Heart As the Target Organ in Thoracoscopy of Rabbit: Introduction of Lens Trocar Approach and Optimal Ventilation Mode
2020
Ebrahimi, Roja | Pedram, Mir Sepehr | Dehghan, Mohammadmehdi | Izadi, Reyhaneh | Mokhber Dezfouli, Mohamad Reza
BACKGROUND: Thoracoscopy is a minimally invasive method used in diagnosis and treatment of many disorders in animals, however, its application in smaller species is limited in literature which can be contributed to the challenges faced while performing a minimally invasive procedure in smaller mammals. OBJECTIVES: Evaluating the feasibility and ideal port placement considering heart as the target organ in rabbit. Also, the impact of ventilation protocol on rate of mortality was evaluated. METHODS: Twenty New Zealand white rabbits were used in this experiment. Approaches used for the introduction of the camera were Para-xiphoid and intercostal space, the optimal spot for insertion of the second trocar relative to the camera was also evaluated, lung damage and rate of mortality were assessed under two different mechanical ventilation modes of pressure-controlled and volume-controlled. RESULTS: Surgical view gained through the para-xiphoid approach is rather panoramic and spatial than the direct intercostal view, maneuver on the heart with an instrument is easier when the 5th intercostal space is used for the second trocar. With the help of PCV, lungs sustain less damage and atelectasis can be avoided till the end of the procedure and therefore, less mortality is experienced. CONCLUSIONS: Using the Para-xiphoid approach and the correct ventilation protocol provides sufficient working space under good vison, which makes the rabbit thoracoscopic heart model a practical model that can be used in many cardiac experiments.
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