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1. Anderson CR, Birchard SJ, Powers BE, et al. Surgical treatment of adrenocortical tumors: 21 cases (1990–1996). J Am Anim Hosp Assoc 2001; 37: 93–97.
-
2. Kyles AE, Feldman EC, De Cock HEV, et al. Surgical management of adrenal gland tumors with and without associated tumor thrombi in dogs: 40 cases. J Am Vet Med Assoc 2003; 223: 654–662.
-
3. Schwartz P, Kovak JR, Koprowski A, et al. Evaluation of prognostic factors in the surgical treatment of adrenal gland tumors in dogs: 41 cases (1999–2005). J Am Vet Med Assoc 2008; 232: 77–84.
-
4. Lang JM, Schertel E, Kennedy S, et al. Elective and emergency surgical management of adrenal gland tumors: 60 cases (1999–2006). J Am Anim Hosp Assoc 2011; 47: 428–435.
-
5. Massari F, Nicoli S, Romanelli G, et al. Adrenalectomy in dogs with adrenal gland tumors: 52 cases (2002–2008). J Am Vet Med Assoc 2011; 239: 216–221.
-
6. Barrera JS, Bernard AF, Ehrhart EJ, et al. Evaluation of risk factors for outcome associated with adrenal gland tumors with or without invasion of the caudal vena cava and treated via adrenalectomy in dogs: 86 cases (1993–2009). J Am Vet Med Assoc 2013; 242: 1715–1721.
-
7. Goitein D, Mintz Y, Gross D, et al. Laparoscopic adrenalectomy: ascending the learning curve [Erratum published in Surg Endosc 2004; 18:1542]. Surg Endosc 2004;18:771–773.
-
8. Gil-Cárdenas A, Cordón C, Gamino R, et al. Laparoscopic adrenalectomy: lessons learned from an initial series of 100 patients. Surg Endosc 2008; 22: 991–994.
-
9. Lee J, El-Tamer M, Schifftner T, et al. Open and laparoscopic adrenalectomy: analysis of the national surgical improvement program. J Am Coll Surg 2008; 206: 953–961.
-
10. Jiménez Peláez M, Bouvy BM, Dupré GP. Laparoscopic adrenalectomy for treatment of unilateral adrenocortical carcinomas: techniques, complications and results in seven dogs. Vet Surg 2008; 37: 444–453.
-
11. Smith RR, Mayhew PD, Berent AC. Laparoscopic adrenalectomy for management of an aldosterone-secreting tumor in a cat. J Am Vet Med Assoc 2012; 241: 368–372.
-
12. Naan EC, Kirpensteijn J, Dupre GP, et al. Innovative approach to laparoscopic adrenalectomy for treatment of unilateral adrenal gland tumors in dogs. Vet Surg 2013; 42: 710–715.
-
13. Shaligram A, Unnirevi J, Meyer A, et al. Perioperative outcomes after adrenalectomy for malignant neoplasm in laparoscopic era: a multicenter retrospective study. Surg Laparosc Endosc Percutan Tech 2012; 22: 523–525.
-
14. Brix D, Allolio B, Fenske W, et al. Laparoscopic versus open adrenalectomy for adrenocortical carcinoma: surgical and oncological outcome in 152 patients. Eur Urol 2010; 58: 609–615.
-
15. Miller BS, Ammori JB, Gauger PG, et al. Laparoscopic resection is inappropriate in patients with known or suspected adrenocortical carcinoma. World J Surg 2010; 34: 1380–1385.
-
16. Miller BS, Gauger PG, Hammer GD, et al. Resection of adrenocortical carcinoma is less complete and local recurrence occurs sooner and more often after laparoscopic adrenalectomy than after open adrenalectomy. Surgery 2012; 152: 1150–1157.
-
17. Bilimoria KY, Shen WT, Elaraj D, et al. Adrenocortical carcinoma in the United States. Cancer 2008; 113: 3130–3136.
-
18. Brunt LM. The positive impact of laparoscopic adrenalectomy on complications of adrenal surgery. Surg Endosc 2002; 16: 252–257.
-
19. Solaini L, Arru L, Merigo G, et al. Advanced sealing and dissecting devices in laparoscopic adrenal surgery. JSLS 2013; 17: 622–626.
-
20. Schultz RM, Wisner ER, Johnson EG, et al. Contrast-enhanced computed tomography as a pre-operative indicator of vascular invasion from adrenal masses in dogs. Vet Radiol Ultrasound 2009; 50: 625–629.
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Comparison of perioperative morbidity and mortality rates in dogs with noninvasive adrenocortical masses undergoing laparoscopic versus open adrenalectomy
Abstract
Objective—To describe the clinicopathologic features of a cohort of dogs with adrenocortical masses that underwent laparoscopic adrenalectomy and to compare perioperative morbidity and mortality rates in these dogs with rates for dogs that underwent open adrenalectomy for resection of similarly sized (maximal diameter, ≤ 5 cm) adrenocortical masses.
Design—Retrospective case series.
Animals—48 client-owned dogs that underwent laparoscopic (n = 23) or open (25) adrenalectomy for noninvasive tumors (ie, tumors that did not invade the vena cava or other surrounding organs).
Procedures—Medical records were reviewed. History, clinical signs, physical examination findings, clinicopathologic findings, imaging results, and surgical variables were recorded. A 3- or 4-port approach was used for laparoscopic adrenalectomy. Surgical time, perioperative complications, postoperative and overall hospitalization times, and perioperative deaths were recorded and compared between groups.
Results—The surgical method for 1 dog was converted from a laparoscopic to an open approach. Perioperative death occurred in no dogs in the laparoscopic group and 2 dogs in the open adrenalectomy group. Surgical time was shorter for laparoscopic (median, 90 minutes; range, 40 to 150 minutes) than for open (median, 120 minutes; range, 75 to 195 minutes) adrenalectomy. Laparoscopic adrenalectomy was associated with shorter hospitalization time and more rapid discharge from the hospital after surgery, compared with the open procedure.
Conclusions and Clinical Relevance—With careful patient selection, laparoscopic adrenalectomy was associated with a low complication rate and low conversion rate for resection of adrenocortical masses as well as shorter surgical and hospitalization times, compared with open adrenalectomy.
Contributor Notes
Dr. Kelli Mayhew's present address is Loomis Basin Veterinary Clinic, 3901 Sierra College Blvd, Loomis, CA 95650.
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