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Evolving trends and future developments
/content/chapter/10.22233/9781910443620.chap17
Evolving trends and future developments
- Authors: Fausto Brandão and Alexander Chernov
- From: BSAVA Manual of Canine and Feline Endoscopy and Endosurgery
- Item: Chapter 17, pp 297 - 315
- DOI: 10.22233/9781910443620.17
- Copyright: © 2020 British Small Animal Veterinary Association
- Publication Date: November 2020
Abstract
Endoscopy and minimally invasive surgery have developed rapidly over the past 5 years. This chapter highlights some of the evolving trends and potential future developments in the field. The chapter contains 15 video clips.
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/content/chapter/10.22233/9781910443620.chap17
Figures
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17.1
Three-channel integrated HOPKINS® neuro-endoscope. (Courtesy of Dr F Lillo) © 2020 British Small Animal Veterinary Association
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17.1
Three-channel integrated HOPKINS® neuro-endoscope. (Courtesy of Dr F Lillo)
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17.2
Neuro-endoscopic approach to the pineal gland in a dog. (a) Squamous part of the occipital bone. Neuro-endoscopic images showing: (b) the tentorium cerebelli membranaceum (dorsally) and the vermis of the cerebellum (ventrally); (c) the subtentorial space (the edge of the tentorium is denoted by the arrows); and (d) the left caudal cerebral artery (arrowhead) and dorsal aspect of the diencephalon (arrowed). (Courtesy of Dr F Lillo) © 2020 British Small Animal Veterinary Association
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17.2
Neuro-endoscopic approach to the pineal gland in a dog. (a) Squamous part of the occipital bone. Neuro-endoscopic images showing: (b) the tentorium cerebelli membranaceum (dorsally) and the vermis of the cerebellum (ventrally); (c) the subtentorial space (the edge of the tentorium is denoted by the arrows); and (d) the left caudal cerebral artery (arrowhead) and dorsal aspect of the diencephalon (arrowed). (Courtesy of Dr F Lillo)
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17.3
(a) Rostral view of the nasopharyngeal stenosis (NPS) in a cat using a 1 mm endoscope protected by an optical Veress needle. (b) Simultaneous fluoroscopic-guided flexible nasopharyngoscopy and rostral semi-rigid rhinoscopy for the treatment of imperforate NPS. (Courtesy of Dr C Ifteme) © 2020 British Small Animal Veterinary Association
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17.3
(a) Rostral view of the nasopharyngeal stenosis (NPS) in a cat using a 1 mm endoscope protected by an optical Veress needle. (b) Simultaneous fluoroscopic-guided flexible nasopharyngoscopy and rostral semi-rigid rhinoscopy for the treatment of imperforate NPS. (Courtesy of Dr C Ifteme)
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17.4
(a) A 120-degree nasopharyngoscope can be used to obtain high-quality images in cases of (b) feline lymphoma and (c) canine transmissible venereal tumour (TVT; round cell tumour). (a, © Karl Storz SE & Co. KG; bc, courtesy of Dr C Ifteme) © 2020 British Small Animal Veterinary Association
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17.4
(a) A 120-degree nasopharyngoscope can be used to obtain high-quality images in cases of (b) feline lymphoma and (c) canine transmissible venereal tumour (TVT; round cell tumour). (a, © Karl Storz SE & Co. KG; bc, courtesy of Dr C Ifteme)
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17.5
A 2 mm endoscope used in needlescopic laparoscopy. (© Karl Storz SE & Co. KG) © 2020 British Small Animal Veterinary Association
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17.5
A 2 mm endoscope used in needlescopic laparoscopy. (© Karl Storz SE & Co. KG)
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17.6
Dual camera imaging system set-up for a bilateral thoracic approach for the treatment of chylothorax with en bloc ligatures. (Courtesy of Dr F Pérez-Duarte and J Gutierrez) © 2020 British Small Animal Veterinary Association
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17.6
Dual camera imaging system set-up for a bilateral thoracic approach for the treatment of chylothorax with en bloc ligatures. (Courtesy of Dr F Pérez-Duarte and J Gutierrez)
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17.7
(a) Cisterna chyli prolongation into the thoracic cavity (arrowed). The thoracic duct is denoted by the arrowheads. (b) Complete mediastinal dissection ventral to the thoracic duct (arrowed) and dorsal to the aorta (arrowheads). (c) Complete mediastinal dissection ventral to the sympathetic trunk (arrowed). Note the double sutures through the dissection plane. (d) Double sutures incorporating all caudal mediastinum structures (en bloc) between the aorta and the sympathetic trunk. © 2020 British Small Animal Veterinary Association
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17.7
(a) Cisterna chyli prolongation into the thoracic cavity (arrowed). The thoracic duct is denoted by the arrowheads. (b) Complete mediastinal dissection ventral to the thoracic duct (arrowed) and dorsal to the aorta (arrowheads). (c) Complete mediastinal dissection ventral to the sympathetic trunk (arrowed). Note the double sutures through the dissection plane. (d) Double sutures incorporating all caudal mediastinum structures (en bloc) between the aorta and the sympathetic trunk.
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17.8
Urethrocystoscopy. (a) Normal white light. (b–e) Enhanced contact endoscopy: (b) CLARA mode; (c) SPECTRA A mode; (d) SPECTRA B mode; and (e) CHROMA mode. (Courtesy of Dr J de Swert) © 2020 British Small Animal Veterinary Association
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17.8
Urethrocystoscopy. (a) Normal white light. (b–e) Enhanced contact endoscopy: (b) CLARA mode; (c) SPECTRA A mode; (d) SPECTRA B mode; and (e) CHROMA mode. (Courtesy of Dr J de Swert)
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17.10
(a) 3D single port ColubrisMX robotic platform. (b) Senhance® robotic platform. (a, Courtesy of Dr F Lillo; b, Courtesy of Dr L Formagini) © 2020 British Small Animal Veterinary Association
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17.10
(a) 3D single port ColubrisMX robotic platform. (b) Senhance® robotic platform. (a, Courtesy of Dr F Lillo; b, Courtesy of Dr L Formagini)
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17.11
(a) Senhance® (ALF-X) robotic platform prepared for a robotic-assisted procedure. (b) Robotic-assisted left adrenalectomy in a lioness. (Courtesy of Dr L Formagini) © 2020 British Small Animal Veterinary Association
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17.11
(a) Senhance® (ALF-X) robotic platform prepared for a robotic-assisted procedure. (b) Robotic-assisted left adrenalectomy in a lioness. (Courtesy of Dr L Formagini)
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17.12
Video-exoscopic-assisted fluorescence procedure for hepatic neoplasia. (a) Prior to surgery. (b) Intraoperative assessment of neoplastic lesions for planning surgical removal. (Courtesy of Dr C Hsien-Chieh) © 2020 British Small Animal Veterinary Association
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17.12
Video-exoscopic-assisted fluorescence procedure for hepatic neoplasia. (a) Prior to surgery. (b) Intraoperative assessment of neoplastic lesions for planning surgical removal. (Courtesy of Dr C Hsien-Chieh)
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17.13
(a) Video-exoscopic-assisted hepatic mass resection using an ultrasonic aspirator. (b) Postoperative view of complete mass removal. (Courtesy of Dr C Hsien-Chieh) © 2020 British Small Animal Veterinary Association
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17.13
(a) Video-exoscopic-assisted hepatic mass resection using an ultrasonic aspirator. (b) Postoperative view of complete mass removal. (Courtesy of Dr C Hsien-Chieh)
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17.14
Fluorescent image of the thoracic duct obtained using a D-light (NIR/ICG) IMAGE1 S™ system. (Courtesy of Dr K Ishigaki and Dr K Asano) © 2020 British Small Animal Veterinary Association
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17.14
Fluorescent image of the thoracic duct obtained using a D-light (NIR/ICG) IMAGE1 S™ system. (Courtesy of Dr K Ishigaki and Dr K Asano)
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17.15
(a) White light thoracoscopy for thoracic duct ligation. (b) Post-thoracoscopic assessment of thoracic duct ligation using ICG fluorescence. (Courtesy of Dr C Hsien-Chieh) © 2020 British Small Animal Veterinary Association
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17.15
(a) White light thoracoscopy for thoracic duct ligation. (b) Post-thoracoscopic assessment of thoracic duct ligation using ICG fluorescence. (Courtesy of Dr C Hsien-Chieh)
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17.16
(a,b) 3D image rendering of presurgical CT lymphangiography in a dog for the treatment of idiopathic chylothorax. (Courtesy of Dr K Ishigaki and Dr K Asano) © 2020 British Small Animal Veterinary Association
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17.16
(a,b) 3D image rendering of presurgical CT lymphangiography in a dog for the treatment of idiopathic chylothorax. (Courtesy of Dr K Ishigaki and Dr K Asano)
Supplements
Transvaginal approach to the abdomen.
Transvaginal approach to the abdomen with flexible endoscope.
Transvaginal ovariectomy in a dog.
Transvaginal ovariectomy in a dog.
Transvaginal ovariectomy in a dog with optical trocar.
Transvaginal ovariectomy in a dog with optical trocar.
Transvaginal ovariohysterectomy in a dog.
Transvaginal ovariohysterectomy in a dog.
Transvaginal ovariectomy in a cat using a diode laser.
Transvaginal ovariectomy in a cat using a diode laser.
Dog one year after transgastric laparoscopy.
Dog one year after transgastric laparoscopy.
Closure of the transgastric laparocentesis site.
Closure of the transgastric laparocentesis site using an over-the-top technique.
Transgastric ovariectomy in a dog.
Transgastric ovariectomy in a dog
Transgastric cholecystectomy in a dog.
Transgastric cholecystectomy in a dog.
Transgastric gastropexy in a dog (case 1).
Transgastric gastropexy in a dog (case 1).
Transgastric gastropexy in a dog (case 2).
Transgastric gastropexy in a dog (case 2).
Transanal laparoscopy in a dog.
Transanal laparoscopy in a dog.
Peroral thoracoscopy in a cat.
Peroral thoracoscopy in a cat.
Transvaginal ovariohysterectomy using a hybrid NOTES procedure.
Transvaginal ovariohysterectomy in a dog using a hybrid NOTES procedure.
Transgastric approach to the abdominal cavity using a hybrid NOTES procedure.
Transgastric approach to the abdominal cavity in a dog using a hybrid NOTES procedure.