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Minimally invasive video-assisted parathyroidectomy in dogs: Technique description and feasibility study.

Authors :
Sumner JP
Espinheira Gomes FNCM
Flanders JA
Source :
Veterinary surgery : VS [Vet Surg] 2022 Jul; Vol. 51 Suppl 1, pp. O167-O173. Date of Electronic Publication: 2022 Feb 23.
Publication Year :
2022

Abstract

Objective: To describe a minimally invasive approach to the parathyroid gland for the treatment of primary hyperparathyroidism.<br />Study Design: Surgical technique description and clinical case report.<br />Animals: Five canine cadavers and 5 client-owned dogs with primary hyperparathyroidism.<br />Methods: A surgical technique for minimally invasive video-assisted parathyroidectomy (MIVAP), described for humans, was adapted for dogs. With the dog in dorsal recumbency, a 15 mm incision was made on the midline, 1 finger width caudal to the cricoid cartilage of the larynx. A 5 mm 30° rigid endoscope was inserted into the peritracheal space with the aid of a blunt suction dissector, and fine elevators. The parathyroid was subsequently removed using electrocautery and blunt and sharp dissection. The technique was refined in 5 cadaver dogs to assess feasibility, and was subsequently performed in 5 clinical cases.<br />Results: A minimally invasive approach to the parathyroid gland was possible and allowed successful removal of a parathyroid mass in 5 dogs without complication. The use of fluid ingress was trialed in 1 cadaver and not found to be helpful. The use of a blunt suction dissector greatly facilitated dissection of the peritracheal space.<br />Conclusion: Minimally invasive video-assisted parathyroidectomy is feasible in dogs and was not associated with complications in 5 clinical cases.<br />Clinical Significance: Minimally invasive techniques tend to reduce morbidity and are popular with pet owners. This study demonstrates that a minimally invasive technique may be considered for parathyroidectomy in dogs.<br /> (© 2022 American College of Veterinary Surgeons.)

Details

Language :
English
ISSN :
1532-950X
Volume :
51 Suppl 1
Database :
MEDLINE
Journal :
Veterinary surgery : VS
Publication Type :
Academic Journal
Accession number :
35199354
Full Text :
https://doi.org/10.1111/vsu.13759