical signs resolved. One patient had recurrence of a pyothorax requiring revision surgery 17 months postoperatively. Conclusion: VATS allows minimally invasive treatment of uncomplicated canine pyothorax. Preoperative thoracic CT may help identify candidates for VATS among dogs with pyothorax.
AB - Objective: To report the perioperative findings and outcome of dogs undergoing video-assisted thoracic surgery (VATS) for the management of pyothorax. Design: Multi-institutional, retrospective study. Animals: Client-owned dogs (n=14). Methods: Medical records of dogs with pyothorax managed via VATS were reviewed for signalment, history, clinical signs, clinicopathological findings, diagnostic imaging results, surgical variables, bacterial culture and sensitivity results, post-operative management and outcome. VATS was performed after placing a paraxyphoid endoscopic portal and 2-3 intercostal instrument portals. VATS exploration was followed by one or more of the following: mediastinal debridement, tissue sampling, pleural lavage, and placement of a thoracostomy tube. Results: Two dogs (14%) required conversion from VATS to an open thoracotomy to completely resect proliferative mediastinal tissue. These dogs had severe pleural effusion on preoperative thoracic radiographs and one had severely thickened contrast-enhancing mediastinum on preoperative computed tomography (CT). The cause of pyothorax was identified as a penetrating gastric foreign body (n=2), migrating plant material (n=2), and idiopathic (n=10). The median follow-up time was 143 days (range, 14-2402 days). All dogs were discharged from the hospital and their clinical signs resolved. One patient had recurrence of a pyothorax requiring revision surgery 17 months postoperatively. Conclusion: VATS allows minimally invasive treatment of uncomplicated canine pyothorax. Preoperative thoracic CT may help identify candidates for VATS among dogs with pyothorax.
UR - http://www.scopus.com/inward/record.url?scp=85018316162&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85018316162&partnerID=8YFLogxK
U2 - 10.1111/vsu.12661
DO - 10.1111/vsu.12661
M3 - Article
C2 - 28460424
AN - SCOPUS:85018316162
JO - Veterinary Surgery
JF - Veterinary Surgery
SN - 0161-3499
ER -