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Outcomes after transperitoneal laparoscopic ureteronephrectomy for the treatment of primary renal neoplasia in seven dogs.
Hart, Edward; Singh, Ameet; Thomson, Christopher B; Appleby, Ryan; Richardson, Danielle; Hocker, Samuel; Bernard, Sarah; Pinard, Christopher.
Afiliación
  • Hart E; Department of Clinical Studies, Ontario Veterinary College, University of Guelph, Guelph, Ontario, Canada.
  • Singh A; Department of Clinical Studies, Ontario Veterinary College, University of Guelph, Guelph, Ontario, Canada.
  • Thomson CB; Veterinary Specialty Hospital, North County, San Marcos, California, USA.
  • Appleby R; Department of Clinical Studies, Ontario Veterinary College, University of Guelph, Guelph, Ontario, Canada.
  • Richardson D; Department of Clinical Studies, Ontario Veterinary College, University of Guelph, Guelph, Ontario, Canada.
  • Hocker S; Department of Clinical Studies, Ontario Veterinary College, University of Guelph, Guelph, Ontario, Canada.
  • Bernard S; Department of Clinical Sciences, Kansas State University, KS, USA.
  • Pinard C; Department of Clinical Studies, Ontario Veterinary College, University of Guelph, Guelph, Ontario, Canada.
Vet Surg ; 50 Suppl 1: O108-O115, 2021 Jul.
Article en En | MEDLINE | ID: mdl-34232525
OBJECTIVE: To describe the perioperative characteristics and outcomes in dogs that underwent transperitoneal laparoscopic ureteronephrectomy (TLU) for primary renal neoplasia. STUDY DESIGN: Short case series. ANIMALS: Seven client-owned dogs. METHODS: Medical records were reviewed and data extracted regarding perioperative characteristics and animal outcomes. TLU was performed using a single-port + 1 or multiple port techniques. Hemostatic clips or a vessel-sealing device were used for occlusion of renal hilar vessels. The ureter was occluded and transected close to the ureterovesicular junction and the tumor was placed in a specimen retrieval bag for extraction from the abdomen. RESULTS: Preoperative contrast enhanced computed tomography (CECT) was performed in 6/7 dogs. Median estimated tumor volume measured from abdominal CECT removed by TLU was 32.42 cm3 (interquartile range [IQR] 14.76-94.85). Median surgery time for TLU was 90 minutes (IQR 85-105). In one dog, elective conversion to open laparotomy was performed due to large tumor size. Median time to discharge was 31 hours (IQR 24-48). No major perioperative complications occurred and all dogs survived to discharge. Progression free survival in four dogs was 422 days (IQR 119-784). CONCLUSION: TLU was performed for the extirpation of modest sized primary renal tumors with acceptable perioperative outcomes and a low complication rate. CLINICAL RELEVANCE: TLU may be considered for the treatment of selected cases of primary renal neoplasia in dogs.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Laparoscopía / Enfermedades de los Perros / Nefroureterectomía / Neoplasias Renales Tipo de estudio: Observational_studies Límite: Animals Idioma: En Revista: Vet Surg Año: 2021 Tipo del documento: Article País de afiliación: Canadá Pais de publicación: Estados Unidos
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Laparoscopía / Enfermedades de los Perros / Nefroureterectomía / Neoplasias Renales Tipo de estudio: Observational_studies Límite: Animals Idioma: En Revista: Vet Surg Año: 2021 Tipo del documento: Article País de afiliación: Canadá Pais de publicación: Estados Unidos