RESUMEN
OBJECTIVES: To present outcomes and complications following liver lobectomy using thoracoabdominal staplers in cats, to identify factors associated with survival time and to confirm safety and feasibility. METHODS: Retrospective analysis of case records (n=18) of cats that underwent liver lobectomy with a thoracoabdominal stapler. RESULTS: Fourteen of the 18 cats (78%) survived to discharge. Median survival time was 136·5 days. On log-rank univariate analysis, preoperative abdominal fluid (P=0·002), preoperative anaemia (P=0·03) and perioperative transfusion (P=0·01) were associated with decreased survival time. Perioperative anaemia was common (89%), and rate of transfusion during hospitalisation was 61%. Clinical signs of illness, azotaemia, elevated liver enzyme activities and malignant neoplasia did not appear to impact survival; however, anaemia, abdominal fluid and transfusion may be associated with decreased survival time. CLINICAL SIGNIFICANCE: Liver lobectomy using thoracoabdominal staplers was effective in removal of hepatic lesions and all cats survived surgery. Outcome was negatively associated with preoperative abdominal fluid (haemorrhagic and non-haemorrhagic), preoperative anaemia or perioperative transfusion. Surgeons should be prepared to employ ancillary methods of haemostasis to augment the staple line, and need for blood transfusion should be anticipated.
Asunto(s)
Enfermedades de los Gatos/cirugía , Hepatectomía/veterinaria , Engrapadoras Quirúrgicas/veterinaria , Animales , Enfermedades de los Gatos/mortalidad , Gatos/cirugía , Femenino , Masculino , Estudios Retrospectivos , Análisis de Supervivencia , Resultado del TratamientoRESUMEN
A 14-year-old domestic shorthair cat presented with a 5-month history of urinary incontinence and inappro-priate elimination. Ultrasonography revealed a well-marginated, vascular mass of mixed echogenicity ex-tending from the dorsal wall of the urinary bladder into the lumen. Partial cystectomy was performed for re-moval of the urinary bladder mass; histopathological evaluation revealed a spindle cell neoplasm with a prominent palisading pattern. Histomorphologic features and immunohistochemical demonstration of vimentin, glial fibrillary acidic protein and S-100 protein, combined with negativity for smooth muscle actin and desmin were consistent with malignant peripheral nerve sheath tumour. This case report describes a novel location of malignant peripheral nerve sheath tumour; to the authors' knowledge, the bladder has not been described as a site of origin in the cat or any other domestic species.