Premium
Intercostal Approach for Right Adrenalectomy in Dogs
Author(s) -
Andrade Natalia,
Rivas Luis R.,
Milovancev Milan,
Radlinsky Mary Ann,
Cornell Karen,
Schmiedt Chad
Publication year - 2014
Publication title -
veterinary surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.652
H-Index - 79
eISSN - 1532-950X
pISSN - 0161-3499
DOI - 10.1111/j.1532-950x.2014.12105.x
Subject(s) - medicine , adrenalectomy , cadaver , perioperative , cadaveric spasm , surgery
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.