Small Animal Laparoscopy and Thoracoscopy. Группа авторов
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port locations for laparoscopic‐assisted enterostomy...Figure 11.6 Illustration of a dog undergoing laparoscopic‐assisted enterosto...Figure 11.7 Intraoperative image of an intestinal dehiscence in a dog with s...Figure 11.8 Sagittal and frontal plane computed tomography CT) images from a...Figure 11.9 Intracorporeal view of a dog with small intestinal obstruction a...Figure 11.10 Intraoperative image of the same dog from Figure 11.9. Notice t...Figure 11.11 Intraoperative images of a dog undergoing laparoscopic‐assisted...Figure 11.12 Intraoperative view of a dog undergoing extracorporeal small in...Figure 11.13 Appositional closure of an enterotomy in a dog undergoing singl...Figure 11.14 Appositional, simple interrupted, small intestinal anastomosis ...Figure 11.15 Illustration of a simple continuous, small intestinal anastomos...Figure 11.16 Intracorporeal omentalization of the enterectomy and anastomosi...
15 Chapter 12Figure 12.1 For laparoscopic‐assisted gastropexy, a wide margin should be cl...Figure 12.2 The operating room layout for a multiport or single‐port laparos...Figure 12.3 Port placement for two‐port laparoscopic‐assisted gastropexy.Figure 12.4 A 10‐mm instrument port is placed for laparoscopic‐assisted gast...Figure 12.5 10‐mm DuVall forceps can be used for grasping the stomach from t...Figure 12.6 The forceps and antrum are exteriorized by removing the cannula ...Figure 12.7 Laparoscopic view of completed intracorporeally‐sutured gastrope...Figure 12.8 Operating room layout for an intracorporeally sutured gastropexy...Figure 12.9 Instrument and port placement for the intracorporeally sutured l...Figure 12.10 A stay suture placed percutaneously is passed full thickness th...Figure 12.11 Partial‐thickness incisions made on the seromuscular layer of t...Figure 12.12 Knotless suture relies on the barbs cut into the suture to main...Figure 12.13 Monopolar electrosurgery is used to score a 3–4 cm line into bo...Figure 12.14 For a single‐port laparoscopic‐assisted gastropexy, placement o...Figure 12.15 Stay sutures are placed in the cauterized or cut edges of the t...Figure 12.16 Single‐port device in place at the designated gastropexy site....
16 Chapter 13Figure 13.1 This survey radiograph shows a large space occupying lesion in t...Figure 13.2 The operating room layout for repair of a sliding hiatal hernia ...Figure 13.3 Port position for repair of sliding hiatal hernia is shown. The ...Figure 13.4 The operating room setup and port positioned are shown in this i...Figure 13.5 The left lateral lobe of the liver is being retracted by a blunt...Figure 13.6 Hiatal plication is being performed using intra‐corporeal suturi...Figure 13.7 The first two sutures of the hiatal plication are pictured showi...Figure 13.8 Initiation of the esophagopexy is shown using barbed suture. The...Figure 13.9 A left‐sided gastropexy is the final part of the surgical repair...Figure 13.10 The completed left‐sided intracorporeally‐sutured gastropexy is...Figure 13.11 Liver lacerations can be seen secondary to iatrogenic instrumen...
17 Chapter 14Figure 14.1 The operating room is set up for laparoscopic splenectomy with t...Figure 14.2 For multiport total laparoscopic splenectomy (TLS), the procedur...Figure 14.3 A single incision laparoscopic device has been placed 3–5 cm cau...Figure 14.4 A wound retractor device (WRD) has been placed for performing LA...Figure 14.5 During total laparoscopic multiport splenectomy, the spleen is r...Figure 14.6 A vessel‐sealing device can be seen sealing and dividing the fin...Figure 14.7 The WRD is in place and the spleen with the splenic mass has bee...Figure 14.8 During laparoscopic‐assisted splenectomy the spleen is manually ...
18 Chapter 15Figure 15.1 Laparoscopic view of the gallbladder adjacent to the quadrate li...Figure 15.2 Operating room setup, including equipment, surgeon(s), and patie...Figure 15.3 Location for placement of two 6mm ports for performing multi‐por...Figure 15.4 Placement of the single‐port device for performing single‐port l...Figure 15.5 Single‐port technique for a laparoscopic resection of a biliary ...Figure 15.6 Extraction of a biliary cyst adenoma of the quadrate lobe follow...Figure 15.7 Microwave ablation unit with 2.45 Ghz generator.Figure 15.8 Laparoscopic view of left medial lobe elevation using a blunt pr...Figure 15.9 The gallbladder is elevated using a blunt probe in this laparosc...Figure 15.10 For harvesting a laparoscopic liver biopsy, the laparoscopic cu...Figure 15.11 A blunt probe is placed at the site of laparoscopic liver biops...Figure 15.12 Intraoperative image demonstrating articulation and positioning...Figure 15.13 Intraoperative image of a dog undergoing stapled laparoscopic r...Figure 15.14 Laparoscopic image of an HCC in a dog and the associated planni...Figure 15.15 Laparoscopic image of a laparoscopic MWA procedure of a 2.5 cm ...Figure 15.16 Preoperative planning and follow‐up imaging of an HCC before (A...Figure 15.17 (A and B), A SILS port has been placed for laparoscopic liver b...Figure 15.18 (A and B), Laparoscopic image of spinal needle entry into gallb...
19 Chapter 16Figure 16.1 Operating room setup for laparoscopic cholecystectomy. The endos...Figure 16.2 For LC the dog is positioned quite close to the end of the surgi...Figure 16.3 Port positioning for the multiport cystic‐duct first (CDF) techn...Figure 16.4 Portal positioning for the fundic dissection first (FDF) method....Figure 16.5 Port placement for single‐port cholecystectomy is shown. The sin...Figure 16.6 The fan retractor can be seen at the top of the image retracting...Figure 16.7 Forceps can be seen passing cranial to the cystic duct after dis...Figure 16.8 Hemostatic clips can be seen in position on the cystic duct prio...Figure 16.9 The Hem‐o‐lok applicator can be seen with the clip in position p...Figure 16.10 The gall bladder can be seen within the specimen retrieval devi...Figure 16.11 The specimen retrieval bag has been partially exteriorized with...Figure 16.12 Anatomy of membrane structure of the gallbladder. Dissecting wi...Figure 16.13 A small sharp incision is made in the gallbladder serosa using ...Figure 16.14 After a small incision is made in the serosa of the gallbladder...Figure 16.15 The assistant’s forceps are holding the dissected gallbladder s...Figure 16.16 After dissecting within the subserosal layers of the gallbladde...Figure 16.17 After making a small hole at dorsal side of the bile duct using...Figure 16.18 A contrast agent is flushed through a catheter, and the bile du...Figure 16.19 Intraoperative cholangiography showed obstruction indicated at ...
20 Chapter 17Figure 17.1 A right‐sided adrenal mass can be seen with the phrenicoabdomina...Figure 17.2 In this contrast‐enhanced computed tomography image, a small thr...Figure 17.3 In this coronal reconstruction of a contrast‐enhanced computed t...Figure 17.4 In this case, a large right adrenal mass is present that is prim...Figure 17.5 Both surgeons stand on the side of the patient's ventral abdomen...Figure 17.6 For sternal positioning, padding is placed in between the front ...Figure 17.7 Positioning for retroperitoneal laparoscopic adrenalectomy is sh...Figure 17.8 For laparoscopic adrenalectomy in lateral recumbency, three port...Figure 17.9 Port placement for laparoscopic adrenalectomy in sternal recumbe...Figure 17.10 Port placement for retroperitoneal laparoscopic adrenalectomy. ...Figure 17.11 A laparoscopic j‐hook monopolar electrosurgical probe is being ...Figure 17.12 This left‐sided adrenocortical mass was found upon entry into t...Figure 17.13 The course of the renal vein on the left side can be clearly se...Figure 17.14 This right‐sided caudal pole adrenal mass is intimately attache...Figure 17.15 In this series of images, the progression of the dissection of ...Figure 17.16 A small defect can be seen in the diaphragm at the end of the d...Figure 17.17 The inverted thumb of a large‐sized surgical glove has been use...Figure 17.18 The adrenal mass has been placed into a commercially available ...Figure 17.19 SILS‐port placement. Instrument trajectory is caudal to cranial...Figure 17.20 Typical view of the retroperitoneal perirenal space during righ...Figure 17.21 This aldosterone‐secreting tumor in a cat can be seen lying dor...Figure 17.22 In this right‐sided lesion, the capsule of the mass has been pe...
21 Chapter 18Figure 18.1 Anatomy of the pancreas and surrounding structures.Figure 18.2 Operating room (OR) layout for laparoscopic pancreatic surgery. ...Figure 18.3 Patient positioning for laparoscopic flank approach. The thorax ...Figure 18.4 Portal placement for ventral approach to the pancreas. The initi...Figure 18.5 Port placement for laparoscopic flank approach. The initial port...Figure 18.6 Surgical anatomy in dorsal recumbency with a ventral approach. (...Figure 18.7 Laparoscopic images of ventral midline approach in dorsal recumb...Figure 18.8 Normal surgical anatomy of left‐sided flank approach in sternal ...Figure 18.9 Laparoscopic left lateral approach in sternal recumbency in a Ge...Figure 18.10 Normal anatomy of the right flank approach in sternal‐oblique r...Figure 18.11 Right lateral flank laparoscopic approach in sternal recumbency...
22 Chapter 19Figure 19.1 Operating room set‐up for laparoscopic kidney biopsy in dorsal r...Figure 19.2 Operating room setup for laparoscopic left renal biopsy procedur...Figure