Downey et al: Evaluation of long‐term outcome after lung lobectomy for canine non‐neoplastic pulmonary consolidation via thoracoscopic or thoracoscopic‐assisted surgery in 12 dogs
Veterinary Surgery 6, 2023

🔍 Key Findings

  • Thoracoscopic (TL) and thoracoscopic-assisted (TAL) lobectomy were performed in 12 dogs with non-neoplastic pulmonary consolidation.
  • 44% (4/9) of TL cases required conversion, most often due to pleural adhesions or poor visualization — a higher rate than for neoplastic lobectomies.
  • Surgical mortality was 8.3% (1/12 dogs), with death attributed to unaddressed BOAS, not surgical complications.
  • All 11 surviving dogs had no recurrence of clinical signs at a median 24-month follow-up.
  • Perioperative complications occurred in 58% (7/12): pneumothorax (2), hemorrhage (3), wound dehiscence (1), progressive pneumonia (1).
  • One-lung ventilation (OLV) was successful in 78% of TL dogs but may be harder to achieve in brachycephalic breeds.
  • Most dogs had infectious pneumonia (10/12), with bacterial causes identified in 8; fungal and viral etiologies were less common.
  • Hospitalization was short, with median stays of 3–4 days depending on approach and conversion status.

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Downey et al: Evaluation of long‐term outcome after lung lobectomy for canine non‐neoplastic pulmonary consolidation via thoracoscopic or thoracoscopic‐assisted surgery in 12 dogs
Veterinary Surgery 6, 2023

🔍 Key Findings

  • Thoracoscopic (TL) and thoracoscopic-assisted (TAL) lobectomy were performed in 12 dogs with non-neoplastic pulmonary consolidation.
  • 44% (4/9) of TL cases required conversion, most often due to pleural adhesions or poor visualization — a higher rate than for neoplastic lobectomies.
  • Surgical mortality was 8.3% (1/12 dogs), with death attributed to unaddressed BOAS, not surgical complications.
  • All 11 surviving dogs had no recurrence of clinical signs at a median 24-month follow-up.
  • Perioperative complications occurred in 58% (7/12): pneumothorax (2), hemorrhage (3), wound dehiscence (1), progressive pneumonia (1).
  • One-lung ventilation (OLV) was successful in 78% of TL dogs but may be harder to achieve in brachycephalic breeds.
  • Most dogs had infectious pneumonia (10/12), with bacterial causes identified in 8; fungal and viral etiologies were less common.
  • Hospitalization was short, with median stays of 3–4 days depending on approach and conversion status.

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Multiple Choice Questions on this study

In Downey 2023 et al., on lung lobectomy for pulmonary consolidation, what was the most common perioperative complication in dogs undergoing lung lobectomy?

A. Severe hemorrhage
B. Persistent pneumothorax
C. Staple line dehiscence
D. Mild hemorrhage
E. Wound infection

Answer: Mild hemorrhage

Explanation: Mild, self-limiting hemorrhage occurred in 3 of 12 dogs — the most common complication.
In Downey 2023 et al., on lung lobectomy for pulmonary consolidation, what was the median long-term follow-up duration for dogs that survived lobectomy?

A. 6 months
B. 12 months
C. 18 months
D. 24 months
E. 36 months

Answer: 24 months

Explanation: Survivors were followed for a median of 24 months with no recurrence of clinical signs.

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