用血管内胃肠吻合订书机为猫和小狗进行功能性端对端肠吻合术。

IF 1.7 2区 农林科学 Q2 VETERINARY SCIENCES
S Genoni, F Cinti, M Pilot, M Rossanese, D McCready, M Cantatore
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引用次数: 0

摘要

目的研究在小型犬和猫中使用血管内胃肠道缝合器进行肠道功能性端对端缝合吻合术的情况:回顾性审查了2014年4月至2023年9月期间在五个小动物转诊中心接受肠道切除术和使用血管内胃肠吻合术(endovascular-GIA)订书机装置进行功能性端端吻合术的犬(≤10千克)和猫的病历。收集的数据包括临床结果、手术技术、组织病理学和并发症。要求随访至少 10 天。随访时间少于 10 天的患者如果出现重大并发症,也会被纳入随访范围。结果通过评估临床记录和联系转诊兽医或主人获得。根据卡普兰-梅耶法得出估计存活率。生存曲线之间的差异通过对数秩检验进行检验:结果:共纳入 25 名患者(10 只狗和 15 只猫)。体重中位数为 4.6 千克(2.6 至 10 千克不等)。9名患者被诊断为肠道肿瘤,16名患者被诊断为非肿瘤性肠道疾病。随访时间中位数为 126 天(18 到 896 天不等)。五名患者出现了轻微的术后并发症,其中包括三次浅表手术部位感染。无重大术后并发症报告。研究结束时,有18名患者存活,1名患者失去随访机会。Kaplan-Meier估计的中位生存时间没有达到。非肿瘤性肠癌患者的存活时间明显长于肿瘤性肠癌患者:研究表明,使用血管内胃肠吻合订书机对体重≤10 千克的狗和猫进行肠道功能性端对端订书机吻合术是安全有效的。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Stapled functional end-to-end intestinal anastomosis with endovascular gastrointestinal anastomosis staplers in cats and small dogs.

Objectives: To investigate the use of endovascular gastrointestinal stapling devices to perform intestinal functional end-to-end stapled anastomosis in small dogs and cats.

Materials and methods: Medical records of dogs (≤10 kg) and cats that underwent intestinal resection and functional end-to-end stapled anastomosis with an endovascular gastrointestinal anastomosis (endovascular-GIA) stapling device at five small animal referral centres between April 2014 and September 2023 were retrospectively reviewed. Data including clinical findings, surgical technique, histopathology and complications were collected. A minimum follow-up of 10 days was required. Patients with follow-up of less than 10 days were included if they developed a major complication. Outcome was obtained from assessing the clinical records and contacting the referring veterinarians or owners. Estimated survival was generated according to the Kaplan-Meier method. Differences between survival curves were tested by log-rank test.

Results: Twenty-five patients (10 dogs and 15 cats) were included. The median bodyweight was 4.6 kg (range 2.6 to 10 kg). Nine patients were diagnosed with intestinal neoplasia, 16 with non-neoplastic intestinal disease. The median follow-up was 126 days (range 18 to 896 days). Five patients developed minor postoperative complications, including three superficial surgical site infections. No major postoperative complications were reported. Eighteen patients were alive at the end of the study, one patient was lost to follow-up. Kaplan-Meier estimated median survival time was not reached. Survival was significantly longer for patients with non-neoplastic versus neoplastic intestinal.

Clinical significance: The study suggests that the use of endovascular gastrointestinal anastomosis staplers is safe and effective to perform intestinal functional end-to-end stapled anastomosis in dogs ≤10 kg and cats.

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来源期刊
Journal of Small Animal Practice
Journal of Small Animal Practice 农林科学-兽医学
CiteScore
3.30
自引率
6.20%
发文量
117
审稿时长
12-24 weeks
期刊介绍: Journal of Small Animal Practice (JSAP) is a monthly peer-reviewed publication integrating clinical research papers and case reports from international sources, covering all aspects of medicine and surgery relating to dogs, cats and other small animals. These papers facilitate the dissemination and implementation of new ideas and techniques relating to clinical veterinary practice, with the ultimate aim of promoting best practice. JSAP publishes high quality original articles, as well as other scientific and educational information. New developments are placed in perspective, encompassing new concepts and peer commentary. The target audience is veterinarians primarily engaged in the practise of small animal medicine and surgery. In addition to original articles, JSAP will publish invited editorials (relating to a manuscript in the same issue or a topic of current interest), review articles, which provide in-depth discussion of important clinical issues, and other scientific and educational information from around the world. The final decision on publication of a manuscript rests with the Editorial Board and ultimately with the Editor. All papers, regardless of type, represent the opinion of the authors and not necessarily that of the Editor, the Association or the Publisher. The Journal of Small Animal Practice is published on behalf of the British Small Animal Veterinary Association and is also the official scientific journal of the World Small Animal Veterinary Association
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