Comparison of different bronchial closure techniques following pneumonectomy in dogs

Salcı, Hakan; Bayram, Ahmet Sami; Özyiğit, Özgür; Gebitekin, Cengiz; Görgül, O. Sacit

doi:10.4142/jvs.2007.8.4.393

Cited by 8 publications

(6 citation statements)

References 30 publications

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“…Additionally, the tip of the bronchial stump is often oversewn for added security against air leakage. 21,22 Stapling devices are used by approximating the edges of the bronchial stump and the associated vessels, and applying the staples transversely, thus allowing simultaneous vessel and bronchus ligation and, hence, significantly reducing surgical time. Stapling devices are widely reported to be safe and effective, and are associated with minimal perioperative complications.…”

Section: Discussionmentioning

confidence: 99%

Clinical Outcome following Pneumonectomy for Management of Chronic Pyothorax in Four Cats

Crawford

Halfacree

Lee

et al. 2011

Journal of Feline Medicine and Surgery

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Pneumonectomy is the resection of all lung lobes from one side of the thorax. The clinical findings, treatment and outcome of four cases of feline chronic pyothorax managed with exploratory thoracotomy and pneumonectomy are reported. All cases were initially medically managed with thoracic drain placement and antibiosis. However, resolution was not achieved with medical therapy and diagnostic imaging findings consistent with an area of abscessation or marked lung lobe consolidation were identified, supporting a decision for surgical management. Surgical exploration was performed via median sternotomy and, on the basis of gross inspection, non-functional lung was removed. A left-sided pneumonectomy was performed in three cats and a right-sided pneumonectomy in one. All cases survived to discharge and an excellent quality of life was reported on long-term follow-up. Pneumonectomy appears to be well tolerated in the cat.

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Section: Discussionmentioning

confidence: 99%

Clinical Outcome following Pneumonectomy for Management of Chronic Pyothorax in Four Cats

Crawford

Halfacree

Lee

et al. 2011

Journal of Feline Medicine and Surgery

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“…In human medicine, prolonged air leakage is the most common complication after pulmonary resection and is mainly due to bronchopleural fistula 6 . This complication was unlikely in our case, as it rarely occurs within the first 48 hours and has never been reported in clinical reports in veterinary medicine, only in an experimental study 5,7 …”

Section: Discussionmentioning

confidence: 67%

“…In dogs, Salci et al. compared three different bronchial closure techniques (manual suture, stapler and manual suture plus tissue flab) after pneumonectomy, and no difference in outcome was found, especially in terms of histological healing and risk for bronchofistula 7 . Even within stapler‐using lobectomies, different techniques have been described.…”

Section: Discussionmentioning

confidence: 99%

Lung perforation caused by suture ends as a complication of lung lobectomy in a dog

Demars

Minier

Boland³

2022

Vet Record Case Reports

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A 7‐year‐old female bearded collie was presented with a 6‐month history of coughing. A thoracic and abdominal computed tomography examination revealed a large soft tissue mass within the right caudal and middle pulmonary lobes. A right caudal, middle and accessory lobe lung lobectomy was performed with a combination of manual sutures and staples. A persistent pneumothorax was observed during the 4 days following surgery, and surgical exploration was conducted. Two lung perforations in the cranial pulmonary lobe induced by the suture ends from the first procedure were detected. A right cranial lobectomy using a TA stapler was performed, resulting in a right total pneumonectomy. Seven months after the surgery, the dog was reported to be doing well with no recurrence of clinical signs. To the authors’ knowledge, this is the first case report of a lung perforation caused by suture ends as a complication of lung lobectomy in a dog.

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“…Therefore, early diagnosis and selection of appropriate treatment methods are life-saving. Risk factors for BPF formation include severe devascularization of the bronchial stump or anastomotic line during resection, leaving a long stump, presence of residual tumor tissue in the stump, neoadjuvant therapies, steroid use, presence of diabetes mellitus, early postoperative pneumonia or empyema, and prolonged postoperative mechanical ventilation [4][5][6] .…”

Section: Introductionmentioning

confidence: 99%

Akciğer rezeksiyonları sonrası gelişen bronkoplevral fistül tedavisinde omentoplasti

Erdoğu¹,

Aker

Pekçolaklar³

et al. 2021

Cukurova Medical Journal

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ÖzPurpose: Bronchopleural fistula (BPF) is a complication that can occur after pulmonary resections onset may be early or late. This study aims to present our results using omentoplasty in the treatment of BPF. Materials and Methods: We retrospectively evaluated the data of patients who developed BPF after pulmonary resection between 2010 and 2020. The results of the patients who underwent omentoplasty during surgical revision for BPF were analyzed in terms of surgical methods used, timing of the procedure, and surgical success. Results: BPF formed in 52 (2.1%) of 2486 patients who underwent anatomical lung resection. Fourteen (26.9%) of the patients with BPF were treated with omentoplasty. All of the patients were men and the median age was 58 years (range, 27-75 years). Among the patients who underwent omentoplasty, the median time from pulmonary resection to BPF development was 22 days (range, 4-221 days). The median time from BPF development to omentoplasty was 9.5 days (range, 4-485 days). Seven (50%) of the patients developed BPF after pneumonectomy and the other 7 (50%) after lobectomy. Most post-pneumonectomy BPFs occurred after right pneumonectomy (n=6, 85.7%). BPF developing after right pneumonectomy constituted 43% of all BPFs (n=6). Surgical success was achieved in 13 (92.9%) of the 14 patients who underwent BPF closure with omentoplasty. Conclusion:Omentoplasty has low complication and high success rates and can be used safely for the treatment of BPF. Amaç: Bronkoplevral fistül (BPF), akciğer rezeksiyonları sonrasında erken veya geç dönemde oluşabilen bir komplikasyondur. Bu çalışmanın amacı, BPF tedavisinde omentoplasti kullanım sonuçlarını sunmaktır. Gereç ve Yöntem: 2010-2020 yılları arasında akciğer rezeksiyonu sonrası BPF gelişen hastaların verilerini retrospektif olarak değerlendirdik. BPF nedeniyle cerrahi revizyon sırasında omentoplasti yapılan hastaların sonuçları, kullanılan cerrahi yöntemler, işlemin zamanlaması ve cerrahi başarısı açısından analiz edildi. Bulgular: Anatomik akciğer rezeksiyonu yapılan 2486 hastanın 52'sinde (%2.1) BPF gelişti. BPF olan hastaların 14'ü (%26,9) omentoplasti ile tedavi edildi. Hastaların tamamı erkekti ve ortanca yaş 58 (aralık 27-75) idi. Omentoplasti yapılan hastalarda akciğer rezeksiyonundan BPF gelişimine kadar geçen medyan süre 22 gündü (aralık 4-221 gün). BPF gelişiminden omentoplasti işlemine kadar geçen medyan süre 9.5 gündü (aralık 4-485 gün). Hastaların yedisinde (%50) pnömonektomiden sonra BPF gelişirken, diğer 7'sinde (%50) lobektomiden sonra BPF gelişti. Pnömonektomi sonrası BPF'lerin çoğu sağ pnömonektomiden sonra meydana geldi (n=6, %85.7). Sağ pnömonektomi sonrası gelişen BPF, tüm BPF' lerin %43' ünü oluşturmaktaydı (n=6). Omentoplasti ile BPF'ü kapatılan 14 hastanın 13'ünde (%92,9) cerrahi başarı elde edildi. Sonuç: Omentoplasti düşük komplikasyon ve yüksek başarı oranları ile BPF tedavisinde güvenle kullanılabilir.

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Comparison of different bronchial closure techniques following pneumonectomy in dogs

Cited by 8 publications

References 30 publications

Clinical Outcome following Pneumonectomy for Management of Chronic Pyothorax in Four Cats

Clinical Outcome following Pneumonectomy for Management of Chronic Pyothorax in Four Cats

Lung perforation caused by suture ends as a complication of lung lobectomy in a dog

Akciğer rezeksiyonları sonrası gelişen bronkoplevral fistül tedavisinde omentoplasti

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