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Ventral cervical versus bilateral lateral approach for extirpation of mandibular and medial retropharyngeal lymph nodes in dogs.
- Source :
-
Veterinary surgery : VS [Vet Surg] 2018 Jul; Vol. 47 (5), pp. 629-633. - Publication Year :
- 2018
-
Abstract
- Objective: To compare ventral cervical and bilateral lateral incisions for extirpation of mandibular and medial retropharyngeal lymph nodes in dogs.<br />Study Design: Prospective randomized, crossover controlled cadaver trial.<br />Sample Population: Eight veterinarians with advanced surgical training.<br />Methods: Study participants were randomized to perform both techniques on paired cadavers. Time to extirpation of the first and last lymph node, length of incisions, and complications were recorded for both techniques. Participants were asked to rate satisfaction with their ability to identify local anatomy and lymph nodes as well as overall preferred technique by using a 10-point numerical rating scale.<br />Results: The total length of skin incised for the bilateral lateral approach exceeded that of the ventral cervical approach by 52.1 mm (mean, P < .001). The surgical time for removal of all 4 lymph nodes did not differ between the 2 approaches. The bilateral lateral approach was preferred by 62.5% (5/8) of participants for visualization of mandibular lymph nodes, and the ventral cervical approach was preferred by 87.5% (7/8) of participants for visualization of local anatomy. Overall, 62.5% (5/8) preferred the ventral cervical approach and 37.5% (3/8) preferred the bilateral lateral approach.<br />Conclusion: The ventral cervical approach was preferred by participants for its perceived superior visualization of local anatomy and access to lymph nodes for removal. This approach also resulted in an overall shorter incision length.<br />Clinical Significance: A ventral cervical or bilateral lateral approach allows successful removal of the medial mandibular and retropharyngeal lymph nodes in dogs, and surgical approach may be selected according to individual preference.<br /> (© 2018 The American College of Veterinary Surgeons.)
- Subjects :
- Animals
Cadaver
Cross-Over Studies
Dogs
Female
Head and Neck Neoplasms surgery
Humans
Male
Mandible surgery
Neoplasm Staging methods
Neoplasm Staging veterinary
Pharynx surgery
Prospective Studies
Sentinel Lymph Node Biopsy methods
Clinical Competence
Dog Diseases surgery
Head and Neck Neoplasms veterinary
Lymph Nodes pathology
Sentinel Lymph Node Biopsy veterinary
Subjects
Details
- Language :
- English
- ISSN :
- 1532-950X
- Volume :
- 47
- Issue :
- 5
- Database :
- MEDLINE
- Journal :
- Veterinary surgery : VS
- Publication Type :
- Academic Journal
- Accession number :
- 30129062
- Full Text :
- https://doi.org/10.1111/vsu.12920