Practical Relevance: Thoracoscopy provides a minimally invasive means of diagnosis and offers many important benefits when compared with open thoracotomy.
Clinical Challenges: The expense of the equipment, the steep learning curve required to gain proficiency in thoracoscopic surgery, and the limitations imposed by the feline thoracic cavity, in terms of working and viewing space, are some of the challenges that have limited its uptake to date. However, it is envisaged that it will increase as a technique in feline medicine, in much the same way as laparoscopy has.
Audience: This article is directed at veterinarians currently performing open thoracic surgery and the associated aftercare who concurrently are adept at endoscopic surgery.
Evidence Base: The article draws on the small body of literature that is available on thoracoscopy in cats, which includes reports of its use for evaluation and management of undiagnosed pleural effusion, lung lobe torsion, persistent right aortic arch and chylothorax.
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http://dx.doi.org/10.1177/1098612X13516569 | DOI Listing |
Rev Esp Anestesiol Reanim (Engl Ed)
November 2024
Servicio Anestesiología y Reanimación, Hospital del Mar-Parc de Salut Mar (PSMAR), Departamento de Anestesiología, Reanimación y Terapéutica del Dolor, Universitat Pompeu Fabra, Barcelona, Spain.
Background: Chronic post-thoracic surgery pain (CPTSP) is a common complication that affects a patient's quality of life. Thoracotomy is associated with a high risk of chronic pain. Video-assisted thoracoscopy surgery (VATS) is a less traumatic option, but its role in the development of CPTSP is unclear.
View Article and Find Full Text PDFCase Rep Vet Med
May 2024
Veterinary Health Center, Kansas State University, 1800 Denison Ave, Manhattan, Kansas 66506, USA.
Sternal luxation/dislocation is a rare condition and is most often the result of trauma. Medical and surgical management have been described, with scarce information regarding the best treatment option for these cases. A 1-year-old domestic shorthair cat was presented for severe sternal dislocation and a left humeral fracture.
View Article and Find Full Text PDFVet Surg
July 2024
Department of Veterinary Clinical Sciences, Washington State University, Pullman, Washington, USA.
Objective: To evaluate the outcomes and complications of video-assisted thoracoscopic (VATS) treatment of chylothorax in cats.
Study Design: Multi-institutional retrospective study.
Animals: Fifteen client-owned cats.
Vet Clin North Am Small Anim Pract
July 2024
Department of Clinical Sciences, Oregon State University, Corvallis, OR, USA; Carlson College of Veterinary Medicine, 172 Magruder Hall, Corvallis, OR 97331, USA. Electronic address:
Significant advances in veterinary minimally invasive surgeries and procedures have occurred in the past 10 years. These advances have been allowed due to continual research into optimizing working space through one-lung ventilation techniques and carbon dioxide insufflation. Additionally, minimally invasive surgery enthusiasts have joined forces with interventionalists and, in many cases, physicians to push the boundaries, minimize pain, suffering, and time away from owners with advances in a variety of procedures.
View Article and Find Full Text PDFVet Clin North Am Small Anim Pract
July 2024
Surgical Oncology, Veterinary Specialty Hospital - North County, by Ethos Veterinary Health, 2055 Montiel Road. #104, San Marcos, CA 92069, USA. Electronic address:
Intraoperative near-infrared fluorescence imaging allows for real time, noninvasive visualization of anatomic structures (blood vessels, lymphatic vessels) or diseased states (cancer, inflammation). This technique is easily adapted to thoracoscopy and has allowed for improved detection of lung tumors and other various cancers, thoracic lymphatics, and cardiothoracic vasculature.
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