Adair et al: Retrospective comparison of modified percutaneous cystolithotomy (PCCLm) and traditional open cystotomy (OC) in dogs: 218 cases (2010–2019)
Veterinary Surgery 6, 2023

🔍 Key Findings

• PCCLm resulted in significantly fewer postoperative lower urinary tract signs compared to OC (13.0% vs 60.9%, p < .001)
• Incomplete urolith removal was similar between PCCLm (11.4%) and OC (20.0%), not statistically significant
• Anesthesia time was significantly shorter in PCCLm (p < .001), although surgery time was not
• PCCLm had shorter hospitalization time than OC (median 0 vs 18 hours, p < .001)
• PCCLm patients were more likely to be discharged the same day (84.7% vs 0%)
• Surgical site infection/inflammation (SSII) was low in both, with no significant difference (PCCLm: 4.5%, OC: 1.8%)
• Incision extension in PCCLm significantly increased SSII risk (OR = 18.76, p = .027)
• More intraoperative complications occurred with PCCLm, though most were minor (22.1% vs 3.4%, p = .021)