Outcomes after transperitoneal laparoscopic ureteronephrectomy for the treatment of primary renal neoplasia in seven dogs

Autor: Samuel E. Hocker, Ameet Singh, Christopher J Pinard, Ryan Appleby, Danielle Richardson, Sarah Bernard, Edward Hart, Christopher B. Thomson
Rok vydání: 2021
Předmět:
Zdroj: Veterinary Surgery. 50
ISSN: 1532-950X
0161-3499
Popis: Objective To describe the perioperative characteristics and outcomes in dogs that underwent transperitoneal laparoscopic ureteronephrectomy (TLU) for primary renal neoplasia. Study design Short case series. Animals Seven client-owned dogs. Methods Medical records were reviewed and data extracted regarding perioperative characteristics and animal outcomes. TLU was performed using a single-port + 1 or multiple port techniques. Hemostatic clips or a vessel-sealing device were used for occlusion of renal hilar vessels. The ureter was occluded and transected close to the ureterovesicular junction and the tumor was placed in a specimen retrieval bag for extraction from the abdomen. Results Preoperative contrast enhanced computed tomography (CECT) was performed in 6/7 dogs. Median estimated tumor volume measured from abdominal CECT removed by TLU was 32.42 cm3 (interquartile range [IQR] 14.76-94.85). Median surgery time for TLU was 90 minutes (IQR 85-105). In one dog, elective conversion to open laparotomy was performed due to large tumor size. Median time to discharge was 31 hours (IQR 24-48). No major perioperative complications occurred and all dogs survived to discharge. Progression free survival in four dogs was 422 days (IQR 119-784). Conclusion TLU was performed for the extirpation of modest sized primary renal tumors with acceptable perioperative outcomes and a low complication rate. Clinical relevance TLU may be considered for the treatment of selected cases of primary renal neoplasia in dogs.
Databáze: OpenAIRE
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