Presented at the World Small Animal Vetrinary Association meeting, Lyon, France, September 1999.
Thoracoscopic Pericardectomy Performed Without Pulmonary Exclusion in 9 Dogs
Version of Record online: 29 APR 2004
Volume 30, Issue 1, pages 21–27, January 2001
How to Cite
Dupré, G. P., Corlouer, J.-P. and Bouvy, B. (2001), Thoracoscopic Pericardectomy Performed Without Pulmonary Exclusion in 9 Dogs. Veterinary Surgery, 30: 21–27. doi: 10.1053/jvet.2001.20344
Address reprints requests to Gilles P. Dupré, Clinique Vétérinaire Frégis, 43 avenue Aristide Briand, 94110 Arcueil, France.
- Issue online: 29 APR 2004
- Version of Record online: 29 APR 2004
Objective— To show the feasibility of thoracoscopic pericardectomy without pulmonary exclusion in dogs.
Study design— Prospective clinical study.
Sample population— Nine client-owned dogs.
Methods— Dogs referred for the treatment of pericardial effusion by thoracoscopic pericardectomy were intubated with a standard endotracheal tube, mechanically ventilated, and placed in dorsal recumbency. The thoracoscope was introduced into the thorax lateral to the xyphoid process. The operating instruments were inserted at the level of the ventral third of each sixth intercostal space. The pericardium was cut and retrieved through 1 instrument portal.
Results— Lung inflation did not interfere with the surgical dissection. A subphrenic pericardectomy was performed in all dogs without iatrogenic trauma. Operative time, from portal placement to skin closure, ranged from 60 to 100 minutes for the first 2 dogs and decreased to 30 to 45 minutes for the latter 7 dogs.
Conclusions— The reported technique avoids the need for selected intubation which requires special tubes, can be technically difficult to perform, and is not recommended in compromised animals in which bilateral lung ventilation is necessary to ensure adequate tissue oxygenation.
Clinical relevance— Thoracoscopic pericardectomy offers several advantages over open techniques, including less postoperative pain and morbidity, shorter hospital stay, and improved cosmetic appearance. It can be performed without pulmonary exclusion.