• Veterinary surgery : VS · Sep 2005

    Cisterna chyli ablation with thoracic duct ligation for chylothorax: results in eight dogs.

    • Kei Hayashi, Gretchen Sicard, Kelly Gellasch, Joseph D Frank, Robert J Hardie, and Jonathan F McAnulty.
    • Department of Surgical Sciences, School of Veterinary Medicine, University of Wisconsin, Madison, WI 53706, USA.
    • Vet Surg. 2005 Sep 1;34(5):519-23.

    ObjectiveTo report use of combined cisterna chyli ablation (CCA) and thoracic duct ligation (TDL) for treatment of spontaneously occurring chylothorax in dogs.Study DesignRetrospective study.AnimalsEight dogs with chylothorax.MethodsTDL was performed through a right caudal intercostal thoracotomy and CCA through a left flank paracostal approach or ventral median celiotomy. Long-term outcome (range, 2-48 months; median, 11.5 months) was evaluated by telephone communication with owners.ResultsSeven dogs were free of clinical signs related to chylothorax at last follow-up (range, 4-48 months; median, 15.5 months). One dog was euthanatized 2 months after surgery because of lack of improvement. No major complications occurred from CCA.ConclusionCCA and TDL resolved chylothorax in most dogs (88%).Clinical RelevanceCCA combined with TDL may improve the outcome of chylothorax in dogs.

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