Feasibility of single‐port retroperitoneoscopic adrenalectomy in dogs

Objective To evaluate the feasibility of single‐port retroperitoneoscopic adrenalectomy (SPRA) in dogs. Study Design A pilot experimental study. Animals Eight healthy beagle dogs. Methods SPRA was performed on the left and right sides (4 dogs each). Resection of the adrenal gland was performed throu...

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Published inVeterinary surgery Vol. 47; no. S1; pp. O75 - O83
Main Authors Ko, Jonghyeok, Jeong, Junemoe, Lee, Sungin, Son, Hyunglak, Kweon, Oh‐Kyeong, Kim, Wan Hee
Format Journal Article
LanguageEnglish
Published United States Blackwell Publishing Ltd 01.06.2018
John Wiley and Sons Inc
Subjects
Adrenal Gland Neoplasms - surgery
Adrenal glands
Adrenalectomy
Adrenalectomy - methods
Adrenalectomy - veterinary
Animals
Complications
Dog Diseases - surgery
Dogs
Feasibility studies
Female
Humans
Intraoperative Complications
Laparoscopy - methods
Laparoscopy - veterinary
Male
Operative Time
Original
Pain
Pain, Postoperative
Retroperitoneal Space - surgery
Skin
Tumors
Veterinary medicine
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Summary:Objective To evaluate the feasibility of single‐port retroperitoneoscopic adrenalectomy (SPRA) in dogs. Study Design A pilot experimental study. Animals Eight healthy beagle dogs. Methods SPRA was performed on the left and right sides (4 dogs each). Resection of the adrenal gland was performed through a SILS port using a retroperitoneal approach. Operative time was defined from skin incision to the completion of skin suture. Postoperative pain was evaluated by using 3 pain scores. Integrity of the adrenal gland capsule was evaluated by histologic assessment. Results Mean time taken to complete the SPRA was 44.1 minutes (range, 37‐51) and was significantly longer on the right side than on the left side (P < .05). There were no complications intraoperatively or during 14 days of postoperative monitoring. The adrenal gland capsule was found to be injured in 3 of the 8 dogs by histologic assessment. Conclusion This is the first report of SPRA in the veterinary literature. With this technique it is possible to perform adrenalectomy with some risk of capsule penetration and with excellent visibility. Clinical significance This study suggests that SPRA is feasible and can be used to resect small adrenal tumors with minimal complications.
Bibliography:Funding information
This research was supported by the Bio and Medical Technology Development 372 Program of the National Research Foundation of Korea, which is funded by the Ministry of Science, ICT 373, and Future Planning (20163A9B6026771) and was partially supported by the Research Institute for Veterinary Science, Seoul National University
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Funding information This research was supported by the Bio and Medical Technology Development 372 Program of the National Research Foundation of Korea, which is funded by the Ministry of Science, ICT 373, and Future Planning (20163A9B6026771) and was partially supported by the Research Institute for Veterinary Science, Seoul National University
ISSN:0161-3499
1532-950X
DOI:10.1111/vsu.12789