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Self Instructional Manual for Cancer Registrars - SEER - National ...

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In all of the "oscopies" described so far, the scope has been inserted through a natural opening<br />

in the body. However, in the following four types of "oscopiesn, an actual incision is made and the<br />

instrument is inserted into the body space that is to be examined.<br />

CULDOSCOPY: Visual examination of the female pelvic viscera by means of an<br />

endoscope introduced through the posterior vaginal wall into that part<br />

of the pelvic cavity known as the rectovaginal pouch or cul de sac<br />

LAPAROSCOPY: Examination of intra-abdominal structures by means of an illuminated<br />

tubular instrument (laparoseope) inserted through a small incision in<br />

the abdominal wall<br />

MEDIASTINOSCOPY: Examination of the mediastinum by means of a tubular instrument<br />

permitting direct inspection of the area between the lungs<br />

PERITONEOSCOPY:<br />

Examination of the peritoneal cavity by an instrument inserted through<br />

the abdominal wall (See also laparoscopy)<br />

THORACOSCOPY: Direct examination of the pleural cavity by means of an endoscope<br />

which is inserted into the cavity through an intercostal space<br />

An example of a mediastinoscopy follows on the next page (Example F13). Abstract what you<br />

think is pertinent, then cheek with the suggested abstraction on page 165.<br />

161

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