Monnet Eric
Department of Clinical Sciences, Colorado State University, Fort Collins, CO 80523, USA.
Vet Clin North Am Small Anim Pract. 2009 Sep;39(5):965-75. doi: 10.1016/j.cvsm.2009.05.005.
Thoracoscopy is a minimally invasive technique for viewing the internal structures of the thoracic cavity. The procedure uses a rigid telescope placed through a portal and positioned in the thoracic wall to examine the contents of the pleural cavity. Once the telescope is in place, either biopsy forceps or an assortment of surgical instruments can be introduced into the thoracic cavity through adjacent portals in the thoracic wall to perform various diagnostic or surgical procedures. The minimal invasiveness of the procedure, the rapid patient recovery, and the diagnostic accuracy make thoracoscopy an ideal technique compared with other more invasive procedures. This article discusses the use of interventional thoracoscopy (an emerging surgical technique) in veterinary surgery to perform pericardial window, subtotal pericardiectomy, or lung lobectomy to correct vascular ring anomalies, to ligate patent ductus arteriosus and the thoracic duct, and to aid in the treatment of pyothorax. Most procedures are performed under thoracoscopy, and some procedures can be thoracoscopically assisted.
胸腔镜检查是一种用于观察胸腔内部结构的微创技术。该手术使用一个刚性望远镜，通过一个入口放置并定位在胸壁上，以检查胸膜腔的内容物。一旦望远镜就位，可以通过胸壁上相邻的入口将活检钳或各种手术器械引入胸腔，以进行各种诊断或手术操作。与其他更具侵入性的手术相比，该手术的微创性、患者的快速恢复以及诊断准确性使其成为一种理想的技术。本文讨论了介入性胸腔镜检查（一种新兴的手术技术）在兽医外科手术中的应用，用于进行心包开窗术、心包次全切除术或肺叶切除术，以纠正血管环异常、结扎动脉导管未闭和胸导管，并辅助治疗脓胸。大多数手术在胸腔镜下进行，有些手术可以在胸腔镜辅助下进行。
