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KMID : 1094020130300060490
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Journal of Veterinary Clinics
2013 Volume.30 No. 6 p.490 ~ p.495
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Treatment of Spontaneous Serial Lung Lobe Torsion Using Self-Cutting Linear Endoscopic Stapler in a Pekingese Dog under Total Intravenous Anesthesia
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Park Ji-Young
Lee Young-Won
Jeong Seong-Mok
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Abstract
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A 9-year old, castrated male Pekingese dog weighing 6.9 kg was referred with one week history of dyspnea, depression, yellow vomiting and abdominal distension. Refractory right lung field opacity was diagnosed as spontaneous right cranial lung lobe torsion (LLT) with collapsed middle lobe on the computed tomography. Four days after diagnosis, right fourth intercostal thoracotomy was performed under propofol-remifentanil based total intravenous anesthesia (TIVA). Right cranial and middle lung lobes were twisted together in a clockwise direction. ENDOPATH-ETS-FLEX-45, an articulating endoscopic linear cutting stapler was applied at the hilus and there were no complications after resection. The patient recovered favorably and has been doing well up to one year follow up. Lung lobe torsion is an uncommon condition in small breed dogs, this case report suggests serial lung lobe torsion of cranial lobe followed by middle lobe in small breed dog, and immediately after diagnosis surgical intervention is beneficial to prevent progression of LLT. Furthermore, using self cutting stapling device and TIVA technique will be helpful for lung lobectomy in dogs.
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KEYWORD
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lung lobe torsion, laparoscopic stapling device, propofol, remifentanil, dog
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