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Cisterna Chyli Ablation with Thoracic Duct Ligation for Chylothorax: Results in Eight Dogs
Author(s) -
Hayashi Kei,
Sicard Gretchen,
Gellasch Kelly,
Frank Joseph D.,
Hardie Robert J.,
McAnulty Jonathan F.
Publication year - 2005
Publication title -
veterinary surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.652
H-Index - 79
eISSN - 1532-950X
pISSN - 0161-3499
DOI - 10.1111/j.1532-950x.2005.00078.x
Subject(s) - chylothorax , medicine , thoracic duct , ligation , surgery , thoracotomy , clinical significance , ablation , lymph , pathology
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.