ISSN 2398-2950      

Thoracoscopy

ffelis

Introduction

  • Minimal invasive procedures such as thoracoscopy are gaining popularity within the veterinary field as they have the potential to decrease morbidity, improve magnification, reduce pain and days in hospital.
  • This is a large subject and a short introduction will be given here. Further reading suggestions have been added at the end.

Uses

  • Include the following: 
  • Diagnosis of:
    • Thoracic foreign body Thorax: masses.
    • Thoracic neoplasia.
    • Thoracic abscess.
    • Biopsies.
    • Lymphadenectomy.
  • Treatment options include:

Advantages

  • Reduced pain and post-operative discomfort.
  • Reduced hospital stay.
  • Operative magnification.
  • Sentinel lymph node mapping and thoracic duct visualization using near-infrared technology. 

Disadvantages

  • Cost of equipment.
  • Learning curve and training.
  • Visualization decreased in cases with adhesions and sometimes in barrel chested patients. 
  • Cardiopulmonary changes.

Requirements

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Preparation

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Procedure

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Aftercare

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Outcomes

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Further Reading

Publications

Refereed papers

  • Recent references from PubMed and VetMedResource.
  • Balsa I M & Culp W T N (2019) Use of Minimally Invasive Surgery in the Diagnosis and Treatment of Cancer in Dogs and Cats. Vet Sci 6 (1), E33 PubMed.
  • Cronin A, Pustelnik S B, Owen L et al (2019) Evaluation of a pre‐tied ligature loop for canine total lung lobectomy. Vet Surg 48 (4), 570-577 PubMed.
  • Steffey M A & Mayhew P D (2018) Use of direct near-infrared fluorescent lymphography for thoracic duct identification in 15 dogs with chylothorax. Vet Surg 47 (2), 267-276 PubMed.
  • Brisson B A, Reggeti F & Bienzle D (2006) Portal site metastasis of invasive mesothelioma after diagnostic thoracosopy in a dog. JAVMA 229 (6), 980-983 PubMed.

Other sources of information

  • Fransson B & Mayhew P (2005) Small animal laparoscopy and thoracoscopy. 1st edn. ACVS Foundation: Wiley Blackwell.

Organisation(s)

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