12只猫肝内门体分流的外科治疗和转归期号:Vol 24, Issue 10, July 14, 2022作者:Lavinia Economu,Rhiannon Strickland,Vicky J Lipscomb摘要来源:https://doi.org/10.1177/1098612X221109325译员:林飞一校:郭嘉恩二校:朵曜腾编辑:百可事乐摘要病例系列总结本病例系列的目的是描述12只猫先天性肝内门体分流(intrahepatic portosystemic shunt ,IHPSS)的临床表现、手术治疗和转归。对因IHPSS接受外科治疗的猫进行了回顾性病例系列研究。通过医疗记录获取病例的基本信息、临床症状、影像学结果、手术疗法、并发症和短期转归(天)。在可能的情况下,通过宠主问卷调查健康相关的生活质量,以获取长期转归(>首次手术后1年)。通过术中肠系膜门静脉造影,诊断7只猫为左侧分流,3只猫为中央分流,2只猫为右侧分流。3只猫进行了完全直接缝线结扎,8只猫进行了部分缝线结扎减流(其中4只猫在第二次手术时进行了完全缝线结扎),1只猫用薄膜带进行了部分结扎减流。6只猫(50%)在第一次手术后出现门脉缩窄术后神经症状(post-attenuation neurological signs,PANS),2只猫(17%)因严重PANS死亡或被安乐死。可获得8只猫(67%)的长期结果信息,中位随访时间为1743天(364–2228天),5只猫(63%)转归极好,2只猫(25%)转归一般,1只猫(12%)转归差。相关性和新信息很少有论文描述猫IHPSS的临床表现、术中成像、治疗和转归。这是第一次在患有IHPSS的猫上用薄膜带进行手术结扎减流的报道。本病例系列报告了大多数接受IHPSS手术治疗的猫具有极好的长期转归。原文:Surgical treatment and outcome of intrahepatic shunts in 12 catsLavinia Economu,Rhiannon Strickland,Vicky J Lipscombhttps://doi.org/10.1177/1098612X221109325AbstractCase series summaryThe objective of this case series was to describe the presentation, surgical treatment and outcome of a congenital intrahepatic portosystemic shunt (IHPSS) in 12 cats. A retrospective case series of cats undergoing surgical treatment for an IHPSS was undertaken. Signalment, clinical signs, imaging, surgical treatment, complications and short-term outcome (1 year after first surgery) was obtained, where possible, using a health-related quality of life owner questionnaire. Seven cats were diagnosed with a left divisional shunt, three with a central divisional shunt and two with a right divisional shunt using intraoperative mesenteric portovenography. Three cats tolerated complete acute suture attenuation, eight cats underwent partial suture attenuation, four of which received complete suture ligation at a second surgery, and one cat underwent partial attenuation with a thin film band. Six cats (50%) developed post-attenuation neurological signs (PANS) after first surgery and two cats (17%) died or were euthanased due to severe PANS. Long-term outcome was available for eight cats (67%), with a median follow-up time of 1743 days (range 364–2228), and was described as excellent in five cats (63%), fair in two cats (25%) and poor in one cat (12%).Relevance and novel informationFew papers exist that describe the presentation, intraoperative imaging, treatment and outcome of IHPSSs in cats. This is the first to describe surgical attenuation with a thin film band in a cat with an IHPSS. This case series reports excellent long-term outcomes in a majority of surgically treated cats with IHPSS.译员-林飞△华南农业大学兽医学院在读研三学生。△喜爱小动物尤其是猫,并专注于学习小动物医疗方面的相关知识,多次参加各类培训和行业大会。△感兴趣的方向包括猫科、内科学、影像学和细胞学。