+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Hybrid single-port laparoscopic cisterna chyli ablation for the adjunct treatment of chylothorax disease in dogs



Hybrid single-port laparoscopic cisterna chyli ablation for the adjunct treatment of chylothorax disease in dogs



Veterinary Surgery 48(S1): O121



To describe a hybrid, single-port, minimally invasive cisterna chyli ablation (CCA) technique in clinical cases of canine idiopathic chylothorax and evaluate this technique as a method for mesenteric lymphangiography (ML) in canine cadavers and clinical cases of idiopathic chylothorax. Cadaveric and retrospective study. Six canine cadavers and 14 client-owned dogs with naturally occurring idiopathic chylothorax. Both cadaveric and clinically affected dogs were placed in sternal recumbency. A wound retractor device (WRD) and a single-port device were placed in the abdominal flank 2-3 cm caudal to the 13th rib. Mesenteric lymphangiography was evaluated by using indocyanine green (ICG) in 6 canine cadavers. Single-port laparoscopic CCA was performed in all clinical cases with idiopathic chylothorax. Successful ML was completed by using ICG in all 6 canine cadavers. A right- or left-sided single-port laparoscopic CCA was successfully performed in 14 dogs with naturally occurring idiopathic chylothorax. Mesenteric lymphangiography was successfully performed through the WRD in 11 of these cases. No intraoperative complications were reported. Three dogs developed severe chyloabdomen postoperatively, with 1 dog requiring multiple abdominocenteses. Direct ML and single-port laparoscopic CCA was performed through a WRD in dogs positioned in sternal recumbency. Although minimal operative complications were noted, postoperative chyloabdomen was reported. This hybrid single-port laparoscopic technique performed in sternal recumbency allows both a CCA and an intraoperative ML through the same incision. This procedure may be combined with thoracoscopic thoracic duct ligation and pericardectomy for the treatment of idiopathic chylothorax in dogs.

Please choose payment method:






(PDF emailed within 0-6 h: $19.90)

Accession: 066639345

Download citation: RISBibTeXText

PMID: 30927322

DOI: 10.1111/vsu.13195


Related references

Cisterna chyli ablation with thoracic duct ligation for chylothorax: results in eight dogs. Veterinary Surgery 34(5): 519-523, 2005

Prospective comparison of cisterna chyli ablation to pericardectomy for treatment of spontaneously occurring idiopathic chylothorax in the dog. Veterinary Surgery 40(8): 926-934, 2011

Comparison of thoracic duct ligation plus subphrenic pericardiectomy with or without cisterna chyli ablation for treatment of idiopathic chylothorax in cats. Journal of the American Veterinary Medical Association 252(8): 976-981, 2018

Cisterna chyli ablation in three cats with idiopathic chylothorax. Tierarztliche Praxis. Ausgabe K Kleintiere/Heimtiere 41(4): 221-228, 2013

Laparoscopic ligation of cisterna chyli for refractory chylothorax: A case series and review of the literature. Journal of Thoracic and Cardiovascular Surgery 155(2): 815-819, 2018

Salvage cisterna chyli and thoracic duct glue embolization in 2 dogs with recurrent idiopathic chylothorax. Journal of Veterinary Internal Medicine 28(2): 672-677, 2014

Surgical ligation of cisterna chyli: an alternative treatment for chronic chylothorax in children. Annals of Thoracic Surgery 90(5): 1732-1734, 2010

Comparison and description of transdiaphragmatic and abdominal minimally invasive cisterna chyli ablation in dogs. Veterinary Surgery 40(7): 795-801, 2011

Cisterna chyli in patients with malignancy--influence of cardiovascular disease on the prevalence of the cisterna. European Journal of Radiology 79(2): 262-265, 2011

Traumatic Chylothorax : A Review of the Literature and Report of a Case Treated by Ligation of the Thoracic Duct and Cisterna Chyli. Annals of Surgery 128(6): 1056-1078, 1948

Computed tomography-guided access to the cisterna chyli: introduction of a technique for direct lymphangiography to evaluate and treat chylothorax. Cardiovascular and Interventional Radiology 34(Suppl. 2): S240, 2011

Ultrasonographic characteristics of the cisterna chyli in eight dogs and four cats. Veterinary Radiology and Ultrasound 54(4): 398-402, 2013

Computed tomographic characteristics of the cisterna chyli in dogs. Veterinary Radiology and Ultrasound 55(1): 29-34, 2014

Effect of cisterna chyli ablation combined with thoracic duct ligation on abdominal lymphatic drainage. Veterinary Surgery 34(3): 295; Author Reply 295, 2005

The effect of cisterna chyli ablation combined with thoracic duct ligation on abdominal lymphatic drainage. Veterinary Surgery 34(1): 64-70, 2005