
Your Custom Quiz
In Poggi 2024 et al., on laparoscopic resection of pancreatic masses in dogs, what was the most common histopathologic diagnosis among the pancreatic masses resected laparoscopically?
🔍 Key Findings
- Laparoscopic pancreatic mass resection (LPMR) was successfully performed in all 12 dogs, with no conversion to open laparotomy required.
- Median operative time was 69 minutes (range 35–100 min); 11/12 dogs were discharged within 48 hours, and one was discharged after 7 days.
- No major intraoperative complications occurred; minor complications included mild bleeding (2/12) and cannula malfunction (1/12).
- All dogs survived the procedure and were discharged.
- Histopathology confirmed neoplasia in all dogs: 9 insulinomas and 3 pancreatic carcinomas; all tumors were completely excised with clear margins.
- No recurrences were reported; 3 dogs died of unrelated causes, and 9 were still alive at the time of reporting.
- No postoperative hypoglycemia was observed; 1 dog had transient hyperglycemia, and minor complications included vomiting, idiopathic seizures, and pancreatitis, all of which resolved.
- Authors concluded that LPMR is a safe, effective, and minimally invasive alternative to open surgery for selected distal pancreatic masses in dogs.
Veterinary Surgery
5
2024
Laparoscopic resection of pancreatic masses in 12 dogs
2024-5-VS-poggi-2
In Hertel 2025 et al., on portal venotomy for insulinoma, what was the dog's outcome one year postoperatively?
🔍 Key Findings
- Portal venotomy enabled successful en bloc resection of a pancreatic insulinoma and associated thrombus in the portal vein, a novel approach in veterinary literature.
- Temporary portal vein occlusion (15 min) was well tolerated, causing only transient small intestinal congestion without lasting hemodynamic compromise.
- No intraoperative hemorrhage occurred following vascular isolation and venotomy repair with 5–0 polypropylene in a simple continuous pattern.
- Postoperative complications were minimal, with only moderate pancreatitis managed medically and no portal hypertension observed on follow-up imaging.
- Histopathology confirmed insulinoma, with no initial metastasis; CT at 6 months revealed hepatic and peritoneal metastases but no local recurrence at the venotomy site.
- Portal vein luminal stenosis occurred post-repair but was clinically insignificant.
- Advanced CT imaging and 3D printed modeling significantly enhanced surgical planning and anatomical assessment.
- Surgical excision achieved good short-term outcomes, and the dog was alive and euglycemic one year later despite metastatic disease.
Veterinary Surgery
5
2025
Successful venotomy for portal tumor thrombus removal due to pancreatic carcinoma in a dog
2025-5-VS-hertel-5
In Song 2024 et al., on CT vs cystoscopy for ectopic ureters in dogs, what percentage of dogs with normal ureters were missed by CT?
🔍 Key Findings
- CT correctly identified ectopic ureters in 91% of dogs, but missed 50% of normal ureters, limiting its negative predictive value.
- Sensitivity for intramural ectopic ureters was 65%, while specificity was 71%, indicating moderate diagnostic performance.
- Sensitivity for extramural ectopic ureters was only 29%, despite a high specificity of 97%.
- CT was inaccurate in predicting ureteral orifice location, with sensitivity ranging from 0% to 76% depending on the site.
- 26% of dogs were misclassified for cystoscopic laser ablation (CLA) eligibility based on CT findings alone.
- Overall CT accuracy for CLA candidacy was 74%, but a significant minority would have been inappropriately treated.
- Multivariate analysis found no predictive factors (e.g., colon distension, body weight) for when CT would be incorrect.
- Authors recommend confirmatory cystoscopy to verify CT findings prior to treatment planning.
Veterinary Surgery
3
2024
Receiver operating characteristics of computed tomography (CT) compared to cystoscopy in diagnosis of canine ectopic ureters: Thirty-five cases
2024-3-VS-song-1
In Levine 2025 et al., on thoracoscopic pericardiectomy, which statement best describes cardiac exposure between groups?
🔍 Key Findings
Study design: Randomized cadaveric comparison (n=20 dogs; ILR vs PDR)
Approaches:
- ILR = Intercostal in Left Lateral Recumbency (no OLV required)
- PDR = Paraxiphoid in Dorsal Recumbency (traditional)
Outcomes:
- Pericardiectomy time was shorter for ILR (p = .045)
- Pericardial fragment size was significantly larger in PDR group (p = .004; 23.21 cm² difference)
- Visibility and cardiac exposure were superior in PDR group
Feasibility:
- ILR approach was consistently successful in achieving partial pericardiectomy
- Bilateral ventilation was adequate; no need for OLV
Clinical relevance:
- ILR may improve efficiency when paired with TDL
- PDR remains preferable for cases requiring maximal pericardial resection
Veterinary Surgery
1
2025
Intercostal thoracoscopic pericardiectomy in left lateral recumbency: A cadaveric study of feasibility, efficiency, and extent of pericardial resection
2025-1-VS-levine-4
In Schneider 2025 et al., on axillary LN extirpation, which anatomical landmark was critical for reliably locating the axillary lymph node?
🔍 Key Findings
- Lateral approach to ALN extirpation was successful in 100% of cases (44 dogs, 48 ALNs) with consistent anatomical landmarks (costochondral junction of rib 1 and caudal scapular edge).
- Median time for ALN removal was 16.6 minutes, highlighting a fast and efficient dissection method.
- No intraoperative complications were recorded (e.g., hemorrhage or inability to find the lymph node).
- Postoperative complications occurred in 18% of cases, including seromas (n=2), wound dehiscence (n=4), lameness (n=1), and discomfort (n=1).
- Histopathology revealed 56% of ALNs had tumor-related pathology, including overt metastases, early metastasis (HN2), or premetastatic changes (HN1).
- Normal-sized ALNs (<2 cm) still harbored metastases in 22% of cases, emphasizing the unreliability of size as a staging criterion.
- False negatives in cytology occurred in 4 cases, underlining the limitations of cytologic evaluation for staging.
- The technique was reproducible without specialized tools, suggesting wide applicability in general and referral practice.
Veterinary Surgery
6
2025
Axillary lymph node removal for staging cancer; description of a lateral approach and application in 44 tumor-bearing dogs
2025-6-VS-schneider-1
In Curuci 2024 et al., which complication occurred most commonly after DCTPLO?
🔍 Key Findings Summary
- 16 dogs (18 stifles) with CrCL rupture and TPA >34° were treated using the DCTPLO
- Mean TPA correction: from 39.4° to 6.3°
- Bone union at 60 days in 17/18 stifles; remaining healed by 90 days
- Minor complications (e.g., small wedge gaps) in 2/18 stifles — no major complications
- Patellar ligament thickening seen in 16/18 stifles but no clinical signs noted
- The technique enabled safer reduction with less risk of tibial crest fracture vs. conventional TPLO
Veterinary and Comparative Orthopedics and Traumatology
6
2024
Double-Cut Tibial Plateau Leveling Osteotomy for the Management of Cranial Cruciate Ligament Insufficiency in Dogs with an Excessive Plateau Angle: Early Clinical Results in 16 Dogs
2024-6-VCOT-curuci-3
In Brockman 2025 et al., on canine mitral valve repair outcomes, what was the most common cause of death in dogs that did not survive?
🔍 Key Findings
- Overall survival to discharge: 107 of 132 dogs (81%)
- Quartile improvement: Survival increased steadily from 67% in Q1 to 91% in Q4
- Q1: 22/33 survived
- Q2: 27/33
- Q3: 28/33
- Q4: 30/33
- Statistical significance: Higher operative rank significantly associated with improved survival (p < .05)
- Median cross clamp time (XCT): 73 min (range 40–165), but increased again in Q4
- Fatalities (n=25) were often due to:
- Failure to wean from CPB
- Intracranial vascular events (stroke)
- Intrathoracic hemorrhage
- Breed representation: CKCS (23.5%), Chihuahua (22%), Crossbreeds (21%)
- Stages of MMVD: Stage C (67%), Stage D (27%), Stage B2 (6%)
- Emphasis on deliberate multidisciplinary teamwork for outcome improvement
- Highlights importance of technical and non-technical team skills, procedural standardization, and consistent personnel
Veterinary Surgery
4
2025
Improvement in short‐term outcome over time, in a single center embarking on a canine mitral valve repair program using a structured multidisciplinary approach
2025-4-VS-brockman-4
In Bounds 2023 et al., on feline hip arthroscopy, which structure was consistently avoided during portal placement in all hips?
2023-8-VS-bounds-3
In Glenn 2024 et al., on client-based SSI surveillance, which algorithm demonstrated the highest overall accuracy for detecting SSIs?
🔍 Key Findings
- Algorithm 3 had the highest overall accuracy (95.5%) in diagnosing SSIs from client questionnaires.
- Active surveillance identified 19.4% more SSIs compared to passive surveillance alone.
- SSI rate was 8.22% across 754 surgeries; 33.9% of SSIs required revision surgery.
- Client-based responses were 37.9% more frequent than those from referring veterinarians.
- Deep/implant SSIs could be missed if not associated with visible wound healing problems.
- Two late SSIs (after 90 days) occurred, both linked to implant surgeries.
- Algorithm 1 was the most sensitive (87.1%) but less specific; useful for screening.
- Algorithm 2 had the highest specificity (97.9%); useful as a “rule-in” diagnostic method.
Veterinary Surgery
8
2024
Evaluation of a client questionnaire at diagnosing surgical site infections in an active surveillance system
2024-8-VS-glenn-1
In Thomsen 2024 et al., on CT accuracy for liver tumors, what level of inter-rater agreement (kappa) was reported for liver division localization?
🔍 Key Findings
- CT localization of liver masses was more accurate by division (88%) than by lobe (74.3%)
- Inter-radiologist agreement was excellent for division (kappa up to 0.885) and only moderate–good for lobe
- Quadrate and right lateral lobes had significantly lower localization accuracy compared to left lateral or medial lobes
- CT localization of the left division was most accurate (90.1%) compared to central (77.1%) and right (88.3%)
- Portal and hepatic venous phases were equally helpful for localization (each ~30–38% usefulness)
- No significant associations found between histopathologic diagnosis and localization accuracy
- Lobe-level CT localization should be interpreted with caution, especially for the quadrate and right lateral lobes
- Radiologist experience likely influenced accuracy, with the most experienced radiologist performing best
Veterinary Surgery
7
2024
Computed tomography scan accuracy for the prediction of lobe and division of liver tumors by four board-certified radiologists
2024-7-VS-thomsen-4
Quiz Results
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Key Findings
