Date: 2002-07-05 01:27:22 UTC
Subject: RE: Right adrenalectomy with vena cava ligation
You really won't know what type of approach is needed until you get in there. In some cases, right adrenalectomies can be done with caval ligation - it is only if the neoplasm is encompassing (and occluding)the vena cava that this procedure may be needed.
Caval ligation is what we call a salvage procedure. Overall, it has a survival rate of 85% or so, somewhat varying due to the skill of the surgeon and the rapidity with which the neoplasm has grown.
It is my sincere belief that if the owner understands the risks, this is often a life-saving procedure. At my house, we always go for a cure.
With kindest regards,
Bruce Williams, DVM