Abstract：
OBJECTIVE: To assess factors associated with increased pleural fluid and air evacuation, longer duration of thoracostomy tube usage, and longer hospitalization in dogs and cats following surgery for thoracic neoplasms.
METHODS: 62 dogs and 10 cats.
METHODS: Medical records were reviewed for dogs and cats undergoing thoracic surgeries between August 1, 2019, and June 30, 2023, for resection of suspected neoplasia in which a thoracostomy tube was placed. Data collected included patient signalment, type of procedure performed, histologic diagnosis of the primary mass removed, volume of fluid and air evacuated from the thoracostomy tube, and time in hospital.
RESULTS: Median sternotomy was associated with increased total fluid evacuation (median, 12.1 mL/kg; IQR, 15.4 mL/kg; P = .012), whereas rib resection was associated with increased total air evacuation (median, 2.1 mL/kg; IQR, 13.6 mL/kg; P = .06). The presence of preoperative pleural effusion was associated with higher total fluid evacuation (20.6 mL/kg; IQR, 32.1 mL/kg; P = .009), longer duration with a thoracostomy tube in place (42.5 hours; IQR, 41.9 hours; P = .027), and longer hospitalization period (61 hours; IQR, 52.8 hours; P = .025). Cats had a thoracostomy tube in place for a longer time compared to dogs (median, 42.6 hours; IQR, 23.5 hours; P = .043).
CONCLUSIONS: Animals undergoing median sternotomy and rib resection may be expected to have higher fluid and air volumes, respectively, evacuated postoperatively. This often leads to an increased duration of thoracostomy tube usage and a longer period of hospitalization.
METHODS: 62 dogs and 10 cats.
METHODS: Medical records were reviewed for dogs and cats undergoing thoracic surgeries between August 1, 2019, and June 30, 2023, for resection of suspected neoplasia in which a thoracostomy tube was placed. Data collected included patient signalment, type of procedure performed, histologic diagnosis of the primary mass removed, volume of fluid and air evacuated from the thoracostomy tube, and time in hospital.
RESULTS: Median sternotomy was associated with increased total fluid evacuation (median, 12.1 mL/kg; IQR, 15.4 mL/kg; P = .012), whereas rib resection was associated with increased total air evacuation (median, 2.1 mL/kg; IQR, 13.6 mL/kg; P = .06). The presence of preoperative pleural effusion was associated with higher total fluid evacuation (20.6 mL/kg; IQR, 32.1 mL/kg; P = .009), longer duration with a thoracostomy tube in place (42.5 hours; IQR, 41.9 hours; P = .027), and longer hospitalization period (61 hours; IQR, 52.8 hours; P = .025). Cats had a thoracostomy tube in place for a longer time compared to dogs (median, 42.6 hours; IQR, 23.5 hours; P = .043).
CONCLUSIONS: Animals undergoing median sternotomy and rib resection may be expected to have higher fluid and air volumes, respectively, evacuated postoperatively. This often leads to an increased duration of thoracostomy tube usage and a longer period of hospitalization.
摘要：
目的：评估与胸腔积液和排气增加相关的因素，使用胸腔造口管的持续时间较长，胸部肿瘤手术后，狗和猫的住院时间更长。
方法：62只狗和10只猫。
方法：回顾了在2019年8月1日至2023年6月30日期间进行胸外科手术的狗和猫的医疗记录，以切除可疑的肿瘤，其中放置了胸腔造口管。收集的数据包括患者信号，所执行的程序类型，切除原发性肿块的组织学诊断，大量的液体和空气从胸腔造口管排出，在医院的时间。
结果：正中胸骨切开术与总液体排空增加相关（中位数，12.1mL/kg;IQR,15.4mL/kg；P=.012），而肋骨切除术与总空气疏散增加相关(中位数，2.1mL/kg;IQR,13.6mL/kg；P=.06）。术前胸腔积液的存在与较高的总液体排空有关（20.6mL/kg；IQR，32.1毫升/千克；P=.009），在适当的位置放置胸腔造口管的持续时间更长(42.5小时；IQR，41.9小时；P=.027），和更长的住院时间(61小时；IQR，52.8小时；P=.025）。与狗相比，猫的胸腔造口管放置时间更长（中位数，42.6小时；IQR，23.5小时；P=.043）。
结论：接受正中胸骨切开术和肋骨切除术的动物可能会有更高的液体和空气量，分别,术后撤离。这通常导致胸廓造口管使用的持续时间增加和住院时间延长。
方法：62只狗和10只猫。
方法：回顾了在2019年8月1日至2023年6月30日期间进行胸外科手术的狗和猫的医疗记录，以切除可疑的肿瘤，其中放置了胸腔造口管。收集的数据包括患者信号，所执行的程序类型，切除原发性肿块的组织学诊断，大量的液体和空气从胸腔造口管排出，在医院的时间。
结果：正中胸骨切开术与总液体排空增加相关（中位数，12.1mL/kg;IQR,15.4mL/kg；P=.012），而肋骨切除术与总空气疏散增加相关(中位数，2.1mL/kg;IQR,13.6mL/kg；P=.06）。术前胸腔积液的存在与较高的总液体排空有关（20.6mL/kg；IQR，32.1毫升/千克；P=.009），在适当的位置放置胸腔造口管的持续时间更长(42.5小时；IQR，41.9小时；P=.027），和更长的住院时间(61小时；IQR，52.8小时；P=.025）。与狗相比，猫的胸腔造口管放置时间更长（中位数，42.6小时；IQR，23.5小时；P=.043）。
结论：接受正中胸骨切开术和肋骨切除术的动物可能会有更高的液体和空气量，分别,术后撤离。这通常导致胸廓造口管使用的持续时间增加和住院时间延长。
