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Volume 24(4), Winter 2014

Commissioned paper

Thoracic surgery

Not (always) as difficult as you think

 

by Jean-Philippe Billet

Left lateral thoracotomy

 

Thoracotomy in a

3-month-old Brittany spaniel with a patent ductus arteriosus.

With recent advances in diagnostic imaging, anaesthesia and analgesia, thoracic surgery has become increasingly accessible in small animal veterinary practice. The basic requirements for

veterinarians contemplating thoracic surgery are: a good knowledge of the surgical anatomy, basic anaesthetic and analgesic knowledge, appropriate surgical instruments and anaesthetic equipment, awareness of the different disease processes and their surgical indications, and knowing how to choose the correct approach to the thorax. The first surgery that the surgeon should be familiar with is lung lobectomy via a lateral intercostal approach. ...

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Which approach when?

 

The approach for thoracotomy and/or thorascopy depends on the location of

the target organ.

Lobectomy

 

The first surgery that veterinary surgeons should be familiar with is lung lobectomy via a lateral intercostal approach.

Chest trauma

 

Penetrating thoracic injuries such as bite wounds should be explored surgically; they are usually accompanied by severe damage to the internal organs or thoracic wall.

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