The invention relates to a detection apparatus and a method for detecting and manipulating a blood vessel under the skin of part of the body of a patient, which comprises a treatment chamber for accommodating the body part, a data processing control device, a vascular structure measuring device for detecting the position and/or dimensions of vascular structure data of the blood vessel in the treatment chamber by measurement, a vascular manipulation device for changing the position and/or dimension of the blood vessel, wherein the control device is designed to control the vascular manipulation device as a function of the vascular structure data.