Peer-reviewed veterinary case report
Outcomes of laparoscopic vs open adrenal surgery in dogs
By Taylor, Colin J & Monnet, Eric·Published in Veterinary surgery : VS·2021·Department of Clinical Sciences, United States·View original on PubMed →
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Original publication title: A comparison of outcomes between laparoscopic and open adrenalectomies in dogs.
- Species:
- dog
Plain-English summary
A group of dogs with adrenal tumors underwent surgery to remove the tumors, either through a minimally invasive method called laparoscopic adrenalectomy or a traditional open surgery. The laparoscopic approach resulted in shorter surgery times and fewer cases of low blood pressure during the procedure compared to the open surgery. Both methods had similar survival rates after one and two years. Overall, laparoscopic adrenalectomy is a good option for treating adrenal tumors in dogs, but careful selection of cases is important for the best outcomes.
People also search for: dog adrenal tumor surgery · laparoscopic adrenalectomy for dogs · open adrenalectomy recovery time
Abstract
OBJECTIVE: To compare short- and long-term outcomes of dogs with adrenal tumors treated by adrenalectomy with laparoscopy or laparotomy. STUDY DESIGN: Retrospective study of dogs that underwent adrenalectomy with laparoscopy or laparotomy. SAMPLE POPULATION: Fourteen dogs treated with laparoscopic adrenalectomy (LA) and twenty-six dogs treated with open midline adrenalectomy (OA). METHODS: Dogs treated with LA were matched with 1 or 2 dogs treated with OA on the basis of histological nature, size, and side of the tumor. Intraoperative complications, postoperative complications, and long-term survival were compared between LA and OA. RESULTS: Intraoperative hypotension occurred in 2 of 14 (14.3%) dogs in the LA group and in 16 of 26 (61.5%) dogs in the OA group (P = .007). The surgical time was 69.8 ± 21.8 minutes for the LA group and 108.6 ± 42 minutes for the OA group (P = .0003). The hospitalization time was 39.3 ± 14.9 hours for the LA group and 46.3 ± 25.1 hours for the OA group (P = .1453). The 1- and 2-year survival rates were 77% and 77%, respectively, for the LA group and 77% and 66%, respectively, for the OA group (P = .6144). CONCLUSION: Laparoscopic adrenalectomy was associated with a shorter surgical time and a reduced incidence of hypotension compared with open adrenalectomy in this case-matched study. Short- and long-term outcomes were not affected by the surgical technique used to complete the adrenalectomy. CLINICAL SIGNIFICANCE: Laparoscopy can be recommended for adrenalectomy in dogs; however, appropriate case selection is required.
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Search related cases →Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/33417739/