Page 176 - Clinical Manual of Small Animal Endosurgery

164 Clinical Manual of Small Animal Endosurgery

(a)

(b)

Fig. 5.20 (a) The left adrenal gland is normally situated cranial to the
renal vein. It is identified by the large phrenicoabdominal vein (arrow)
which courses over the centre of the gland. (b) Precise dissection is
achieved with the Harmonic Scalpel. From Freeman, L.J. (ed.) (1999)
Veterinary Endosurgery. Mosby, St. Louis, MO, Plates 26 and 28. Reproduced
with permission from Elsevier.

Notes
Natural-orifice translumenal endoscopic surgery (NOTES) is an emerg-
ing area of surgery that began in 2004 when Dr Anthony Kalloo and his
colleagues at Johns Hopkins University (Baltimore, MD, USA) reported
on the results of using a flexible endoscope to enter the abdominal cavity
through the stomach and perform procedures in pigs (Kalloo et al.,
2004). We have recently begun experiments on the potential benefits of
this approach for animals and our preliminary results indicate that dogs