1887

Evolving trends and future developments

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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

Image of 17.1
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)
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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)
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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 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 () 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)
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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)
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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)
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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)
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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.

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