{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T15:36:47Z","timestamp":1790955407811,"version":"4.1.0"},"reference-count":37,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2024,5,2]],"date-time":"2024-05-02T00:00:00Z","timestamp":1714608000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Veterinary Surgery"],"published-print":{"date-parts":[[2024,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To evaluate the outcomes and complications of video\u2010assisted thoracoscopic (VATS) treatment of chylothorax in cats.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study design<\/jats:title><jats:p>Multi\u2010institutional retrospective study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Animals<\/jats:title><jats:p>Fifteen client\u2010owned cats.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The medical records of cats undergoing thoracoscopic thoracic duct ligation (TDL) for treatment of idiopathic chylothorax were reviewed. Cats undergoing additional procedures including thoracoscopic pericardectomy and\/or laparoscopic cisterna chyli ablation (CCA)_were included. Follow up was obtained through communication with the referring veterinarian or owner.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>All cats underwent thoracoscopic TDL. Thirteen cats underwent simultaneous pericardectomy and two cats underwent laparoscopic CCA without pericardectomy. Conversion from a thoracoscopic to open approach was necessary in 2\/15 (13%) of thoracic duct ligations and 1\/11 (9%) of pericardectomies. The most common postoperative complication was persistent pleural effusion in five cats (33%). Four of 15 cats (27%) died or were euthanized prior to hospital discharge following surgery. Recurrence of effusion occurred in 1\/7 (14%) of cats that sustained resolution of the effusion at the time of surgery with a median follow up of 8\u2009months. The overall mortality attributed to chylothorax was 47%.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Thoracoscopic treatment of idiopathic chylothorax resulted in a low incidence of intraoperative complications or conversion in the study population; however, mortality related to feline idiopathic chylothorax remained high.<\/jats:p><\/jats:sec><jats:sec><jats:title>Clinical significance<\/jats:title><jats:p>While VATS treatment of idiopathic chylothorax is technically feasible, further consideration of the underlying pathology and current treatment algorithm is needed to improve outcomes as this remains a frustrating disease to treat in the feline population.<\/jats:p><\/jats:sec>","DOI":"10.1111\/vsu.14098","type":"journal-article","created":{"date-parts":[[2024,5,2]],"date-time":"2024-05-02T13:39:56Z","timestamp":1714657196000},"page":"852-859","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Outcome of video\u2010assisted thoracoscopic treatment of idiopathic chylothorax in 15 cats"],"prefix":"10.1111","volume":"53","author":[{"given":"Rachel","family":"Dickson","sequence":"first","affiliation":[{"name":"Department of Veterinary Clinical Sciences Washington State University  Pullman Washington USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Antoine","family":"Adam","sequence":"additional","affiliation":[{"name":"Vetmidi  Saint\u2010Prex Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Garcia Rubio","sequence":"additional","affiliation":[{"name":"AniCura, San Fermin Veterinary Hospital  Navarra Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Filippo","family":"Cinti","sequence":"additional","affiliation":[{"name":"Apuana Veterinary Clinic  Marina di Carrara Italy"},{"name":"San Marco Veterinary Clinic and Laboratory  Veggiano Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8095-9339","authenticated-orcid":false,"given":"Ameet","family":"Singh","sequence":"additional","affiliation":[{"name":"Department of Clinical Studies Ontario Veterinary College, University of Guelph  Guelph Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Philipp","family":"Mayhew","sequence":"additional","affiliation":[{"name":"Department of Surgical and Radiological Sciences, School of Veterinary Medicine University of California\u2010Davis  Davis California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J. 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