Alexis C Boone, Cassie N Lux, Katherine V Adair, Xiaocun Sun
{"title":"改良经皮膀胱取石术与传统开放式膀胱取石术52例疗效比较。","authors":"Alexis C Boone, Cassie N Lux, Katherine V Adair, Xiaocun Sun","doi":"10.1111/vsu.14288","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>To compare short- and long-term clinical variables in cats undergoing a modified percutaneous cystolithotomy (PCCLm) or open cystotomy (OC) and to identify risk factors associated with complications and outcomes within the groups.</p><p><strong>Study design: </strong>Retrospective study.</p><p><strong>Animals: </strong>Fifty-two client-owned cats.</p><p><strong>Methods: </strong>Records were reviewed for cats that underwent PCCLm or OC between December 2010 and August 2023. Signalment, history, diagnostic findings, procedural and anesthetic details, hospitalization data, complications, urolith recurrence, and follow up were recorded. χ<sup>2</sup> or Fisher's exact tests and two-sample t-tests were used to evaluate effects of categorical and numerical clinical variables respectively on outcomes within PCCLm and OC groups and between PCCLm and OC groups.</p><p><strong>Results: </strong>A total of 54 procedures were performed, 19 PCCLm (36.5%) and 35 OC (65.5%). Hospitalization duration (p = .031) and incision length (p = .002) were greater in the OC group. Incisional infections were associated with hospitalization duration in the OC group (p = .048). Incomplete urolith removal was associated with increased surgical time (p = .039) when no additional procedures were performed in the OC group. For PCCLm, incomplete urolith removal was associated with lower urinary tract signs within 14 days postoperatively (p = .018), increased incision length (p = .029), anesthesia time (p = .017), and hospitalization duration (p = .027).</p><p><strong>Conclusion: </strong>Modified percutaneous cystolithotomy resulted in shorter incisions and hospitalization duration postoperatively in comparison with OC but no other clear advantages of PCCLm were identified.</p><p><strong>Clinical significance: </strong>The PCCLm procedure is an acceptable alternative to OC for urolith removal in cats.</p>","PeriodicalId":23667,"journal":{"name":"Veterinary Surgery","volume":" ","pages":""},"PeriodicalIF":1.3000,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Outcomes and comparison of modified percutaneous cystolithotomy and traditional open cystotomy in 52 cats.\",\"authors\":\"Alexis C Boone, Cassie N Lux, Katherine V Adair, Xiaocun Sun\",\"doi\":\"10.1111/vsu.14288\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>To compare short- and long-term clinical variables in cats undergoing a modified percutaneous cystolithotomy (PCCLm) or open cystotomy (OC) and to identify risk factors associated with complications and outcomes within the groups.</p><p><strong>Study design: </strong>Retrospective study.</p><p><strong>Animals: </strong>Fifty-two client-owned cats.</p><p><strong>Methods: </strong>Records were reviewed for cats that underwent PCCLm or OC between December 2010 and August 2023. Signalment, history, diagnostic findings, procedural and anesthetic details, hospitalization data, complications, urolith recurrence, and follow up were recorded. χ<sup>2</sup> or Fisher's exact tests and two-sample t-tests were used to evaluate effects of categorical and numerical clinical variables respectively on outcomes within PCCLm and OC groups and between PCCLm and OC groups.</p><p><strong>Results: </strong>A total of 54 procedures were performed, 19 PCCLm (36.5%) and 35 OC (65.5%). Hospitalization duration (p = .031) and incision length (p = .002) were greater in the OC group. Incisional infections were associated with hospitalization duration in the OC group (p = .048). Incomplete urolith removal was associated with increased surgical time (p = .039) when no additional procedures were performed in the OC group. For PCCLm, incomplete urolith removal was associated with lower urinary tract signs within 14 days postoperatively (p = .018), increased incision length (p = .029), anesthesia time (p = .017), and hospitalization duration (p = .027).</p><p><strong>Conclusion: </strong>Modified percutaneous cystolithotomy resulted in shorter incisions and hospitalization duration postoperatively in comparison with OC but no other clear advantages of PCCLm were identified.</p><p><strong>Clinical significance: </strong>The PCCLm procedure is an acceptable alternative to OC for urolith removal in cats.</p>\",\"PeriodicalId\":23667,\"journal\":{\"name\":\"Veterinary Surgery\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":1.3000,\"publicationDate\":\"2025-06-16\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Veterinary Surgery\",\"FirstCategoryId\":\"97\",\"ListUrlMain\":\"https://doi.org/10.1111/vsu.14288\",\"RegionNum\":2,\"RegionCategory\":\"农林科学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"VETERINARY SCIENCES\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Veterinary Surgery","FirstCategoryId":"97","ListUrlMain":"https://doi.org/10.1111/vsu.14288","RegionNum":2,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"VETERINARY SCIENCES","Score":null,"Total":0}
Outcomes and comparison of modified percutaneous cystolithotomy and traditional open cystotomy in 52 cats.
Objective: To compare short- and long-term clinical variables in cats undergoing a modified percutaneous cystolithotomy (PCCLm) or open cystotomy (OC) and to identify risk factors associated with complications and outcomes within the groups.
Study design: Retrospective study.
Animals: Fifty-two client-owned cats.
Methods: Records were reviewed for cats that underwent PCCLm or OC between December 2010 and August 2023. Signalment, history, diagnostic findings, procedural and anesthetic details, hospitalization data, complications, urolith recurrence, and follow up were recorded. χ2 or Fisher's exact tests and two-sample t-tests were used to evaluate effects of categorical and numerical clinical variables respectively on outcomes within PCCLm and OC groups and between PCCLm and OC groups.
Results: A total of 54 procedures were performed, 19 PCCLm (36.5%) and 35 OC (65.5%). Hospitalization duration (p = .031) and incision length (p = .002) were greater in the OC group. Incisional infections were associated with hospitalization duration in the OC group (p = .048). Incomplete urolith removal was associated with increased surgical time (p = .039) when no additional procedures were performed in the OC group. For PCCLm, incomplete urolith removal was associated with lower urinary tract signs within 14 days postoperatively (p = .018), increased incision length (p = .029), anesthesia time (p = .017), and hospitalization duration (p = .027).
Conclusion: Modified percutaneous cystolithotomy resulted in shorter incisions and hospitalization duration postoperatively in comparison with OC but no other clear advantages of PCCLm were identified.
Clinical significance: The PCCLm procedure is an acceptable alternative to OC for urolith removal in cats.
期刊介绍：
Veterinary Surgery, the official publication of the American College of Veterinary Surgeons and European College of Veterinary Surgeons, is a source of up-to-date coverage of surgical and anesthetic management of animals, addressing significant problems in veterinary surgery with relevant case histories and observations.
It contains original, peer-reviewed articles that cover developments in veterinary surgery, and presents the most current review of the field, with timely articles on surgical techniques, diagnostic aims, care of infections, and advances in knowledge of metabolism as it affects the surgical patient. The journal places new developments in perspective, encompassing new concepts and peer commentary to help better understand and evaluate the surgical patient.
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