{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,7]],"date-time":"2026-05-07T05:14:01Z","timestamp":1778130841113,"version":"3.51.4"},"reference-count":21,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2025,6,16]],"date-time":"2025-06-16T00:00:00Z","timestamp":1750032000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,6,16]],"date-time":"2025-06-16T00:00:00Z","timestamp":1750032000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Veterinary Surgery"],"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To compare short\u2010 and long\u2010term clinical variables in cats undergoing a modified percutaneous cystolithotomy (PCCLm) or open cystotomy (OC) and to identify risk factors associated with complications and outcomes within the groups.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study design<\/jats:title>\n                    <jats:p>Retrospective study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Animals<\/jats:title>\n                    <jats:p>Fifty\u2010two client\u2010owned cats.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Records were reviewed for cats that underwent PCCLm or OC between December 2010 and August 2023. Signalment, history, diagnostic findings, procedural and anesthetic details, hospitalization data, complications, urolith recurrence, and follow up were recorded. \u03c7\n                      <jats:sup>2<\/jats:sup>\n                      or Fisher's exact tests and two\u2010sample\n                      <jats:italic>t<\/jats:italic>\n                      \u2010tests were used to evaluate effects of categorical and numerical clinical variables respectively on outcomes within PCCLm and OC groups and between PCCLm and OC groups.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 54 procedures were performed, 19 PCCLm (36.5%) and 35 OC (65.5%). Hospitalization duration (\n                      <jats:italic>p<\/jats:italic>\n                      = .031) and incision length (\n                      <jats:italic>p<\/jats:italic>\n                      = .002) were greater in the OC group. Incisional infections were associated with hospitalization duration in the OC group (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u2009.048). Incomplete urolith removal was associated with increased surgical time (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u2009.039) when no additional procedures were performed in the OC group. For PCCLm, incomplete urolith removal was associated with lower urinary tract signs within 14\u2009days postoperatively (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u2009.018), increased incision length (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u2009.029), anesthesia time (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u2009.017), and hospitalization duration (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u2009.027).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Modified percutaneous cystolithotomy resulted in shorter incisions and hospitalization duration postoperatively in comparison with OC but no other clear advantages of PCCLm were identified.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical significance<\/jats:title>\n                    <jats:p>The PCCLm procedure is an acceptable alternative to OC for urolith removal in cats.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/vsu.14288","type":"journal-article","created":{"date-parts":[[2025,6,16]],"date-time":"2025-06-16T04:10:26Z","timestamp":1750047026000},"page":"693-701","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Outcomes and comparison of modified percutaneous cystolithotomy and traditional open cystotomy in 52 cats"],"prefix":"10.1111","volume":"55","author":[{"given":"Alexis C.","family":"Boone","sequence":"first","affiliation":[{"name":"Department of Small Animal Clinical Sciences, College of Veterinary Medicine University of Tennessee  Knoxville Tennessee USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cassie N.","family":"Lux","sequence":"additional","affiliation":[{"name":"Department of Small Animal Clinical Sciences, College of Veterinary Medicine University of Tennessee  Knoxville Tennessee USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Katherine V.","family":"Adair","sequence":"additional","affiliation":[{"name":"Orthopedic and Soft Tissue Surgery Department VCA London Regional Veterinary Emergency and Referral Hospital  London Ontario Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xiaocun","family":"Sun","sequence":"additional","affiliation":[{"name":"Office of Information and Technology University of Tennessee Office of Information and Technology  Knoxville Tennessee USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,6,16]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.2460\/javma.236.7.763"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.2460\/javma.234.10.1286"},{"key":"e_1_2_8_4_1","first-page":"124","article-title":"Incomplete removal of canine and feline urocystoliths by cystotomy (abstr)","volume":"7","author":"Lulich JP","year":"1993","journal-title":"J Vet Intern Med"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.2460\/javma.240.1.65"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/jvim.16577"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.2460\/javma.240.2.193"},{"issue":"1","key":"e_1_2_8_8_1","first-page":"36","article-title":"Laparoscopic\u2010assisted cystotomy for urolith removal in dogs and cats \u2010 23 cases","volume":"54","author":"Pinel CB","year":"2013","journal-title":"Can Vet J"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.2460\/javma.2003.222.759"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.2460\/javma.239.3.344"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.2460\/javma.243.5.703"},{"issue":"1","key":"e_1_2_8_12_1","first-page":"O138","article-title":"Removal of lower urinary tract stones by percutaneous cystolithotomy: 68 cases (2012\u20102017)","volume":"49","author":"Cruciani B","year":"2020","journal-title":"Vet Surg"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.2460\/javma.235.12.1450"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-950X.2004.04076.x"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1053\/jvet.2002.34661"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1177\/1098612X211066477"},{"key":"e_1_2_8_17_1","unstructured":"Iris Staging of CKD.International Renal Interest Society.http:\/\/www.iris\u2010kidney.com\/pdf\/2_IRIS_Staging_of_CKD_2023.pdf.2021. 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