Laparoscopic-assisted splenectomy in dogs

18 cases (2012–2014)

Tanya Wright, Ameet Singh, Philipp Mayhew, Jeffrey J. Runge, Brigitte A. Brisson, Michelle L. Oblak, J. Brad Case

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

OBJECTIVE To describe the operative technique and perioperative outcome for laparoscopic- assisted splenectomy (LAS) in dogs. DESIGN Retrospective case series. ANIMALS 18 client-owned dogs. PROCEDURES Medical records of dogs with naturally occurring disease of the spleen treated by means of LAS between 2012 and 2014 were reviewed. History, signalment, results of physical examination, results of preoperative diagnostic testing, details of surgical technique, intraoperative findings including results of abdominal exploration and staging, concurrent surgical procedures, complications, histopathologic diagnoses, duration of postoperative hospitalization, and perioperative outcome were recorded. The perioperative period was defined as the time from hospital admission for LAS until discharge or death (within the same visit). RESULTS All dogs underwent initial abdominal exploration and staging via multiple 5-mm laparoscopic ports (n = 2) or a single commercially available multichannelport (16), followed by minilaparotomy with insertion of a wound retraction device, progressive exteriorization of the spleen, sealing of hilar vessels, and splenectomy. Splenectomy was performed for treatment of a splenic mass (n = 15), suspected neoplasia (2), or refractory immune-mediated disease (1). Median size (width × length) of splenic masses was 5 × 5 cm (range, 1.6 to 11.0 cm × 1.5 to 14.5 cm). Complications were limited to minor intraoperative hemorrhage in 1 dog; no patient required conversion to open laparotomy. CONCLUSIONS AND CLINICAL RELEVANCE Results indicated that LAS was technically feasible in dogs and not associated with major complications. Further evaluation is required; however, in appropriately selected patients, LAS may offer the benefits of a minimally invasive technique, including a smaller incision and improved illumination and magnification during exploration and staging.

Original languageEnglish (US)
Pages (from-to)916-922
Number of pages7
JournalJournal of the American Veterinary Medical Association
Volume248
Issue number8
StatePublished - Apr 15 2016

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Splenectomy
Dogs
dogs
spleen
Laparotomy
surgery
Spleen
laparotomy
Perioperative Period
animal injuries
Immune System Diseases
clinical examination
hemorrhage
lighting
Lighting
Physical Examination
Medical Records
Hospitalization
death
History

ASJC Scopus subject areas

  • veterinary(all)

Cite this

Wright, T., Singh, A., Mayhew, P., Runge, J. J., Brisson, B. A., Oblak, M. L., & Case, J. B. (2016). Laparoscopic-assisted splenectomy in dogs: 18 cases (2012–2014). Journal of the American Veterinary Medical Association, 248(8), 916-922.

Laparoscopic-assisted splenectomy in dogs : 18 cases (2012–2014). / Wright, Tanya; Singh, Ameet; Mayhew, Philipp; Runge, Jeffrey J.; Brisson, Brigitte A.; Oblak, Michelle L.; Case, J. Brad.

In: Journal of the American Veterinary Medical Association, Vol. 248, No. 8, 15.04.2016, p. 916-922.

Research output: Contribution to journalArticle

Wright, T, Singh, A, Mayhew, P, Runge, JJ, Brisson, BA, Oblak, ML & Case, JB 2016, 'Laparoscopic-assisted splenectomy in dogs: 18 cases (2012–2014)', Journal of the American Veterinary Medical Association, vol. 248, no. 8, pp. 916-922.
Wright T, Singh A, Mayhew P, Runge JJ, Brisson BA, Oblak ML et al. Laparoscopic-assisted splenectomy in dogs: 18 cases (2012–2014). Journal of the American Veterinary Medical Association. 2016 Apr 15;248(8):916-922.
Wright, Tanya ; Singh, Ameet ; Mayhew, Philipp ; Runge, Jeffrey J. ; Brisson, Brigitte A. ; Oblak, Michelle L. ; Case, J. Brad. / Laparoscopic-assisted splenectomy in dogs : 18 cases (2012–2014). In: Journal of the American Veterinary Medical Association. 2016 ; Vol. 248, No. 8. pp. 916-922.
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