Page 188 - BSAVA Manual of Canine and Feline Head, Neck and Thoracic Surgery, 2nd Edition

Chapter 13 · Surgery of the intrathoracic trachea and mainstem bronchi

VetBooks.ir

(a) (b) (c)
Intraoperative vie s of the tracheal apocrine gland carcinoma sho n in Figure 13.7 seen through a right fifth intercostal thoracotomy
13.8 following transection of the azygos vein. (a) The distal trachea has been sectioned and a sterile endotracheal tube placed in the carina to
maintain the cat’s airway. The tracheal mass can be seen inside the cut end of the trachea (arrowed). The proximal tracheal incision is being made to
allo the section of trachea containing the mass to be removed. b utures of fine polypropylene are placed in each end of the sectioned trachea ith
the sterile endotracheal tube still positioned in the carina to align the cut ends of the trachea. c The preplaced sutures of fine polypropylene are tied to
complete the end-to-end anastomosis of the trachea.

rates are often low owing to the advanced stage of disease Jakubiak MJ, Siedlecki CT, Zenger E et al. (2005) Laryngeal, laryngotracheal
and tracheal masses in cats: 27 cases (1998–2003). Journal of the American
when first seen. Intralumenal stenting may be a good pallia-
Animal Hospital Association 41, 310–316
tive option for recurrent tumours or in selected elderly
Lowe JE, Bridgman AH and Sabistan DC Jr (1982) The role of bronchioplastic
patients. Primary intratracheal lympho sarcoma is the procedures in the surgical management of benign and malignant pulmonary
exception in not requiring surgical man agement; it can be lesions. Journal of Thoracic and Cardiovascular Surgery 83, 227–234
successfully treated/palliated with chemotherapy. Inflam- Mitchell S , McCarthy R, Rudlo E et al. (2000) Tracheal rupture associated with
matory masses can often be managed successfully with intubation in cats: 20 cases (1996–1998). Journal of the American Veterinary
Medical Association 216, 1592–1595
corticosteroid treatment and the prognosis is often better
Schmierer PA, Schwarz A, Bass DA et al. (2014) Novel avulsion pattern of the left
for these than is the case with neoplasia. principal bronchus with involvement of the carina and caudal thoracic trachea in
a cat. Journal of Feline Medicine and Surgery 16, 695–698
Tivers MS and Hotston Moore A (2006) Tracheal foreign bodies in the cat and the
References and further reading use of fluoroscopy for removal: 1 cases. Journal of Small Animal Practice 47,
155–159
Wendell N (2002) Diseases of the trachea and bronchi. In: Textbook of Small
Burton CA (2003) Surgical diseases of the trachea in the dog and cat. In Animal Surgery, 3rd edn, ed. D. Slatter, pp. 858–880. WB Saunders,
Practice 25, 514–527 Philadelphia
Godfrey DR (1997) Bronchial rupture and fatal tension pneumothorax following White RN and Oakley MR (2001) Left principal bronchus rupture in a cat. Journal
routine venipuncture in a kitten. Journal of the American Animal Hospital of Small Animal Practice 42, 495–498
Association 33, 260–263
White RN and Burton CA (2000) Surgical management of intrathoracic tracheal
Goodnight ME, Scansen BA, Kidder AC et al. (2010) Use of a unique method for
removal of a foreign body from the trachea of a cat. Journal of the American avulsion in cats: long-term results in nine consecutive cases. Veterinary Surgery
Animal Hospital Association 237, 689–694 29, 430–435

179

Ch13 HNT.indd 179 31/08/2018 13:01