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Peer-reviewed veterinary case report

Faster insulinoma surgery in dogs using bipolar vessel sealing device

By Wouters, E G H et al.·Published in The Journal of small animal practice·2011·Department of Clinical Sciences of Companion Animals, Netherlands·View original on PubMed

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Original publication title: Use of a bipolar vessel-sealing device in resection of canine insulinoma.

Species:
dog

Plain-English summary

An 8-year-old dog with insulinoma, a type of pancreatic tumor, underwent surgery to remove the affected part of the pancreas. The surgery used a new device called a bipolar vessel-sealing device, which made the procedure quicker and safer compared to traditional methods. The surgery lasted about 107 minutes, and the dog had a shorter hospital stay with no complications, unlike some dogs that had the older technique. This new method not only reduced surgery time but also helped avoid issues like pancreatitis after surgery, showing it to be a promising option for treating insulinoma in dogs.

People also search for: dog insulinoma treatment · pancreatic tumor surgery dog · canine pancreatitis symptoms

Abstract

OBJECTIVES: To describe partial pancreatectomy using a bipolar vessel-sealing device (BVSD) and compare this novel technique to the conventional suture-fracture (SF) method for canine insulinoma. METHODS: Pre-, intra- and postoperative data of eight dogs with insulinoma, which underwent resection using the BVSD (LigaSure V), were prospectively collected and compared with those of eight randomly selected case-matched patients that underwent resection using the conventional SF technique. RESULTS: Mean surgical time was significantly (P=0·022) shorter in the BVSD (107 ± 9 minutes) than in the SF (135 ± 22 minutes) group. The BVSD technique was negatively associated with surgical time and duration of the hospitalisation period. Neither technique caused intraoperative complications, such as bleeding, collateral damage to adjacent tissues or problems with sealing or suturing the pancreatic tissue. Three dogs in the SF group and none in the BVSD group developed postoperative clinical signs associated with pancreatitis. CLINICAL SIGNIFICANCE: BVSD is a safe and viable alternative to conventional methods of pancreatectomy for canine insulinoma. It provides the possibility to remove insulinomas in the pancreatic limbs and corpus with relative ease. BVSD pancreatectomy in dogs with insulinoma significantly decreases operative and hospitalisation times and is not associated with more clinical complications than SF pancreatectomy.

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Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/21338362/