Clinical Outcomes in Dogs Undergoing Cholecystectomy via a Transverse Incision: A Meta-Analysis of 121 Animals Treated between 2011 and 2021

Although many studies have been conducted on the use of median and transverse incisions in various surgeries in the field of human medicine, related studies in veterinary medicine are lacking. This study aimed to present treatment options for dogs requiring cholecystectomy by reporting the pros and...

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Published inVeterinary sciences Vol. 10; no. 6; p. 395
Main Authors Chae, Hyung-Kyu, Jeong, Ju-Yeon, Lee, Se-Yoon, Hwang, Hyun-Min, Shin, Kyoung-In, Park, Jung-Hoon, Ji, Seo-Yeoun, Hong, Yeon-Jung
Format Journal Article
LanguageEnglish
Published Switzerland MDPI AG 01.06.2023
MDPI
Subjects
Anesthesia
Antibiotics
Bile ducts
Biliary tract
Cholecystectomy
Clinical outcomes
Comparative analysis
Disease
Dogs
Gallbladder
Gallbladder diseases
Gallstones
icterus
Intubation
Laparoscopy
Laparotomy
Meta-analysis
Methods
Mortality
small-breed dogs
Statistical analysis
Surgeons
Surgery
Surgical outcomes
Sutures
transverse incision
Ultrasonic imaging
Veterinary medicine
Visual field
South Korea
small-breed dogs
cholecystectomy
transverse incision
icterus
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Summary:Although many studies have been conducted on the use of median and transverse incisions in various surgeries in the field of human medicine, related studies in veterinary medicine are lacking. This study aimed to present treatment options for dogs requiring cholecystectomy by reporting the pros and cons of 121 cholecystectomies performed via transverse incision at our hospital over 10 years. In most included cases, nonelective cholecystectomy was performed in an unstable emergency situation. The perioperative mortality rate was 23.14%, which was not significantly different from that of cholecystectomy performed via the conventional midline approach. However, the overall operation time (46.24 ± 6.13 min; range 35-65 min) was shortened by securing an adequate surgical field of view. The transverse incision approach facilitates fast and accurate surgery without increasing the fatality rate in small-breed dogs, in whom securing an adequate surgical field of view is difficult. Thus, transverse incision should be actively considered in dogs undergoing cholecystectomy due to emergency conditions, such as bile leakage or biliary tract obstruction, since prolonged anesthesia can be burdensome. This study may improve cholecystectomy outcomes in small-breed dogs with difficult-to-secure surgical fields.
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These authors contributed equally to this work.
ISSN:2306-7381
2306-7381
DOI:10.3390/vetsci10060395