Page 173 - Clinical Manual of Small Animal Endosurgery

Operative Laparoscopy 161

(a)

(b)

Fig. 5.18 The urinary bladder trigone is a frequent site for transitional
cell carcinoma (TCC). (a) Typical appearance of TCC as a fimbriated growth
in the region of the trigone. (b) Following urolith removal, the trigone is
somewhat oedematous, but otherwise normal in appearance.

jejunal tube is removed and the animal can be continued to be fed
through the gastric tube by the owner. Recently, there have been reports
of laparoscopy-assisted percutaneous gastrostomy tube placement in
children to minimise the complications associated with traditional PEG
placement of gastrostomy tube (Takahashi et al., 2008). In these cases,
the gastroscope is inserted while the surgeon views the stomach with the
laparoscope and the stomach is stabilised it with grasping forceps. A
catheter is introduced percutaneously through the body wall and into
the stomach under direct vision. In this way, the proper location can be
identified by both the surgeon and the endoscopist. The guide wire is