{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,31]],"date-time":"2026-01-31T06:51:03Z","timestamp":1769842263624,"version":"3.49.0"},"reference-count":27,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2020,2,20]],"date-time":"2020-02-20T00:00:00Z","timestamp":1582156800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Small Animal Practice"],"published-print":{"date-parts":[[2020,5]]},"abstract":"<jats:sec><jats:title>Objectives<\/jats:title><jats:p>To report surgical technique, intra\u2010 and post\u2010operative complications, and short\u2010 and long\u2010term outcome following canine hepatobiliary surgery in which exposure of intra\u2010abdominal hepatobiliary lesions was aided by diaphragmotomy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and Methods<\/jats:title><jats:p>Clinical records from four multi\u2010disciplinary UK\u2010based small animal referral hospitals were retrospectively reviewed for dogs in which diaphragmotomy was performed between January 2014 and May 2019. Signalment, diagnosis, surgery performed, diaphragmotomy technique, management of diaphragmotomy and pneumothorax, intra\u2010 and post\u2010operative complications, short\u2010term outcome and long\u2010term outcome were recorded.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Thirty\u2010one cases were identified. The most common hepatobiliary surgeries performed alongside diaphragmotomy were single hepatic lobectomy (14\/31) and cholecystectomy (11\/31). The most common diagnoses were hepatocellular carcinoma (10\/31), gall bladder mucocoele (7\/31) and hepatic nodular hyperplasia (4\/31). Peri\u2010operative mortality rate was 9.7% (3\/31 cases) though none of these deaths were considered attributable to diaphragmotomy. Post\u2010operative complications were encountered in 67.9% (19\/28) cases that survived the peri\u2010operative period, of which 25.0% (7\/28) suffered complications that were considered attributable or likely attributable to diaphragmotomy. These seven complications resolved following non\u2010surgical intervention. Follow\u2010up was available for 26 of 28 patients that survived to discharge at a median of 4\u2010months (range 10\u2009days to 24\u2009months) following surgery and revealed no evidence of complications related to diaphragmotomy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Clinical Significance<\/jats:title><jats:p>Diaphragmotomy appears safe and increases abdominal exposure of hepatobiliary lesions. The benefit of improved exposure must be carefully weighed up against the risks inherent in inducing pneumothorax.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jsap.13121","type":"journal-article","created":{"date-parts":[[2020,2,20]],"date-time":"2020-02-20T08:21:27Z","timestamp":1582186887000},"page":"278-284","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Diaphragmotomy to aid exposure during hepatobiliary surgery: a multi\u2010centre retrospective review of 31 dogs"],"prefix":"10.1111","volume":"61","author":[{"given":"B.","family":"Dean","sequence":"first","affiliation":[{"name":"Southern Counties Veterinary Specialists  Unit 6 Forest Corner Farm, Hangersley BH24 3JW UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5234-5516","authenticated-orcid":false,"given":"T.","family":"Anderson","sequence":"additional","affiliation":[{"name":"Dick White Referrals  Cambridgeshire CB8 0UH UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S.","family":"Garcia\u2010Pertierra","sequence":"additional","affiliation":[{"name":"The Royal (Dick) School of Veterinary Studies Hospital for Small Animals, Easter Bush Campus  Midlothian EH25 9RG UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"G.","family":"Jenkins","sequence":"additional","affiliation":[{"name":"Anderson Moores Veterinary Specialists  Hampshire SO21 2LL UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M.","family":"Cantatore","sequence":"additional","affiliation":[{"name":"Anderson Moores Veterinary Specialists  Hampshire SO21 2LL UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A.","family":"Craig","sequence":"additional","affiliation":[{"name":"Southern Counties Veterinary Specialists  Unit 6 Forest Corner Farm, Hangersley BH24 3JW UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"K.","family":"Harris","sequence":"additional","affiliation":[{"name":"Southern Counties Veterinary Specialists  Unit 6 Forest Corner Farm, Hangersley BH24 3JW UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"T.","family":"Ryan","sequence":"additional","affiliation":[{"name":"Southern Counties Veterinary Specialists  Unit 6 Forest Corner Farm, Hangersley BH24 3JW UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2020,2,20]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1748-5827.2010.01014.x"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-950X.2006.00134.x"},{"key":"e_1_2_5_4_1","doi-asserted-by":"publisher","DOI":"10.2460\/javma.242.5.643"},{"key":"e_1_2_5_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-950X.2010.00763.x"},{"key":"e_1_2_5_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-950X.2008.00467.x"},{"key":"e_1_2_5_7_1","doi-asserted-by":"publisher","DOI":"10.1136\/vr.103962"},{"key":"e_1_2_5_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/00000542-199903000-00029"},{"key":"e_1_2_5_9_1","doi-asserted-by":"publisher","DOI":"10.2460\/javma.251.8.929"},{"key":"e_1_2_5_10_1","first-page":"598","article-title":"Factors associated with long\u2010term survival in dogs undergoing liver lobectomy as treatment for liver tumors","volume":"56","author":"Kinsey J. 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