| Single paracostal approach to thoracic duct and cisterna chyli: experimental study and case series. | |
MedLine Citation:
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PMID: 22380664 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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OBJECTIVE: To-determine the feasibility of a single paracostal abdominal approach for thoracic duct ligation (TDL) and cisterna chyli ablation (CCA) in dogs with chylothorax. STUDY DESIGN: Observational study and prospective case series. ANIMALS: Normal dogs (n = 5) and dogs with chylothorax (n = 8). METHODS: A single paracostal approach with transdiaphragmatic extension for TDL and CCA was developed experimentally (n = 5) and used in 8 clinical cases with subtotal pericardectomy (SPE) performed in 4 dogs. Surgery time, complications, hospitalization time, outcome, and follow-up of clinical cases were recorded. RESULTS: Exposure of relevant anatomy was excellent; vital lymphatic staining facilitated identification of lymphatic structures. In clinical cases, mean surgery time for TDL + CCA was 136 minutes. Mean hospitalization time was 3.1 days. Seven of 8 cases survived, with 1 dog dying of heart failure shortly after discharge. One dog required a second (left) paracostal approach to ligate 2 more lymphatic vessels. On follow-up (median, 7 months; range, 2-20 months), there was complete resolution of chylothorax in 6 dogs. CONCLUSIONS: A single paracostal approach provides excellent exposure of cisterna chyli, caudal thoracic duct, and intestinal lymphatics. This approach eliminates the need for repositioning during combined TDL + CCA procedures and avoids an intercostal thoracotomy. |
Authors:
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Benjamin A Staiger; Bryden J Stanley; Jonathan F McAnulty |
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Publication Detail:
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Type: Journal Article Date: 2011-09-14 |
Journal Detail:
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Title: Veterinary surgery : VS Volume: 40 ISSN: 1532-950X ISO Abbreviation: Vet Surg Publication Date: 2011 Oct |
Date Detail:
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Created Date: 2012-03-02 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8113214 Medline TA: Vet Surg Country: United States |
Other Details:
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Languages: eng Pagination: 786-94 Citation Subset: IM |
Copyright Information:
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© Copyright 2011 by The American College of Veterinary Surgeons. |
Affiliation:
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Department of Small Animal Clinical Sciences, Michigan State University, East Lansing, MI. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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