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Short-term outcomes of dogs and cats undergoing lung lobectomy using either a self-ligating loop or a thoracoabdominal stapler.
Sandoval, Daniel M; Stobie, Daniel; Valenzano, Dominick M; Zuendt, Gregory F; Lopez, Daniel J.
Afiliación
  • Sandoval DM; NorthStar VETS, Robbinsville, New Jersey, USA.
  • Stobie D; NorthStar VETS, Robbinsville, New Jersey, USA.
  • Valenzano DM; Apex Vets, Silver Spring, Maryland, USA.
  • Zuendt GF; NorthStar VETS, Robbinsville, New Jersey, USA.
  • Lopez DJ; Department of Clinical Sciences, Cornell University College of Veterinary Medicine, Ithaca, New York, USA.
Vet Surg ; 2024 Jul 27.
Article en En | MEDLINE | ID: mdl-39073109
ABSTRACT

OBJECTIVE:

To assess clinical outcomes of lung lobectomies in dogs and cats using either self-ligating loops (SLLs) or thoracoabdominal (TA) staplers, aiming to inform sample size calculations for future superiority trials. STUDY

DESIGN:

Retrospective study. ANIMALS A total of 72 dogs and 15 cats.

METHODS:

Records from January 2003 to October 2023 at a single institution were reviewed. Cases with lung lobectomy performed via TA stapler or SLL with a minimum 14-day postoperative follow-up were included. Pre-, intra-, and postoperative data were collected, with outcomes of interest including the frequency of intra- and postoperative complications. Outcome comparisons between techniques were performed to inform sample size calculations.

RESULTS:

A total of 101 lung lobectomies were performed. The TA stapler was used in 83 (82.2%) and the SLL in 18 (17.8%) lung lobectomies. Intraoperative complications were identified in 14/101 lung lobectomies (13.9%), including intraoperative hemorrhage in 12/101 lobectomies (11.8%) and air leakage in 2/101 lobectomies (1.9%). Postoperative complications were identified in 12/87 cases (13.8%), including 4 (4.6%) catastrophic complications and 5 (5.8%) major complications. All intra- and postoperative complications occurred in cases having undergone stapled lung lobectomy; however, no differences were identified between surgical technique and either intraoperative (p = .069) or postoperative complications (p = .112). A sample size of 103 lobectomies per technique group would be required for appropriate evaluation.

CONCLUSION:

Lung lobectomy using either surgical technique provided a good short-term outcome in this population. CLINICAL

SIGNIFICANCE:

Self-ligating loop lung lobectomy provided a comparable alternative to stapled lung lobectomy. Further studies are needed to assess technique superiority.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Vet Surg Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Vet Surg Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos