• 1. Klein MK, Powers BE, Withrow SJ, et al. Treatment of thyroid carcinoma in dogs by surgical resection alone: 20 cases (1981–1989). J Am Vet Med Assoc 1995;206:10071009.

    • Search Google Scholar
    • Export Citation
  • 2. Théon AP, Marks SL, Feldman ES, et al. Prognostic factors and patterns of treatment failure in dogs with unresectable differentiated thyroid carcinomas treated with megavoltage irradiation. J Am Vet Med Assoc 2000;216:17751779.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 3. Turrel JM, McEntee MC, Burke BP, et al. Sodium iodide 131I treatment of dogs with nonresectable thyroid tumors: 39 cases (1990–2003). J Am Vet Med Assoc 2006;229:542548.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 4. Tuohy JL, Worley DR, Withrow SJ. Outcome following simultaneous bilateral thyroid lobectomy for treatment of thyroid gland carcinoma in dogs: 15 cases (1994–2010). J Am Vet Med Assoc 2012;241:95103.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 5. Kent MS, Griffey SM, Verstraete FJ, et al. Computer-assisted image analysis of neovascularization in thyroid neoplasms from dogs. Am J Vet Res 2002;63:363369.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 6. Slensky KA, Volk SW, Schawarz T, et al. Acute severe hemorrhage secondary to arterial invasion in a dog with thyroid carcinoma. J Am Vet Med Assoc 2003;223:649653.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 7. Campos M, Ducatelle R, Rutteman G, et al. Clinical, pathologic, and immunohistochemical prognostic factors in dogs with thyroid carcinoma. J Vet Intern Med 2014;28:18051813.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 8. Mayhew PD, Brown DC. Comparison of three techniques for ovarian pedicle hemostasis during laparoscopic-assisted ovariohysterectomy. Vet Surg 2007;36:541547.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 9. Mayhew PD, Mehler SJ, Radhakrishnan A. Laparoscopic cholecystectomy for management of uncomplicated gall bladder mucocele in six dogs. Vet Surg 2008;37:625630.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 10. Risselada M, Ellison GW, Bacon NJ, et al. Comparison of 5 surgical techniques for partial liver lobectomy in the dog for intraoperative blood loss and surgical time. Vet Surg 2010;39:856862.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 11. Wouters EG, Buishand FO, Kirpensteijn J. Use of a bipolar vessel-sealing device in resection of canine insulinoma. J Small Anim Pract 2011;52:139145.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 12. Rivier P, Monnet E. Use of a vessel sealant device for splenectomy in dogs. Vet Surg 2011;40:102105.

  • 13. Mayhew PD, Culp WT, Pascoe PJ, et al. Use of the LigaSure vessel-sealing device for thoracoscopic peripheral lung biopsy in healthy dogs. Vet Surg 2012;41:523528.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 14. Monarski CJ, Jaffe MH, Kass PH. Decreased surgical time with a vessel sealing device versus a surgical stapler in performance of canine splenectomy. J Am Anim Hosp Assoc 2014;50:4245.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 15. Wright T, Singh A, Mayhew PD, et al. Laparoscopic-assisted splenectomy in dogs: 18 cases (2012–2014). J Am Vet Med Assoc 2016;248:916922.

  • 16. Kennedy JS, Stranahan PL, Taylor KD, et al. High-burst strength, feedback-controlled bipolar vessel sealing. Surg Endosc 1998;12:876878.

  • 17. Heniford BT, Matthews BD, Sing RF, et al. Initial results with an electrothermal bipolar vessel sealer. Surg Endosc 2001;15:799801.

  • 18. Shamiyeh A, Schrenk P, Tulipan L, et al. A new bipolar feedback-controlled sealing system for closure of the cystic duct and artery. Surg Endosc 2002;16:812813.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 19. Hoenig DM, Chrostek CA, Amaral JF. Laparoscopic coagulating shears: alternative methods of hemostatic control of unsupported tissue. J Endourol 1996;10:431433.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 20. Goldstein SL, Harold KL, Lentzner A. Comparison of thermal spread after ureteral ligation with the ultrasonic shears and LigaSure system. J Laparoendosc Adv Surg Tech A 2002;12:6163.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 21. Harold KL, Pollinger H, Matthews BD, et al. Comparison of ultrasonic energy, bipolar thermal energy, and vascular clips for the hemostasis of small-, medium-, and large-sized arteries. Surg Endosc 2003;17:12281230.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 22. Yao HS, Wang Q, Wang WJ, et al. Prospective clinical trials of thyroidectomy with LigaSure vs conventional vessel ligation a systematic review and meta-analysis. Arch Surg 2009;144:11671174.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 23. Butskiy O, Wiseman SM. Electrothermal bipolar vessel sealing system (LigaSure) for hemostasis during thyroid surgery: a comprehensive review. Expert Rev Med Devices 2013;10:389410.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 24. Séguin B, Brownlee L. Thyroid and parathyroid glands. In: Tobias KM, Johnston SA, eds. Saunders veterinary surgery: small animal. St Louis: Elsevier Saunders, 2012;2043-2058.

    • Search Google Scholar
    • Export Citation
  • 25. Owen LN. TNM classification of tumours in domestic animals. Geneva: World Health Organization, 1980;51-52.

  • 26. Haley AL, Mann FA, Middleton J, et al. Perioperative red blood cell transfusion requirement for various surgical procedures in dogs: 207 cases (2004-2013). J Am Vet Med Assoc 2015;247:8591.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 27. Hayward NJ, Grodski S, Yeung M, et al. Recurrent laryngeal nerve injury in thyroid surgery: a review. ANZ J Surg 2013;83:1521.

  • 28. Sutton PA, Awad S, Perkins AC, et al. Comparison of lateral thermal spread using monopolar and bipolar diathermy, the Harmonic Scalpel and the LigaSure. Br J Surg 2010;97:428433

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 29. Družijanić N, Pogorelić Z, Perko Z, et al. Comparison of lateral thermal damage of the human peritoneum using monopolar diathermy, Harmonic scalpel and LigaSure. Can J Surg 2012;55:317321.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 30. Adamczewski Z, Król A, Kałuźna-Markowska K, et al. Lateral spread of heat during thyroidectomy using different haemostatic devices. Ann Agric Environ Med 2015;22:491494.

    • Crossref
    • Search Google Scholar
    • Export Citation

Advertisement

Use of a vessel-sealing device versus conventional hemostatic techniques in dogs undergoing thyroidectomy because of suspected thyroid carcinoma

Maxime Lorange1Centre Vétérinaire Rive-Sud, 7415 Taschereau Blvd, Brossard, QC J4Y 1A2, Canada

Search for other papers by Maxime Lorange in
Current site
Google Scholar
PubMed
Close
 DMV
,
Rebecca De Arburn Parent1Centre Vétérinaire Rive-Sud, 7415 Taschereau Blvd, Brossard, QC J4Y 1A2, Canada

Search for other papers by Rebecca De Arburn Parent in
Current site
Google Scholar
PubMed
Close
 DMV
,
Louis Huneault1Centre Vétérinaire Rive-Sud, 7415 Taschereau Blvd, Brossard, QC J4Y 1A2, Canada

Search for other papers by Louis Huneault in
Current site
Google Scholar
PubMed
Close
 DMV, MSc
,
Matthieu Gatineau2Centre Vétérinaire DMV, 2300 54e Ave, Lachine, QC H8T 3R2, Canada

Search for other papers by Matthieu Gatineau in
Current site
Google Scholar
PubMed
Close
 DMV, MSc
,
Jérôme Auger1Centre Vétérinaire Rive-Sud, 7415 Taschereau Blvd, Brossard, QC J4Y 1A2, Canada

Search for other papers by Jérôme Auger in
Current site
Google Scholar
PubMed
Close
 DMV, MSc
, and
Julius M. Liptak3VCA Canada–Alta Vista Animal Hospital, 2616 Bank St, Ottawa, ON K1T 1M9, Canada

Search for other papers by Julius M. Liptak in
Current site
Google Scholar
PubMed
Close
 BVSc, MVetClinStud

Abstract

OBJECTIVE

To compare use of a vessel-sealing device (VSD) versus conventional hemostatic techniques in dogs undergoing thyroidectomy because of suspected thyroid carcinoma.

DESIGN

Retrospective cohort study.

ANIMALS

42 client-owned dogs undergoing thyroidectomy because of suspected thyroid carcinoma.

PROCEDURES

Medical records of dogs treated at 4 referral centers from 2010 through 2016 were reviewed, and information was obtained on patient signalment, surgical technique, tumor-specific factors, and operative duration. Postoperative hospitalization time and complications were compared between dogs grouped on the basis of hemostatic technique.

RESULTS

Thyroidectomy was performed with a VSD in 23 dogs and with conventional hemostatic techniques (ie, ligatures, hemoclips, or electrocautery) in 19 dogs. Hemostatic technique (ie, use of a VSD vs conventional hemostatic techniques) was the only factor significantly associated with operative duration (median time, 28 vs 41 minutes). Postoperative hospitalization times and complication rates did not differ between groups.

CONCLUSIONS AND CLINICAL RELEVANCE

Results suggested that use of a VSD, rather than conventional hemostatic techniques, in dogs undergoing thyroidectomy because of suspected thyroid carcinoma resulted in shorter operative times without significantly affecting complication rates or postoperative hospitalization times.

Abstract

OBJECTIVE

To compare use of a vessel-sealing device (VSD) versus conventional hemostatic techniques in dogs undergoing thyroidectomy because of suspected thyroid carcinoma.

DESIGN

Retrospective cohort study.

ANIMALS

42 client-owned dogs undergoing thyroidectomy because of suspected thyroid carcinoma.

PROCEDURES

Medical records of dogs treated at 4 referral centers from 2010 through 2016 were reviewed, and information was obtained on patient signalment, surgical technique, tumor-specific factors, and operative duration. Postoperative hospitalization time and complications were compared between dogs grouped on the basis of hemostatic technique.

RESULTS

Thyroidectomy was performed with a VSD in 23 dogs and with conventional hemostatic techniques (ie, ligatures, hemoclips, or electrocautery) in 19 dogs. Hemostatic technique (ie, use of a VSD vs conventional hemostatic techniques) was the only factor significantly associated with operative duration (median time, 28 vs 41 minutes). Postoperative hospitalization times and complication rates did not differ between groups.

CONCLUSIONS AND CLINICAL RELEVANCE

Results suggested that use of a VSD, rather than conventional hemostatic techniques, in dogs undergoing thyroidectomy because of suspected thyroid carcinoma resulted in shorter operative times without significantly affecting complication rates or postoperative hospitalization times.

Contributor Notes

Dr. Lorange's present address is College of Veterinary Medicine and Biomedical Sciences, Colorado State University, Fort Collins, CO 80525.

Address correspondence to Dr. Lorange (lorangemaxime@gmail.com).