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Case Reports
. 2020 Aug;61(8):875-879.

Use of vessel sealing system for multiple partial lung lobectomies for spontaneous pneumothorax

Alicia Oberhaus  1 , Michael Mcfadden  1
Affiliations
Case Reports

Use of vessel sealing system for multiple partial lung lobectomies for spontaneous pneumothorax

Alicia Oberhaus et al. Can Vet J. 2020 Aug.

Abstract
in English, French

A wolf hybrid dog was presented for dyspnea and tachypnea. Thoracic radiographs revealed a pneumothorax. A median sternotomy was performed, and multiple pulmonary blebs were identified on several lung lobes. Multiple partial lung lobectomies were performed using a vessel sealing system. The dog was discharged 4 days after surgery free of clinical signs related to surgery or pneumothorax. This case represents a novel utilization of a vessel sealing system to remove the apex of the lung when there are numerous pulmonary lesions present. Key clinical message: A vessel sealing system simplified multiple partial lung lobectomies in an open thoracotomy. The system reduced tissue trauma as well as the amount of normal pulmonary tissue removed while efficiently creating a seal.

Utilisation d’un système de scellement des vaisseaux lors de lobectomies pulmonaires partielles pour un pneumothorax spontané. Un hybride chien-loup fut présenté pour dyspnée et tachypnée. Des radiographies thoraciques ont révélé un pneumothorax. Une sternotomie médiane fut effectuée et de multiples vésicules furent identifiés sur plusieurs lobes pulmonies. De multiples lobectomies partielles furent effectuées en utilisant un système de scellement des vaisseaux. Le chien obtint son congé 4 jours après la chirurgie sans aucun signe clinique relié à la chirurgie ou au pneumothorax. Ce cas représente une utilisation nouvelle d’un système de scellement des vaisseaux pour retirer l’apex des poumons lorsqu’il y a de nombreuses lésions pulmonaires présentes.Message clinique clé :Un système de scellement des vaisseaux simplifia des lobectomies pulmonaires partielles multiples lors d’une thoracotomie ouverte. Le système réduisit les traumatismes tissulaires ainsi que la quantité de tissu pulmonaire normal retirée tout en créant efficacement un sceau.(Traduit par Dr Serge Messier).

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Figures

Figure 1
Figure 1
Intraoperative image showing the lesion at the apex of the right medial lung lobe. The tissue is held in place with DeBakey forceps (arrowhead) while the vessel sealing device (arrow) is used in a caudal to cranial direction.
Figure 2
Figure 2
Intraoperative image showing the lung tissue following removal of a bleb using a vessel sealing device. The crushed zone (A), transition zone (B) and normal parenchyma (C) can be seen grossly at the surgery site. Despite these changes no additional leakage was noted from any partial lobectomy site.
Figure 3
Figure 3
Intraoperative image showing a typical lesion (arrow) seen in cases of spontaneous pneumothorax following a lateral thoracotomy.
See this image and copyright information in PMC

References

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