Solution: (a) The peritoneal cavity contains the pelvis, stomach, spleen, gall
bladder, liver, and the intestines. Thefluid in the peritoneal cavity lubricates
the tissues and organs in the abdomen during digestion. Excessfluid in the
peritoneal cavity (for example, from a liver disease) can cause the abdomen to
swell, which can lead to breathing difficulties. (b) The most common
laparoscope is a rigid tube with a diameter of 5 or 10 mm that has a working
insertion depth of approximately 300 mm. The distal end contains imaging
lenses and the viewing end has a simple eyepiece.
10.2.1 Basic Endoscopy
The following units make up a basic endoscope system [ 16 – 21 ]:
- Aflexible tube that encapsulates one or more opticalfibers for illumination and
viewing functions. As Fig.10.9illustrates, the encapsulating endoscope tube
also can contain miniature air, water, and suction or biopsy tubes, plus wires for
tip control. - An external light source that is coupled to the opticalfibers in the encapsulating
tube for illuminating the organ, tissue area, or body cavity being diagnosed - A lens system which collects reflected orfluorescing light from the diagnostic
site for transmission via opticalfibers to a viewer - A viewing mechanism such as a simple eyepiece, a monitor, or a camera
An endoscope also can contain capillaries for collecting tissue specimens,
miniature manipulative tools for microsurgery, or more opticalfibers for therapeutic
purposes. Traditionally endoscopes have used a smallflexible opticalfiber bundle
to transmit light to a diagnostic area and a coherentfiber bundle for image retrieval.
Although the use offiber bundles results in a noninvasive exploratory instru-
ment, the number of individualfibers in the bundle and their characteristics limit the
image resolution and can increase the outer diameter of the instrument [ 21 ]. The
Single fibers
or fiber bundles
for viewing
Water tube
Air tube
Biopsy or
suction channel
Illuminating fiber
Flexible
outer tube
Tip control wires
Fig. 10.9 Cross-sectional view of a generic endoscope tube showing various possible optical
fibers, miniature tubes, and wires for different functions (J. Biomed. Opt. 19(8), 080902 (Aug 28,
2014). doi:10.1117/1.JBO.19.8.080902)
304 10 Optical Imaging Procedures