{"title":"使用Endo GIATM吻合器在接受开胸手术（肋间、经膈胸切开术或正中胸骨切开术）的狗和猫的肺叶切除术：46例肺叶切除术的回顾性研究。","authors":"Courtney T Weaver, Laura A Barbur","doi":"10.1111/vsu.70022","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>To describe Endo GIA stapler use in open approach lung lobectomies. Endo GIA stapler use for open approach lung lobectomies has been validated in cadaveric studies; however, current veterinary literature lacks in vivo studies.</p><p><strong>Study design: </strong>Retrospective study.</p><p><strong>Sample population: </strong>A total of 33 dogs and four cats (37 cases, 46 lung lobectomies).</p><p><strong>Methods: </strong>Records from November 2019 to September 2024 at a single institution were reviewed. Dogs and cats that underwent lung lobectomy via thoracotomy (intercostal, transdiaphragmatic) or median sternotomy using Endo GIA staplers were included. Pre-, intra-, and postoperative data were collected. Complications were assessed using the Cook Complication Grading System. Complication rate was analyzed to demonstrate use of Endo GIA staplers in open thoracic procedures. Cases included had a 14-day follow-up at minimum or at death.</p><p><strong>Results: </strong>A total of 46 lung lobectomies (37 cases) were performed using an Endo GIA stapler via open thoracic procedures. No intraoperative complications were noted in 38/46 (82.6%) lung lobectomies. Minor intraoperative complications occurred in 8/46 (17.4%) lobectomies. No major complications occurred. Catastrophic complications occurred in 4/37 (10.8%) cases (4/46 [8.7%] lung lobectomies) postoperatively, likely due to comorbidities. Cases that reached 14-day follow-up, despite one minor postoperative complication of seroma formation, had no complications (32/33, 97%).</p><p><strong>Conclusion: </strong>Endo GIA stapler use for open approach lung lobectomies proved to be a valid procedure with minimal complications. The unique properties of the Endo GIA stapler offered an alternative to traditionally used staplers for lung lobectomy.</p><p><strong>Clinical significance: </strong>Endo GIA staplers can be used for open approach lung lobectomy as a beneficial alternative with minimal complications.</p>","PeriodicalId":23667,"journal":{"name":"Veterinary Surgery","volume":" ","pages":""},"PeriodicalIF":1.3000,"publicationDate":"2025-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Use of the Endo GIA<sup>TM</sup> stapler for lung lobectomy in dogs and cats undergoing open thoracic procedures (intercostal, transdiaphragmatic thoracotomy or median sternotomy): A retrospective study of 46 lung lobectomies.\",\"authors\":\"Courtney T Weaver, Laura A Barbur\",\"doi\":\"10.1111/vsu.70022\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>To describe Endo GIA stapler use in open approach lung lobectomies. Endo GIA stapler use for open approach lung lobectomies has been validated in cadaveric studies; however, current veterinary literature lacks in vivo studies.</p><p><strong>Study design: </strong>Retrospective study.</p><p><strong>Sample population: </strong>A total of 33 dogs and four cats (37 cases, 46 lung lobectomies).</p><p><strong>Methods: </strong>Records from November 2019 to September 2024 at a single institution were reviewed. Dogs and cats that underwent lung lobectomy via thoracotomy (intercostal, transdiaphragmatic) or median sternotomy using Endo GIA staplers were included. Pre-, intra-, and postoperative data were collected. Complications were assessed using the Cook Complication Grading System. Complication rate was analyzed to demonstrate use of Endo GIA staplers in open thoracic procedures. Cases included had a 14-day follow-up at minimum or at death.</p><p><strong>Results: </strong>A total of 46 lung lobectomies (37 cases) were performed using an Endo GIA stapler via open thoracic procedures. No intraoperative complications were noted in 38/46 (82.6%) lung lobectomies. Minor intraoperative complications occurred in 8/46 (17.4%) lobectomies. No major complications occurred. Catastrophic complications occurred in 4/37 (10.8%) cases (4/46 [8.7%] lung lobectomies) postoperatively, likely due to comorbidities. Cases that reached 14-day follow-up, despite one minor postoperative complication of seroma formation, had no complications (32/33, 97%).</p><p><strong>Conclusion: </strong>Endo GIA stapler use for open approach lung lobectomies proved to be a valid procedure with minimal complications. The unique properties of the Endo GIA stapler offered an alternative to traditionally used staplers for lung lobectomy.</p><p><strong>Clinical significance: </strong>Endo GIA staplers can be used for open approach lung lobectomy as a beneficial alternative with minimal complications.</p>\",\"PeriodicalId\":23667,\"journal\":{\"name\":\"Veterinary Surgery\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":1.3000,\"publicationDate\":\"2025-09-16\",\"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.70022\",\"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.70022","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}
Use of the Endo GIATM stapler for lung lobectomy in dogs and cats undergoing open thoracic procedures (intercostal, transdiaphragmatic thoracotomy or median sternotomy): A retrospective study of 46 lung lobectomies.
Objective: To describe Endo GIA stapler use in open approach lung lobectomies. Endo GIA stapler use for open approach lung lobectomies has been validated in cadaveric studies; however, current veterinary literature lacks in vivo studies.
Study design: Retrospective study.
Sample population: A total of 33 dogs and four cats (37 cases, 46 lung lobectomies).
Methods: Records from November 2019 to September 2024 at a single institution were reviewed. Dogs and cats that underwent lung lobectomy via thoracotomy (intercostal, transdiaphragmatic) or median sternotomy using Endo GIA staplers were included. Pre-, intra-, and postoperative data were collected. Complications were assessed using the Cook Complication Grading System. Complication rate was analyzed to demonstrate use of Endo GIA staplers in open thoracic procedures. Cases included had a 14-day follow-up at minimum or at death.
Results: A total of 46 lung lobectomies (37 cases) were performed using an Endo GIA stapler via open thoracic procedures. No intraoperative complications were noted in 38/46 (82.6%) lung lobectomies. Minor intraoperative complications occurred in 8/46 (17.4%) lobectomies. No major complications occurred. Catastrophic complications occurred in 4/37 (10.8%) cases (4/46 [8.7%] lung lobectomies) postoperatively, likely due to comorbidities. Cases that reached 14-day follow-up, despite one minor postoperative complication of seroma formation, had no complications (32/33, 97%).
Conclusion: Endo GIA stapler use for open approach lung lobectomies proved to be a valid procedure with minimal complications. The unique properties of the Endo GIA stapler offered an alternative to traditionally used staplers for lung lobectomy.
Clinical significance: Endo GIA staplers can be used for open approach lung lobectomy as a beneficial alternative with minimal complications.
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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