Cisterna chyli ablation with thoracic duct ligation for chylothorax: results in eight dogs

Objective-To report use of combined cisterna chyli ablation (CCA) and thoracic duct ligation (TDL) for treatment of spontaneously occurring chylothorax in dogs. Study Design-Retrospective study. Animals-Eight dogs with chylothorax. Methods-TDL was performed through a right caudal intercostal thoraco...

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Bibliographic Details
Published in:Veterinary surgery 2005-09, Vol.34 (5), p.519-523
Main Authors: Hayashi, K, Sicard, G, Gellasch, K, Frank, J.D, Hardie, R.J, Mcanulty, J.F
Format: Article
Language:English
Subjects:
Animals
Body fluids
chylothorax
Chylothorax - surgery
Chylothorax - veterinary
cisterna chyli ablation
complications
Digestive system
dog
dog diseases
Dog Diseases - diagnostic imaging
Dog Diseases - pathology
Dog Diseases - surgery
Dogs
Drainage - methods
Drainage - veterinary
Female
Ligation - methods
Ligation - veterinary
Lymphography - veterinary
Male
Records as Topic - veterinary
Retrospective Studies
Surgery
thoracic duct
Thoracic Duct - surgery
thoracic duct ligation
Treatment Outcome
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Summary:Objective-To report use of combined cisterna chyli ablation (CCA) and thoracic duct ligation (TDL) for treatment of spontaneously occurring chylothorax in dogs. Study Design-Retrospective study. Animals-Eight dogs with chylothorax. Methods-TDL was performed through a right caudal intercostal thoracotomy and CCA through a left flank paracostal approach or ventral median celiotomy. Long-term outcome (range, 2-48 months; median, 11.5 months) was evaluated by telephone communication with owners. Results-Seven dogs were free of clinical signs related to chylothorax at last follow-up (range, 4-48 months; median, 15.5 months). One dog was euthanatized 2 months after surgery because of lack of improvement. No major complications occurred from CCA. Conclusion-CCA and TDL resolved chylothorax in most dogs (88%). Clinical Relevance-CCA combined with TDL may improve the outcome of chylothorax in dogs.
ISSN:0161-3499
1532-950X
DOI:10.1111/j.1532-950X.2005.00078.x