← Articles

Ciammaichella et al: Complications of medial retropharyngeal, axillary, and ilio-sacral lymphadenectomy in 127 dogs with malignant tumors
Veterinary Surgery 7, 2025

🔍 Key Findings

  • Ilio-sacral lymphadenectomy had the highest complication rates: intraoperative (7%) and postoperative (41%)
  • Axillary lymphadenectomy showed the lowest complication rates: intraoperative (1%) and postoperative (16%)
  • Enlarged or metastatic lymph nodes were significantly associated with intraoperative complications (p = .030)
  • Postoperative complications were mostly minor (Grade 1) and self-limiting (seromas, edema)
  • Medial retropharyngeal lymphadenectomy had intermediate complication rates: postoperative complications in 26%
  • No significant predictors retained significance in multivariate analysis
  • Use of methylene blue was associated with fewer complications, although not statistically significant
  • Complication rates did not result in mortality, and all were manageable; MST was 374 days

Simini Surgery Review Podcast

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.

Thanks for the feedback!
‍We'll keep fine-tuning the articles vault.
Oops — didn’t go through.
‍Mind trying that again?
← Articles

Ciammaichella et al: Complications of medial retropharyngeal, axillary, and ilio-sacral lymphadenectomy in 127 dogs with malignant tumors
Veterinary Surgery 7, 2025

🔍 Key Findings

  • Ilio-sacral lymphadenectomy had the highest complication rates: intraoperative (7%) and postoperative (41%)
  • Axillary lymphadenectomy showed the lowest complication rates: intraoperative (1%) and postoperative (16%)
  • Enlarged or metastatic lymph nodes were significantly associated with intraoperative complications (p = .030)
  • Postoperative complications were mostly minor (Grade 1) and self-limiting (seromas, edema)
  • Medial retropharyngeal lymphadenectomy had intermediate complication rates: postoperative complications in 26%
  • No significant predictors retained significance in multivariate analysis
  • Use of methylene blue was associated with fewer complications, although not statistically significant
  • Complication rates did not result in mortality, and all were manageable; MST was 374 days

Simini Surgery Review Podcast

Join Now to Access Key Summaries to more Veterinary Surgery Articles!
Log InSign Up

Multiple Choice Questions on this study

In Ciammaichella 2025 et al., on lymphadenectomy complications, which factor was significantly associated with intraoperative complications?

A. Use of methylene blue
B. Lymph node size
C. Concurrent tumor resection
D. Duration of anesthesia
E. Body condition score

Answer: Lymph node size

Explanation: Enlarged LNs were significantly associated with increased risk of intraoperative hemorrhage (p = .030).
In Ciammaichella 2025 et al., on lymphadenectomy complications, what was the significance of using methylene blue during surgery?

A. Improved survival
B. Reduced surgery time
C. Reduced complication rates
D. Improved lymph node yield
E. No impact on outcomes

Answer: Reduced complication rates

Explanation: Methylene blue use was associated with a non-significant reduction in complications and no intraoperative events.
In Ciammaichella 2025 et al., on lymphadenectomy complications, which lymphadenectomy site had the lowest rate of intraoperative complications?

A. Axillary
B. Medial retropharyngeal
C. Ilio-sacral
D. Mandibular
E. Superficial inguinal

Answer: Axillary

Explanation: Only 1% of axillary lymphadenectomies had intraoperative complications, the lowest among the groups.
In Ciammaichella 2025 et al., on lymphadenectomy complications, which lymphadenectomy site had the highest rate of postoperative complications?

A. Ilio-sacral
B. Axillary
C. Medial retropharyngeal
D. Mandibular
E. Sternal

Answer: Ilio-sacral

Explanation: Ilio-sacral lymphadenectomy had a 41% postoperative complication rate, the highest among the groups.
In Ciammaichella 2025 et al., on lymphadenectomy complications, what was the most common type of postoperative complication observed?

A. Incisional dehiscence
B. Wound infection
C. Regional edema
D. Hematoma
E. Nerve injury

Answer: Regional edema

Explanation: Most postoperative complications were minor (Grade 1), with regional edema being the most common.

Elevate Your Infection Control Protocol

Implement Simini Protect Lavage for superior, clinically-proven post-operative skin antisepsis and reduced infection risk.

Start Your Free Trial TodayStart Your Free Trial

Review More Key Summaries from this Veterinary Surgery Journal Issue

Buote

 et al: 

Laparoscopic vertical sleeve gastrectomy in felines: A cadaveric feasibility study and experimental case series in two cats

Wang

 et al: 

Accuracy of fluoroscopy-guided osteotomy placement in TPLO: Postoperative tibial plateau angle and preoperative planning evaluation

You

 et al: 

Evaluation of a knotless barbed suture for canine total lung lobectomy: An ex vivo study

Low

 et al: 

Machine‐learning prediction of postoperative complications after high tibial osteotomy for canine cranial cruciate ligament disease

Hoenecke

 et al: 

Increased radiographic stifle soft tissue opacity in dogs with patella luxation