Color Atlas of Canine and Feline Surgical Oncology

Foreword xiii

Preface xiv

Acknowledgments xv

Section 1 Surgical Oncology Principles 1

1 Surgical Resection of Cutaneous and Subcutaneous Tumors 2

Section 2 Head and Neck 13

2 Eyes and Orbit 14

2.1 Enucleation 14

2.2 Exenteration 24

2.3 Lateral Orbitotomy 30

3 Ear 38

3.1 Pinnectomy 38

3.2 Total Ear Canal Ablation – Lateral Bulla Osteotomy 46

3.3 Ventral Bulla Osteotomy 54

3.4 Vertical Ear Canal Resection 60

3.5 Lateral Ear Canal Resection 64

4 Nasal Planum Resection 68

4.1 Nasal Planum Resection – Feline 68

4.2 Nasal Planum Resection – Canine 74

5 Tonsillectomy 82

6 Mandibulectomy and Maxillectomy 92

6.1 Mandibular Incisivectomy 96

6.2 Unilateral Rostral Mandibulectomy 102

6.3 Bilateral Rostral Mandibulectomy 110

6.4 Segmental Mandibulectomy 120

6.5 Rim Mandibulectomy 128

6.6 Caudal Mandibulectomy 132

6.7 Ventral Approach for Mandibulectomy 140

6.8 Unilateral Subtotal Mandibulectomy 148

6.9 Unilateral Total Mandibulectomy 156

6.10 Maxillary Incisivectomy 170

6.11 Unilateral Rostral Maxillectomy 176

6.12 Bilateral Rostral Maxillectomy 182

6.13 Cantilever Suture Technique 190

6.14 Radical Bilateral Rostral Maxillectomy 194

6.15 Intraoral Approach for Caudal and Total Unilateral Maxillectomy 198

6.16 Combined Approach for Caudal and Total Unilateral Maxillectomy 206

7 Partial and Total Glossectomy 220

8 Thyroidectomy 234

9 Parathyroidectomy 244

Section 3 Thoracic 251

10 Surgical Approaches to the Thorax 252

10.1 Intercostal Thoracotomy 252

10.2 Median Sternotomy 258

10.3 Thoracoscopy 264

11 Lung Lobectomy 270

11.1 Open Lung Lobectomy 270

11.2 Thoracoscopic and Thoracoscopic-Assisted Lung Lobectomy 284

12 Subtotal Pericardectomy 292

12.1 Open Subtotal Pericardectomy 292

12.2 Thoracoscopic Pericardectomy – Pericardial Window and Subtotal Pericardectomy 298

13 Atrial Appendage Amputation 304

13.1 Open Right Atrial Appendage Amputation 304

13.2 Thoracoscopic Right Atrial Appendage Amputation 310

14 Chest Wall Resection and Reconstruction 314

Section 4 Abdominal 335

15 Surgical Approaches to the Abdomen 336

15.1 Ventral Midline Celiotomy 336

15.2 Paracostal Approach 342

15.3 Laparoscopic Approach 348

15.4 Abdominal Wall Resection and Reconstruction 354

15.5 Pubic Symphysiotomy 358

15.6 Pubic Flap 362

16 Liver Lobectomy 368

17 Splenectomy 382

17.1 Open Splenectomy 382

17.2 Laparoscopic and Laparoscopic-Assisted Splenectomy 396

18 Partial Pancreatectomy 404

19 Adrenalectomy 412

19.1 Open Adrenalectomy 412

19.2 Laparoscopic Adrenalectomy 424

20 Sublumbar Lymph Node Resection 430

20.1 Open Sublumbar Lymph Node Resection 430

20.2 Laparoscopic Sublumbar Lymph Node Resection 439

Section 5 Gastrointestinal 443

21 Gastrectomy 444

21.1 Partial Gastrectomy 446

21.2 Billroth I 450

22 Small Intestinal Resection and Anastomosis 458

22.1 Open Small Intestinal Resection and Anastomosis 460

22.2 Laparoscopic-Assisted Small Intestinal Resection and Anastomosis 470

23 Typhlectomy 476

24 Colorectal Resection and Anastomosis 482

25 Rectal Resection and Anastomosis 496

25.1 Rectal Eversion and Submucosal Resection 498

25.2 Rectal Pull-Through 502

25.3 Dorsal Inverted U Approach 508

26 Anal Sacculectomy 514

Section 6 Urogenital Tumors 527

27 Ureteronephrectomy 528

27.1 Open Ureteronephrectomy 528

27.2 Laparoscopic Ureteronephrectomy 536

28 Cystectomy 540

28.1 Partial Cystectomy 540

28.2 Total Cystectomy 550

29 Cystostomy Tube 562

30 Prostatectomy 570

30.1 Partial Prostatectomy 570

30.2 Total Prostatectomy 574

31 Penile Amputation 582

32 Vulvovaginectomy 586

Section 7 Musculoskeletal 599

33 Primary Bone and Periarticular Tumors 600

33.1 Forequarter Amputation 606

33.2 Distal Radial Limb-Sparing Surgery 614

33.3 Partial Ulnectomy 628

33.4 Coxofemoral Disarticulation 632

34 Partial and Total Scapulectomy 642

35 Metacarpectomy and Metatarsectomy 650

36 Digit Amputation 653

36.1 Single-Digit Amputation 656

36.2 Partial Foot Amputation 662

37 Hemipelvectomy 666

37.1 Total Hemipelvectomy 666

37.2 Subtotal Hemipelvectomy 676

37.3 Acetabulectomy 688

37.4 Internal Hemipelvectomy 696

38 Tail Amputation 702

Section 8 Reconstructive Surgery 707

39 Advancement Flap 708

39.1 General Advancement Flaps 708

39.2 Upper Lip Advancement Flap 712

39.3 Lower Lip Advancement Flap 718

39.4 Advancement of the Commissure of the Lips 722

40 Rotation Flap 724

41 Transposition Flap 728

41.1 General Transposition Flaps 728

41.2 Filleted Digit Pad Transposition Flap 732

41.3 Lip-to-Eyelid Transposition Flap 738

41.4 Lip-to-Nose Transposition Flap 742

42 Flank Fold Flaps 746

42.1 Axillary Flank Fold Flap 746

42.2 Inguinal Flank Fold Flap 750

43 Axial Pattern Flaps 754

43.1 Facial Axial Pattern Flap 754

43.2 Superficial Temporal Axial Pattern Flap 758

43.3 Caudal Auricular Axial Pattern Flap 762

43.4 Thoracodorsal Axial Pattern Flap 766

43.5 Superficial Brachial Axial Pattern Flap 770

43.6 Latissimus Dorsi Muscle and Myocutaneous Flaps 774

43.7 Caudal Superficial Epigastric Axial Pattern Flap 778

43.8 Deep Circumflex Iliac Axial Pattern Flap (Dorsal and Ventral Branches) 782

43.9 Genicular Axial Pattern Flap 788

43.10 Reverse Saphenous Conduit Flap 792

43.11 Lateral Caudal Axial Pattern Flap 796

44 Distant Indirect Flap 802

44.1 Distant Direct Flaps – Pouch Flaps 802

44.2 Distant Direct Flaps – Hinge Flaps 808

45 Skin Grafts 812

45.1 Free-Meshed Skin Grafts 812

45.2 Punch Grafts 820

46 Second Intention Healing 824

Section 9 Interventional Radiology 833

47 Stenting 834

47.1 Tracheal Stenting 834

47.2 Ureteral Stenting 840

47.3 Urethral Stenting 846

47.4 Colorectal Stenting 852

48 Embolization 856

48.1 Nasal Embolization 856

48.2 Hepatic Embolization 860

48.3 Prostatic Embolization 866

49 Pleural Port Placement 872

Section 10 Miscellaneous Procedures 877

50 Lymph Node Excision 878

50.1 Sentinel Lymph Node Mapping 878

50.2 Mandibular Lymph Node Excision 888

50.3 Combined Mandibular and Medial Retropharyngeal Lymph Node Excision 892

50.4 Combined Parotid, Mandibular, and Medial Retropharyngeal Lymph Node Excision 896

50.5 Superficial Cervical (Prescapular) Lymph Node Excision 900

50.6 Axillary Lymph Node Excision 904

50.7 Superficial Inguinal Lymph Node Excision 908

50.8 Popliteal Lymph Node Excision 912

51 Mastectomy 916

51.1 Local Mastectomy 920

51.2 Regional Mastectomy 924

51.3 Unilateral Mastectomy 928

51.4 Single-Session Bilateral Mastectomy in Dogs 934

51.5 Single-Session Bilateral Mastectomy in Cats 938

52 Other Procedures 944

52.1 Intermuscular Lipoma Excision 944

Index 950

Detailed step-by-step descriptions of the approaches, techniques, and closure methods for managing oncologic diseases in dogs and cats.

Color Atlas of Canine and Feline Surgical Oncology is a practical, image-driven resource on a wide spectrum of surgical procedures necessary for managing oncologic diseases in dogs and cats. Each description includes a step-by-step explanation of the surgical approach, technique, and closure, as well as reported complications, outcomes, and suggested adjuvant treatments for more than 130 surgical procedures. Each step of the surgical procedure is demonstrated with high-quality color photographs from actual clinical cases to provide a realistic representation of what veterinarians are likely to face as they perform the procedure.

The text covers a wide range of procedures, including open surgery, minimally invasive surgery, interventional radiology, and reconstructive surgery. To aid accessibility, the book is logically organized by body system.

Color Atlas of Canine and Feline Surgical Oncology includes detailed information on all aspects of surgical oncology, including:

• Surgical resection of cutaneous and subcutaneous tumors
• Surgical management of oral tumors, including various mandibulectomy and maxillectomy procedures, tonsillectomy, and partial and total glossectomy
• Reconstructive surgery including random pattern flaps, axial pattern flaps, indirect distant flaps, skin grafts, and second intention healing
• Sentinel lymph node mapping, excision of various lymph nodes, different mastectomy procedures in dogs and cats, and surgical management of intermuscular lipomas
• And much more!

Color Atlas of Canine and Feline Surgical Oncology is a must-have reference for oncologists, surgeons, interns and residents, or general practice veterinarians, as well as students in related programs of study.

The authors

Julius M. Liptak, BVSc, MVetClinStud, FANZCVSc, DACVS-SA, DECVS, ACVS Founding Fellow in Surgical Oncology, ACVS Founding Fellow in Oral and Maxillofacial Surgery, RCVS Specialist in Surgical Oncology, is a Specialist Small Animal Surgeon and Surgical Oncologist at Capital City Specialty & Emergency Animal Hospital in Ottawa, Ontario, Canada.

Paolo Buracco, DVM, Dipl. ECVS, was a Full Professor of Veterinary Surgery in the Department of Veterinary Science at the University of Turin in Turin, Italy; he is now retired from academia but still active.

William T. N. Culp, VMD, DACVS, ACVS Founding Fellow in Surgical Oncology, ACVS Founding Fellow in Minimally Invasive Surgery, ACVS Founding Fellow in Oral and Maxillofacial Surgery, is a Professor of Surgery in the Department of Surgical and Radiological Sciences at the University of California-Davis in Davis, California, USA.

Nicholas J. Bacon, MA, VetMB, CertVR, CertSAS, DECVS, DACVS, FRCVS, ACVS Founding Fellow in Surgical Oncology and RCVS Specialist in Surgery (Oncology) is Clinical Director of AURA Veterinary and Professor of Surgical Oncology at the University of Surrey School of Veterinary Medicine, both in Guildford, Surrey, UK.