Cover Journal of the American Veterinary Medical Association
Journal of the American Veterinary Medical Association
ISSN:
0003-1488
Publication Date:
01 Sep 2013

  • 1. Landreneau RJ, Hazelrigg SR, Mack MJ, et al. Postoperative pain-related morbidity: video-assisted surgery versus thoracotomy. Ann Thorac Surg 1993; 56: 1285–1289.

    • Search Google Scholar
    • Export Citation

  • 2. Landreneau RJ, Mack MJ, Hazelrigg SR, et al. Prevalence of chronic pain after pulmonary resection by thoracotomy or video-assisted thoracic surgery. J Thorac Cardiovasc Surg 1994; 107: 1079–1085.

    • Search Google Scholar
    • Export Citation

  • 3. Whitson BA, Andrade RS, Boettcher A, et al. Video-assisted thoracoscopic surgery is more favorable than thoracotomy for resection of clinical stage I non-small cell lung cancer. Ann Thorac Surg 2007; 83: 1965–1970.

    • Search Google Scholar
    • Export Citation

  • 4. Whitson BA, Groth SS, Duval SJ, et al. Surgery for early-stage non-small cell lung cancer: a systematic review of the video-assisted thoracoscopic surgery versus thoracotomy approaches to lobectomy. Ann Thorac Surg 2008; 86: 2008–2016.

    • Search Google Scholar
    • Export Citation

  • 5. Villamizar NR, Darrabie MD, Burfeind WR, et al. Thoracoscopic lobectomy is associated with lower morbidity compared with thoracotomy. J Thorac Cardiovasc Surg 2009; 138: 419–425.

    • Search Google Scholar
    • Export Citation

  • 6. Flores RM, Park BJ, Dycoco J, et al. Lobectomy by video-assisted thoracic surgery (VATS) versus thoracotomy for lung cancer. J Thorac Cardiovasc Surg 2009; 138: 11–18.

    • Search Google Scholar
    • Export Citation

  • 7. Handy JR, Asaph JW, Douville EC, et al. Does video-assisted thoracoscopic lobectomy for lung cancer provide improved functional outcomes compared with open lobectomy? Eur J Cardiothorac Surg 2010; 37: 451–455.

    • Search Google Scholar
    • Export Citation

  • 8. Rueth NM, Andrade RS. Is VATS lobectomy better: perioperatively, biologically and oncologically? Ann Thorac Surg 2010; 89: S2107–S2111.

    • Search Google Scholar
    • Export Citation

  • 9. Gopaldas RR, Bakaeen FG, Dao TK, et al. Video-assisted thoracoscopic versus open thoracotomy lobectomy in a cohort of 13,619 patients. Ann Thorac Surg 2010; 89: 1563–1570.

    • Search Google Scholar
    • Export Citation

  • 10. Kirby TJ, Mack MJ, Lancreneau RJ, et al. Lobectomy-video-assisted thoracic surgery versus muscle-sparing thoracotomy. J Thorac Cardiovasc Surg 1995; 109: 997–1001.

    • Search Google Scholar
    • Export Citation

  • 11. García F, Prandi D, Peña T, et al. Examination of the thoracic cavity and lung lobectomy by means of thoracoscopy in dogs. Can Vet J 1998; 39: 285–291.

    • Search Google Scholar
    • Export Citation

  • 12. Lansdowne JL, Monnet E, Twedt DC, et al. Thoracoscopic lung lobectomy for treatment of lung tumors in dogs. Vet Surg 2005; 34: 530–535.

    • Search Google Scholar
    • Export Citation

  • 13. Laksito MA, Chambers BA, Yates GD. Thoracoscopic-assisted lung lobectomy in the dog: report of two cases. Aust Vet J 2010; 88: 263–267.

    • Search Google Scholar
    • Export Citation

  • 14. Mayhew PD, Culp WTN, Pascoe PJ, et al. Evaluation of blind thoracoscopic-assisted placement of three double-lumen endobronchial tube designs for one-lung ventilation in dogs. Vet Surg 2012; 41: 664–670.

    • Search Google Scholar
    • Export Citation

  • 15. Mayhew PD, Friedberg JS. Video-assisted thoracoscopic resection of non-invasive thymomas using single-lung ventilation in two dogs. Vet Surg 2008; 37: 756–762.

    • Search Google Scholar
    • Export Citation

  • 16. Boffa DJ, Allen MS, Grab JD, et al. Data from The Society of Thoracic Surgeons General Thoracic Surgery database: the surgical management of primary lung tumors. J Thorac Cardiovasc Surg 2008; 135: 247–254.

    • Search Google Scholar
    • Export Citation

  • 17. Walsh PJ, Remedios AM, Ferguson JF, et al. Thoracoscopic versus open partial pericardectomy in dogs: comparison of postoperative pain and morbidity. Vet Surg 1999; 28: 472–479.

    • Search Google Scholar
    • Export Citation

  • 18. Potter L, Hendrickson DA. Therapeutic video-assisted thoracic surgery. In: Freeman LJ, ed. Veterinary endosurgery. St Louis: Mosby, 1999; 169–191.

    • Search Google Scholar
    • Export Citation

  • 19. Stammberger U, Klepetko W, Stamatis G, et al. Buttressing the staple line in lung volume reduction surgery: a randomized three-center study. Ann Thorac Surg 2000; 70: 1820–1825.

    • Search Google Scholar
    • Export Citation

  • 20. Itano H. The optimal technique for combined application of fibrin sealant and bioabsorbable felt against alveolar leakage. Eur J Cardiothorac Surg 2008; 33: 457–460.

    • Search Google Scholar
    • Export Citation

  • 21. Ogilvie GK, Weigel RM, Haschek WM, et al. Prognostic factors for tumor remission and survival in dogs after surgery for primary lung tumor: 76 cases (1975–1985). J Am Vet Med Assoc 1989; 195: 109–112.

    • Search Google Scholar
    • Export Citation

  • 22. McNiel EA, Ogilvie GK, Powers BE, et al. Evaluation of prognostic factors for dogs with primary lung tumors: 67 cases (1985–1992). J Am Vet Med Assoc 1997; 211: 1422–1427.

    • Search Google Scholar
    • Export Citation

  • 23. Pan TW, Wu B, Xu ZF, et al. Video-assisted thoracic surgery versus thoracotomy for non-small cell lung cancer. Asian Pac J Cancer Prev 2012; 13: 447–450.

    • Search Google Scholar
    • Export Citation

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Evaluation of short-term outcome after lung lobectomy for resection of primary lung tumors via video-assisted thoracoscopic surgery or open thoracotomy in medium- to large-breed dogs

Philipp D. Mayhew BVM&S, DACVS1,2, Geraldine B. Hunt BVSc, MVetClinStud, PhD3, Michele A. Steffey DVM, DACVS4, William T. N. Culp VMD, DACVS5, Kelli N. Mayhew VMD, DACVS6, Mark Fuller DVM7, Lynelle R. Johnson DVM, PhD, DACVIM8, and Peter J. Pascoe BVSc, DACVA9
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  • 1 Departments of Surgical and Radiological Sciences and Medicine, School of Veterinary Medicine, University of California-Davis, Davis, CA 95616
  • | 2 Department of Clinical Studies-Philadelphia, Matthew J. Ryan Veterinary Hospital, School of Veterinary Medicine, University of Pennsylvania, Philadelphia, PA 19104
  • | 3 Departments of Surgical and Radiological Sciences and Medicine, School of Veterinary Medicine, University of California-Davis, Davis, CA 95616
  • | 4 Departments of Surgical and Radiological Sciences and Medicine, School of Veterinary Medicine, University of California-Davis, Davis, CA 95616
  • | 5 Departments of Surgical and Radiological Sciences and Medicine, School of Veterinary Medicine, University of California-Davis, Davis, CA 95616
  • | 6 Departments of Surgical and Radiological Sciences and Medicine, School of Veterinary Medicine, University of California-Davis, Davis, CA 95616
  • | 7 Departments of Surgical and Radiological Sciences and Medicine, School of Veterinary Medicine, University of California-Davis, Davis, CA 95616
  • | 8 Departments of Surgical and Radiological Sciences and Epidemiology, School of Veterinary Medicine, University of California-Davis, Davis, CA 95616
  • | 9 Departments of Surgical and Radiological Sciences and Medicine, School of Veterinary Medicine, University of California-Davis, Davis, CA 95616
DOI:
https://doi.org/10.2460/javma.243.5.681
Volume/Issue:
Volume 243: Issue 5
Online Publication Date:
01 Sep 2013
Restricted access
Reprints and Permissions Purchase Article

Abstract

Objective—To describe clinicopathologic features of dogs that underwent lung lobectomy for resection of primary lung tumors via video-assisted thoracoscopic surgery (VATS) or open thoracotomy (OT) and to compare short-term outcomes for dogs following these procedures.

Design—Retrospective cohort study.

Animals—46 medium- to large-breed dogs with primary lung tumors.

Procedures—Medical records of dogs that underwent a lung lobectomy via VATS (n = 22) or OT (24) for resection of primary lung tumors between 2004 and 2012 were reviewed. Dogs were included if they weighed > 10 kg (22 lb) and resection of a primary lung tumor was confirmed histologically. Tumor volumes were calculated from preoperative CT scans where available. Surgical time, completeness of excision, time in the ICU, indwelling thoracic drain time, postoperative and total hospitalization time, incidence of major complications, and short-term survival rate were evaluated.

Results—VATS was performed with a 3-port (n = 12) or 4-port (10) technique and 1-lung ventilation (22). In 2 of 22 (9%) dogs, VATS was converted to OT. All dogs survived to discharge from the hospital. There were no significant differences between the VATS and OT groups with regard to most variables. Surgery time was significantly longer for VATS than for OT (median, 120 vs 95 minutes, respectively).

Conclusions and Clinical Relevance—In medium- to large-breed dogs, short-term outcomes for dogs that underwent VATS for lung lobectomy were comparable to those of dogs that underwent OT. Further studies are required to evaluate the effects of surgical approach on indices of postoperative pain and long-term outcomes.

Contributor Notes

Address correspondence to Dr. Philipp Mayhew (philmayhew@gmail.com).