lower resps

Question 1

Rossanese, vet surg 2020
Long-term survival after treatment of idiopathic lung lobe torsion in 80 cases

-most common breed?
-complication rate?
-factor important in survival?

Answer 1

-pug
-14% complications
-primary lung lobe torsions did better

Question 2

Howes, JSAP 2020
Long-term clinical outcomes following surgery for spontaneous pneumothorax caused by pulmonary blebs and bullae in dogs – a multicentre (AVSTS Research Cooperative) retrospective study

-what percentage recurrence?
-median time to recurrence?
-factors linked to increased likelihood recurrence?

Answer 2

14%
25 days
giant breed, increasing body weight

Question 3

Tindale, JFMS 2022
Clinical characteristics and long-term outcome of lung lobe torsions in cats: a review of 10 cases (2000–2021)

• most common lobes affected?
  -how many secondary to another pathology?
  -complication rate?

Answer 3

-R cranial, L cranial and R middle affected equally
-70% cats secondary to other pathology
-60%

Question 4

McPhetridge, JAVMA 2022
Distribution of histopathologic types of primary pulmonary neoplasia in dogs and outcome of affected dogs: 340 cases (2010–2019)

-most common?
-carcinoma MST?
-effect of adjuvant therapy?

Answer 4

pulmonary carcinoma, 87%
399 days for carcinoma
no significant effect

Question 5

Suematsu, vet surg 2019
Long-term outcomes of 54 dogs with tracheal collapse treated with a continuous extraluminal tracheal prosthesis

-survival to discharge?
-survival rate at 36 months?
-% goose honk cough resolved in?

Answer 5

98% survival to discharge
86%
96% goose honk cough resolved.

Question 6

Congiusta, JAVMA 2021
Comparison of short-, intermediate-, and long-term results between dogs with tracheal collapse that underwent multimodal medical management alone and those that underwent tracheal endoluminal stent placement

-MST for dogs that had stent placed?

Answer 6

1338 days

Question 7

Kanemoto, JFMS 2023
Retrospective study of feline tracheal mass lesions
-most common mass?

Answer 7

lymphoma
(masses most often cervical trachea 16/18)

Question 8

E. Gibson, vet surg 2024
Evaluation of mediastinoscopy for cranial mediastinal and tracheobronchial lymphadenectomy in canine cadavers

-what port used?
-what insufflation?
-which lymph node was mediastinal lymph node removal most successful for?

Answer 8

-SILS port
-2-4mmhg
-left tracheobronchial

Question 9

Downey, vet surg 2023
Evaluation of long-term outcome after lung lobectomy for canine non-neoplastic pulmonary consolidation via thoracoscopic (TL) or thoracoscopic-assisted (TAL) surgery in 12 dogs

-9 underwent TL and 3 TAL. In those that underwent TL, how many converted to open? What was most common reason for conversion?
-most common post-op complication?

Answer 9

-4/9 (44%) converted to open, 3 due to adhesions.
-haemorrhage (3)

successful procedure, conversion rates higher than other thoracoscopic lung lobectomy

Question 10

Mather, vet surg 2023
Anatomical considerations for the surgical approach to the canine accessory lung lobe

-which approach was considered the best approach for removal of the accessory lung lobe?
-where did the pulmonary ligament insert on accessory lung lobe

Answer 10

-Right 6th ICT
-pulmonary ligament attached to the accessory lung lobe in a caudally pointing apex on the dorsal process of the lobe

Question 11

Parry, JAVMA 2023
Cavitary pulmonary lesion wall thickness, presence of additional nodules, and intralesional contrast enhancement are associated with malignancy in dogs and cats

-what wall thickness might raise suspicion for malignancy in a cavitary pulmonary lesion?

Answer 11

wall thickness > 40 mm at the thickest point

Question 12

Park, JAVMA 2024
Thoracoscopic resection of lung masses is associated with excellent survival to discharge and good long-term outcomes

-what % conversion to open?
what factor was associated with conversion to open?
-median overall survival?
-what factor was associated with shorter post-op survival?

Answer 12

88% clean margins
26% conversion to open
tumor size (>5cm) and lymphadenopathy (as determined by CT scan) were associated with conversion to open.
-OST 311d
-racheobronchial lymphadenopathy on preoperative CT scans was associated with shorter postoperative survival (P < .001)

Question 13

De Lorenzi, JAVMA 2024
Dumon silicone stents can improve respiratory function in dogs with grade IV tracheal collapse: 12 cases (2019–2023)

-complication rate?
-most frequent complication?
-mean survival?

Answer 13

75% complications
granulation tissue ingrowth (25%)
822days

Dumon stent has teeth either side to seat in airway. only 1/12 had migration