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Two-Port Laparoscopic Adrenalectomy in Dogs
Francesco Collivignarelli1, Amanda Bianchi1, Andrea Paolini1
1Faculty of Veterinary Medicine, University of Teramo, 64100 Teramo, Italy.
Animals : an Open Access Journal From MDPI
|November 11, 2022
Summary
This study explored a less invasive two-port laparoscopic adrenalectomy (LA) for adrenal tumors in dogs. The technique proved feasible, reducing invasiveness and improving patient recovery without needing extra ports or conversion to open surgery.
Area of Science:
- Veterinary Surgery
- Minimally Invasive Procedures
- Surgical Oncology
Background:
- Adrenalectomy is the standard treatment for functional adrenal tumors.
- Laparoscopic adrenalectomy (LA) is a minimally invasive approach for small to medium adrenal tumors.
- Conventional LA typically uses three to four ports.
Purpose of the Study:
- To assess the feasibility of a two-port laparoscopic adrenalectomy (LA) technique.
- To reduce invasiveness and enhance patient recovery in dogs undergoing adrenalectomy.
- To evaluate the safety and efficacy of a simplified LA approach.
Main Methods:
- Sixteen dogs with adrenal tumors underwent a two-port laparoscopic adrenalectomy (LA).
- Procedures were performed irrespective of cortisol production levels.
- Tumor types included carcinomas and adenomas, located on the left or right adrenal gland.
Main Results:
- The two-port LA technique was successfully completed in all sixteen dogs.
- No additional ports or conversion to open laparotomy was required.
- Capsule rupture occurred in five cases, but did not necessitate procedural changes.
Conclusions:
- Laparoscopic adrenalectomy (LA) can be effectively performed using only two ports.
- The two-port technique offers a feasible and less invasive alternative for canine adrenalectomy.
- This approach holds potential for improved patient outcomes and recovery.
