← Articles

Scott et al: Complications and outcomes of thoracoscopic-assisted lung lobectomy in dogs
Veterinary Surgery 1, 2023

🔍 Key Findings

  • TA lung lobectomy was feasible in dogs ≥3 kg, including those with lesions up to 10 cm.
  • 12 intraoperative complications (40%) occurred, with 6 dogs (20%) converted to open thoracotomy, mainly due to adhesions or inability to isolate lobes.
  • Postoperative complications occurred in 8 dogs (27%), most were mild (63%), and only 1 death (3%) was reported.
  • Median hospitalization was 47 hours; 29/30 dogs were discharged successfully.
  • One-lung ventilation (OLV) was attempted in 7 dogs but successfully maintained in only 4.
  • Linear staplers had shorter surgery times (median 57.5 min) than endoscopic staplers (80 min).
  • Histopathology confirmed neoplasia in 77% of cases, most commonly papillary and bronchioalveolar carcinoma.
  • TA lobectomy allows MIS in smaller dogs or with large lesions, avoiding need for full thoracotomy or complex anesthesia/stapling.

Simini Surgery Review Podcast

How critical is this paper for crushing the Boards?

🚨 Must-know. I’d bet on seeing this.

📚 Useful background, not must-know.

💤 Skip it. Doubt it’ll ever show up.

Thanks for the feedback!
‍We'll keep fine-tuning the articles vault.
Oops — didn’t go through.
‍Mind trying that again?
← Articles

Scott et al: Complications and outcomes of thoracoscopic-assisted lung lobectomy in dogs
Veterinary Surgery 1, 2023

🔍 Key Findings

  • TA lung lobectomy was feasible in dogs ≥3 kg, including those with lesions up to 10 cm.
  • 12 intraoperative complications (40%) occurred, with 6 dogs (20%) converted to open thoracotomy, mainly due to adhesions or inability to isolate lobes.
  • Postoperative complications occurred in 8 dogs (27%), most were mild (63%), and only 1 death (3%) was reported.
  • Median hospitalization was 47 hours; 29/30 dogs were discharged successfully.
  • One-lung ventilation (OLV) was attempted in 7 dogs but successfully maintained in only 4.
  • Linear staplers had shorter surgery times (median 57.5 min) than endoscopic staplers (80 min).
  • Histopathology confirmed neoplasia in 77% of cases, most commonly papillary and bronchioalveolar carcinoma.
  • TA lobectomy allows MIS in smaller dogs or with large lesions, avoiding need for full thoracotomy or complex anesthesia/stapling.

Simini Surgery Review Podcast

Know What Matters in the Literature - and Why

We distill peer-reviewed surgical studies into clinically relevant summaries and
exam-style questions, so you can make informed decisions with confidence.

Free Access. No Spam. Just Smarter Surgical Learning

Multiple Choice Questions on this study

In Scott 2023 et al., on thoracoscopic-assisted lung lobectomy, what was the most common **histopathologic diagnosis** among the excised pulmonary lesions?

A. Histiocytic sarcoma
B. Chondrosarcoma
C. Bronchioalveolar carcinoma
D. Papillary pulmonary carcinoma
E. Spindle cell sarcoma

Answer: Papillary pulmonary carcinoma

Explanation: Papillary carcinoma was the most frequent histological diagnosis among dogs undergoing TA lung lobectomy.
In Scott 2023 et al., on thoracoscopic-assisted lung lobectomy, which **surgical device** was associated with **shorter median surgery time**?

A. Endoscopic stapler (EndoGIA)
B. Linear stapler (DST series)
C. Clip applicator
D. Bronchial blocker
E. Wound retraction device

Answer: Linear stapler (DST series)

Explanation: Median surgery time was shorter for procedures using linear staplers (57.5 min) compared to endoscopic staplers (80 min).
In Scott 2023 et al., on thoracoscopic-assisted lung lobectomy, what proportion of dogs **required conversion to open thoracotomy** during surgery?

A. 10%
B. 15%
C. 20%
D. 30%
E. 40%

Answer: 20%

Explanation: Six of thirty dogs (20%) were converted to open thoracotomy due to adhesions, oxygen desaturation, or difficulty isolating the lung lobe.
In Scott 2023 et al., on thoracoscopic-assisted lung lobectomy, what was the **minimum bodyweight** of dogs in which the procedure was successfully performed?

A. 1 kg
B. 2 kg
C. 3 kg
D. 5 kg
E. 7 kg

Answer: 3 kg

Explanation: TA lung lobectomy was successfully performed in dogs as small as 3 kg, expanding MIS feasibility to smaller patients.
In Scott 2023 et al., on thoracoscopic-assisted lung lobectomy, what was the **most common classification** of postoperative complications?

A. Severe
B. Moderate
C. Mild
D. Fatal
E. Unrelated to surgery

Answer: Mild

Explanation: Most postoperative complications (63%) were mild, requiring minimal intervention like aspiration or supportive care.

Access the full library of surgical summaries and exam-style questions.

Get Instant Access

Educational content developed independently and supported by Simini.

The maker of Simini Protect Lavage.

Review More Key Summaries from this Veterinary Surgery Journal Issue

Nash

 et al: 

Esophageal pH‐monitoring in nonbrachycephalic dogs; a reference

Healy

 et al: 

Significance of incidentally identified bullae and blebs on thoracic computed tomography and prevalence of subsequent pneumothorax in dogs

Konno

 et al: 

Risk factors for complications associated with canine hepatic mass resection: A study of 96 cases

Scott

 et al: 

Complications and outcomes of thoracoscopic-assisted lung lobectomy in dogs

Timmermans

 et al: 

Evaluation of soft palate thickness in brachycephalic dogs 3 months after folded flap palatoplasty versus standard staphylectomy