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Peer-reviewed veterinary case report

Intercostal surgery approach for right adrenal gland removal in dogs

By Andrade, Natalia et al.·Published in Veterinary surgery : VS·2014·Department of Small Animal Medicine and Surgery, United States·View original on PubMed

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Original publication title: Intercostal approach for right adrenalectomy in dogs.

Species:
dog

Plain-English summary

A group of 11 dogs with right adrenal tumors underwent surgery using a specific technique called the intercostal approach. This method provided better access to the adrenal gland during the operation, which lasted about 144 minutes on average. Fortunately, there were no major complications during or after the surgeries, although one dog was euthanized during the procedure. The dogs had a median survival time of about 786 days following the surgery, indicating that this approach can be effective for treating adrenal tumors in dogs.

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Abstract

OBJECTIVE: To describe an intercostal (IC) approach to the right adrenal (RA) gland in dogs. STUDY DESIGN: Cadaveric study and case series. ANIMALS: Dogs with right adrenal (RA) tumors (n = 11) and normal canine cadavers (6). METHODS: Cadavers had an IC (n = 3) or paracostal (3) approach to the RA. The relative spatial position of the RA to the incision was evaluated. Medical records (June 2007-December 2012) of dogs that had an IC approach to the RA were reviewed. Perioperative data were recorded and described. RESULTS: In cadavers, the RA was closer to the cranial aspect of the surgical incision after an IC approach compared with a paracostal approach. The IC approach for right adrenalectomy was successfully performed in 11 dogs (6 adrenocortical carcinomas, 4 pheochromocytomas, and 1 osteosarcoma) with a mean anesthesia duration of 242 minutes and mean surgical of 144 minutes. Dogs had vascular invasion into the phrenicoabdominal vein (n = 11) and caudal vena cava (6). There were no significant intra- or postoperative complications. One dog was euthanatized intraoperatively. Median survival time for all dogs was 786 days. CONCLUSIONS: The IC approach for right adrenalectomy offers superior exposure of the RA compared with a paracostal approach.

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Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/24392699/