Your browser doesn't support javascript.
loading
Laparoscopic adrenalectomy for resection of unilateral noninvasive adrenal masses in dogs is associated with excellent outcomes in experienced centers.
Mayhew, Philipp D; Massari, Federico; Araya, Felipe Lillo; van Nimwegen, Sebastiaan A; Van Goethem, Bart; Singh, Ameet; Balsa, Ingrid M; Steffey, Michele A; Culp, William T N; Case, J Brad; Gibson, Erin; Giuffrida, Michelle A; Hagen, Briana.
Afiliación
  • Mayhew PD; 1Department of Surgical and Radiological Sciences, School of Veterinary Medicine, University of California-Davis, Davis, CA.
  • Massari F; 2Clinica Veterinaria Nervianese, Nerviano, Italy.
  • Araya FL; 3Escuela de Medicina Veterinaria, Facultad Ciencias de la Vida, Universidad Andres Bello, Vina del Mar, Chile.
  • van Nimwegen SA; 4Department of Clinical Sciences, Faculty of Veterinary Medicine, Utrecht University, Netherlands.
  • Van Goethem B; 5Small Animal Teaching Hospital, Ghent University, Merelbeke, Belgium.
  • Singh A; 6Department of Clinical Studies, Ontario Veterinary College, University of Guelph, Guelph, ON, Canada.
  • Balsa IM; 7Department of Clinical Sciences, Carlson College of Veterinary Medicine, Oregon State University, Corvallis, OR.
  • Steffey MA; 1Department of Surgical and Radiological Sciences, School of Veterinary Medicine, University of California-Davis, Davis, CA.
  • Culp WTN; 1Department of Surgical and Radiological Sciences, School of Veterinary Medicine, University of California-Davis, Davis, CA.
  • Case JB; 8Department of Small Animal Clinical Sciences, College of Veterinary Medicine, University of Florida, Gainesville, FL.
  • Gibson E; 1Department of Surgical and Radiological Sciences, School of Veterinary Medicine, University of California-Davis, Davis, CA.
  • Giuffrida MA; 1Department of Surgical and Radiological Sciences, School of Veterinary Medicine, University of California-Davis, Davis, CA.
  • Hagen B; 9Department of Population Medicine, Ontario Veterinary College, University of Guelph, Guelph, ON, Canada.
J Am Vet Med Assoc ; 261(12): 1-8, 2023 12 01.
Article en En | MEDLINE | ID: mdl-37582487
OBJECTIVE: To report the short- and long-term outcomes of laparoscopic adrenalectomy (LA) for resection of unilateral adrenal masses and to document risk factors for conversion and peri- and postoperative morbidity. ANIMALS: 255 client-owned dogs. METHODS: Dogs were included if LA was attempted for resection of a unilateral adrenal mass. Medical records were evaluated and relevant data were reported, including complications, conversion, perioperative death, and long-term outcomes. Signalment, clinicopathological data, and surgical experience were factors statistically evaluated for possible associations with capsular penetration during surgery, conversion, surgical time, duration of hospital stay, death prior to discharge, mass recurrence, and survival time. RESULTS: 155 dogs had left-sided tumors, and 100 had right-sided tumors. Conversion to an open approach was performed in 9.4% of cases. Capsular penetration (19.2%) and major hemorrhage (5.4%) were the most prevalent intraoperative complications. Of the dogs operated on, 94.9% were discharged from the hospital. Lesion side, portion of the gland affected, and surgeon experience influenced surgical time. Conversion rate increased with increasing body condition score and lesion size. Risk of death prior to discharge increased with increasing lesion size. Risk of conversion and death prior to discharge were lower when performed by more experienced surgeons. Capsular penetration during LA increased the risk of tumor recurrence. CLINICAL RELEVANCE: LA for resection of unilateral adrenal masses is associated with excellent outcomes in experienced centers. Surgeons with greater experience with LA have lower surgical times, conversion rates, and risk of death prior to discharge.
Asunto(s)
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Laparoscopía / Neoplasias de las Glándulas Suprarrenales / Enfermedades de los Perros Tipo de estudio: Risk_factors_studies Límite: Animals / Humans Idioma: En Revista: J Am Vet Med Assoc Año: 2023 Tipo del documento: Article Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Laparoscopía / Neoplasias de las Glándulas Suprarrenales / Enfermedades de los Perros Tipo de estudio: Risk_factors_studies Límite: Animals / Humans Idioma: En Revista: J Am Vet Med Assoc Año: 2023 Tipo del documento: Article Pais de publicación: Estados Unidos