Moore et al: Association between divisional location and short-term outcome of liver mass resection in 124 dogs
Veterinary Surgery 4, 2023

🔍 Key Findings

  • Liver masses were most common in the left division (58%), followed by central (27%) and right (15%).
  • Right divisional masses were significantly associated with intraoperative complications (33% vs 5.6% left, p = .0037), particularly hemorrhage and injury to major vessels.
  • Mortality rate was 6.5% overall, with no significant association with liver lobe location.
  • Postoperative complications occurred in 28.7% of cases, but were not significantly associated with mass location.
  • Thoracic incision extension (sternotomy or diaphragmotomy) increased odds of postoperative complications by 9.1x (p < .001).
  • Use of TA stapler significantly reduced both intraoperative (OR 19x lower) and postoperative complications (OR 4.4x lower) vs other methods.
  • Specialist surgeons and heavier dogs had significantly fewer postoperative complications.
  • Right lobectomies often required thoracic extension, indirectly linking them to increased postoperative morbidity.

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How critical is this paper for crushing the Boards?

🚨 Must-know. I’d bet on seeing this.

📚 Useful background, not must-know.

💤 Skip it. Doubt it’ll ever show up.

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