دورية أكاديمية
Occlusion of the thoracic duct using ultrasonically activated shears in six dogs.
| العنوان: | Occlusion of the thoracic duct using ultrasonically activated shears in six dogs. |
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| المؤلفون: | Leasure CS; Department of Small Animal Clinical Sciences, University of Florida College of Veterinary Medicine, Gainesville, FL 32610, USA., Ellison GW, Roberts JF, Coomer AR, Choate CJ |
| المصدر: | Veterinary surgery : VS [Vet Surg] 2011 Oct; Vol. 40 (7), pp. 802-10. Date of Electronic Publication: 2011 Sep 16. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: John Wiley & Sons Country of Publication: United States NLM ID: 8113214 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1532-950X (Electronic) Linking ISSN: 01613499 NLM ISO Abbreviation: Vet Surg Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: Malden, MA : John Wiley & Sons Original Publication: Philadelphia : Lippincott. |
| مواضيع طبية MeSH: | Dogs/*surgery , Thoracic Duct/*surgery , Thoracoscopy/*veterinary , Ultrasonic Surgical Procedures/*veterinary, Animals ; Lymphography/veterinary ; Surgical Instruments/veterinary ; Thoracic Duct/diagnostic imaging ; Thoracic Duct/pathology ; Thoracoscopy/instrumentation ; Ultrasonic Surgical Procedures/instrumentation |
| مستخلص: | Objective: To assess the feasibility of sealing the thoracic duct (TD) in dogs using ultrasonically activated shears via thoracoscopy. Study Design: In vivo experimental study. Animals: Mature dogs (n = 6). Methods: Dogs were anesthetized without pulmonary exclusion and positioned in left lateral recumbency. Lymphangiography was performed to identify TD anatomy. Methylene blue was injected into the lymphatic catheter to identify the TD and its branches. Under thoracoscopic guidance (right dorsal 8-10th intercostal spaces), the TD was sealed with an ultrasonic device and lymphangiography was repeated. If the flow of contrast continued beyond the occlusion site, additional attempts to seal the duct were made. Dogs were euthanatized, the TD was excised and fixed in formalin for histopathology. Results: Thoracoscopic identification of the TD was possible in 5 dogs. Three dogs required conversion to a thoracoscopic-assisted approach and 3 dogs required resealing of the TD closer to the diaphragm. Thoracic duct occlusion (TDO) was ultimately achieved in all 6 dogs based on follow-up lymphangiography. TDO by tissue coagulation was confirmed by histopathology. Conclusions: Thoracoscopic identification and occlusion of the TD using ultrasonically activated shears with bilateral lung ventilation is technically feasible in normal dogs and provides a less invasive alternative to open thoracotomy procedures. (© Copyright 2011 by The American College of Veterinary Surgeons.) |
| تواريخ الأحداث: | Date Created: 20120303 Date Completed: 20120813 Latest Revision: 20161125 |
| رمز التحديث: | 20221213 |
| DOI: | 10.1111/j.1532-950X.2011.00903.x |
| PMID: | 22380666 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1532-950X |
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| DOI: | 10.1111/j.1532-950X.2011.00903.x |