Advances in Video-Assisted Thoracic Surgery, Thoracoscopy

Case, J. Brad

doi:10.1016/j.cvsm.2015.07.005

Cited by 12 publications

(13 citation statements)

References 36 publications

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“…When pericardiectomy is considered for treatment, the surgeon must decide how much pericardium to excise (Case, 2016). As a result, open thoracic approaches for pericardiectomy are preferred because they provide better surgical exposure and incision (Dupre et al, 2001;Vistarini et al, 2015).…”

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

“…Partial pericardiectomy is a valuable treatment for cases with constrictive pericarditis because echocardiographic symptoms of this constriction (progressive fluid overload, reduced cardiac output and right ventricular pressure disturbance) are only terminated by pericardial surgery (Hardy et al, 1992;Bicer et al, 2015;Busch et al, 2015;Vistarini et al, 2015). Thoracoscopic surgery, compared to the open thoracic approach, decreases surgical stress, pain and postoperative complications; as a result, it is recommended as a minimally invasive technique for treating some pericardial diseases in veterinary practice (Dupre et al, 2016;Palsgaard et al, 2007;Case, 2016). In humans, partial pericardiectomy increases the survival time, relieves the clinical symptoms and prevents a second disease from worsening the health status of the patient (Vistarini et al, 2015).…”

Section: Introductionmentioning

confidence: 99%

“…The presenting malignant, infectious or idiopathic etiologies may indicate the need for pericardiectomy in small animals (Dupre et al, 2001;Case, 2016). The objective of pericardiectomy is to excise sufficient pericardium to excise enough pericardium to eliminate tamponade and to obtain a histologic diagnosis of the patient's condition (Palsgaard et al, 2007;Case, 2016). For this purpose, partial and total pericardiectomy are described, and these techniques are performed via a lateral thoracotomy, median sternotomy or thoracoscopic approach (Hardy et al, 1992;Jackson et al, 1999;Dupre et al, 2001;Palsgaard et al, 2007;Vistarini et al, 2015;Case, 2016).…”

Section: Introductionmentioning

confidence: 99%

“…The objective of pericardiectomy is to excise sufficient pericardium to excise enough pericardium to eliminate tamponade and to obtain a histologic diagnosis of the patient's condition (Palsgaard et al, 2007;Case, 2016). For this purpose, partial and total pericardiectomy are described, and these techniques are performed via a lateral thoracotomy, median sternotomy or thoracoscopic approach (Hardy et al, 1992;Jackson et al, 1999;Dupre et al, 2001;Palsgaard et al, 2007;Vistarini et al, 2015;Case, 2016). Partial pericardiectomy is a valuable treatment for cases with constrictive pericarditis because echocardiographic symptoms of this constriction (progressive fluid overload, reduced cardiac output and right ventricular pressure disturbance) are only terminated by pericardial surgery (Hardy et al, 1992;Bicer et al, 2015;Busch et al, 2015;Vistarini et al, 2015).…”

Section: Introductionmentioning

confidence: 99%

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Comparison of early stage electrocardiographic, echocardiographic and histopathologic results of partial pericardiectomy and thoracoscopic pericardial window techniques in an animal model

Salcı

Kocatürk

İpek

et al. 2018

J Hellenic Vet Med Soc

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This study aimed to compare early stage electrocardiographic (ECG), echocardiographic (ECHO) and histopathologic results of the pericardial surgery techniques. Partial pericardiectomy by lateral thoracotomy and thoracoscopic pericardial window techniques was performed under general anesthesia in goats (n=6), which were separated into two groups; partial pericardiectomy was performed in group I (GRI) (n=3) and thoracoscopic pericardial window was performed in group II (GRII) (n=3). ECG and ECHO examinations were performed pre- and postoperatively on days 1, 7 and 30. All experimental animals were sacrificed at the end of day 30 and macroscopic investigations were performed. Histopathological examinations were performed on the lung, visceral pleura, epicardium and myocardial tissues. ECG findings included sinus tachycardia, small complex QRS and T wave peak on day 1 in both groups., The left atrial and ventricular diameters as well as the stroke volume were lower on the 1st postoperative day in both groups. The stroke volume was lower on postoperative days 1 and 30 in GRII. The observed ejection fraction was lower in GRII and higher in GRI on postoperative day 30 compared with their baselines. Macroscopic and histopathological findings of the lung and heart tissues were more severe in GRI, but there was no meaningful variation in the epicardium or visceral pleura. There was no significant difference in the histopathological results between the groups. Although the thoracoscopic pericardial window technique seem less traumatic and better tolerated than partial pericardiectomy, our ECHO and histopathologic results indicate that both techniques can safely be performed by surgeons according to the pericardial disease indication.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Comparison of early stage electrocardiographic, echocardiographic and histopathologic results of partial pericardiectomy and thoracoscopic pericardial window techniques in an animal model

Salcı

Kocatürk

İpek

et al. 2018

J Hellenic Vet Med Soc

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Respiratory Tract and Thorax

Martano¹,

Boston²,

Morello³

2022

Veterinary Surgical Oncology

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Treatment and outcome of spontaneous pneumothorax secondary to suspected migrating vegetal foreign body in 37 dogs

et al. 2021

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Background: The aim of this study is to describe surgical findings, treatment and outcome of spontaneous pneumothorax (SP) secondary to suspected migrating vegetal foreign body (MVFB). Methods: This retrospective study included dogs with computed tomography (CT) consistent with SP suspected to be secondary to MVFB that underwent thoracic surgery. They were divided into two groups according to whether CT identified (group 1) or only suspected (group 2) an MVFB. Results: Thirty‐seven dogs were included (twenty‐one in group 1 and 16 in group 2). An MVFB was identified during surgery in 18 of 21 of cases of group 1 and in 10 of 16 of group 2. An agreement between lobes affected on CT and surgical findings was observed in 34 of 40 lobes. In nine of 37 of cases, a lung perforation was identified without evidence of MVFB. Thirty‐nine lobectomies were performed: 15 complete and 24 partial. No recurrence of pneumothorax was observed. In four dogs, a second surgery was necessary to remove an MVFB 1.5 to 3 months after the initial surgery due to secondary draining tracts. Conclusion: Surgical approach planed with CT resolved SP in all cases before discharge with excellent short‐term outcome and no major complication. CT was reliable to assess perforated lung lobes in 85% of cases. Clinical signs of delayed draining tract developed in 33% of cases where surgery failed to find an MVFB identified on CT.

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Advances in Video-Assisted Thoracic Surgery, Thoracoscopy

Cited by 12 publications

References 36 publications

Comparison of early stage electrocardiographic, echocardiographic and histopathologic results of partial pericardiectomy and thoracoscopic pericardial window techniques in an animal model

Comparison of early stage electrocardiographic, echocardiographic and histopathologic results of partial pericardiectomy and thoracoscopic pericardial window techniques in an animal model

Respiratory Tract and Thorax

Treatment and outcome of spontaneous pneumothorax secondary to suspected migrating vegetal foreign body in 37 dogs

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