Post‐operative complications following apocrine gland anal sac adenocarcinoma resection in dogs
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OBJECTIVE: Describe the complications associated with surgical resection of primary apocrine gland anal sac adenocarcinoma (AGASACA) tumors STUDY DESIGN: Multi-institutional retrospective cross-sectional cohort study ANIMALS: Client owned dogs with spontaneous disease METHODS: Using the Clavien-Dindo classification system, post-operative events were assigned and described. Logistic regression analysis was used to analyze for risk factors for a significant association with complications. RESULTS: One hundred sixty-one dogs were included in the analysis. The post-operative sequelae, complication, and failure to cure rates specific to the anal sac site was 14, 17 and 1% respectively. The majority (68%) of complications were grade II or higher, therefore requiring some form of intervention. Intra-operative complications were identified in 11 cases (7%) with anorectal wall perforation being most common. An intra-operative complication was significantly associated with post-operative complications (P < 0.001; OR 7.4) while anorectal wall perforation was the only significant risk factor on regression analysis (P < 0.001; OR 19). Surgical site infection was identified in 20 of 161 (12%) of cases. Local recurrence (LR) occurred in 18% of cases at a median of 374 days (95% CI: 318-430). The only risk factor significantly associated with LR was the presence of vascular or lymphatic invasion (P = 0.008; OR 3). CONCLUSIONS: Post-operative complications were relatively infrequent but the risk was significantly increased when there was an intraoperative complication during resection of a primary AGASACA tumor. CLINICAL SIGNIFICANCE: This study provides information for the clinician regarding risk factors for post-operative complications. This article is protected by copyright. All rights reserved.
author list (cited authors)
Sterman, A., Butler, J. R., Chambers, A., Dickson, R., Dornbusch, J., Mickelson, M., ... Janssens, B. W.