Updates in Hepatobiliary Surgery: New Data on Portosystemic Shunts and Cholecystectomy in Dogs and Cats

Vet Clin North Am Small Anim Pract. 2022 Mar;52(2):369-385. doi: 10.1016/j.cvsm.2021.11.001. Epub 2022 Jan 24.

Abstract

Advances regarding surgical treatment of hepatobiliary diseases over the past 5 years have resulted in improved outcomes and decreased mortality in veterinary patients. Options for minimally invasive treatment of intrahepatic portosystemic shunts and gallbladder disease have led to decreased morbidity with similar outcomes to open procedures. For extrahepatic portosystemic shunts, studies evaluating long-term outcome between surgical attenuation and medical management, as well as between options for surgical attenuation, are being used to direct evidence-based treatment of this congenital anomaly. In addition, evaluation of timing in surgical intervention for gallbladder mucoceles has led to an opportunity for decreased mortality rates after cholecystectomy.

Keywords: Cholecystectomy; Extrahepatic portosystemic shunt; Gallbladder; Hepatobiliary surgery; Portosystemic shunt.

Publication types

  • Review

MeSH terms

  • Animals
  • Cat Diseases* / surgery
  • Cats
  • Cholecystectomy / veterinary
  • Dog Diseases* / congenital
  • Dog Diseases* / surgery
  • Dogs
  • Portal System / abnormalities
  • Portal System / surgery
  • Portasystemic Shunt, Transjugular Intrahepatic* / veterinary
  • Retrospective Studies