Video of operations
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Aesculap DS clips
Laparoscopic ischemic resection of the left kidney
Автор: Puchkov K.V.
Laparoscopic ischemic resection of the left kidney
Professor Puchkov K.V. is performing an operation (2019).
The film shows the technique of left-sided laparoscopic resection of the kidney in a malignant tumor (4 cm) located in the lower pole. Mobilization of the kidney and dissection of the renal artery and vein is performed using 5 mm instruments using the Thunderbeat (Olympus) and LigaSure system (MEDTRONIC COVIDIEN). A De Bekey vascular clamp (AESCULAP) is temporarily superimposed on the renal artery. Kidney resection is performed with a 5 mm Thunderbeat (Olympus) instrument within healthy tissue. Hemostasis in the area of the bed is carried out by the bipolar instrument of the Karl Storz Company. For the purpose of additional hemostasis, the wound is covered with a hemostatic plate Tachocomb (Austria). Next, the clamp is removed from the renal artery and blood flow is restored in the kidney. The time of thermal ischemia is 24 minutes. The tumor is immersed in a special plastic container MEDTRONIC COVIDIEN, which is removed through umbilical access. Operation time 1 hour 5 minutes.
You can read about this technique in detail on the personal cite of Professor Puchkov Konstantin Viktorovich. To go to the link.
Laparoscopic cholecystectomy in case of massive adhesions (calculus 5.5 cm, volume of content 400 ml)
Автор: Puchkov K. V.
Laparoscopic cholecystectomy in case of massive adhesions (calculus 5.5 cm, volume of content 400 ml)
Surgeon: professor K.V. Puchkov (2018).
The film shows the technique of laparoscopic cholecystectomy for chronic calculous cholecystitis and massive adhesions. The size of the gallbladder is 22cm x 4 cm (volume 400 ml), the size of the stone is about 5.5 cm. A technique for isolating the gallbladder from adhesions using a 5 mm instrument (LigaSure MEDTRONIC COVIDIEN) and a monopolar electrode is shown. Only the bottom of the gallbladder was free from adhesions. Careful extraction of the cystic duct and artery of 5 mm with a monopolar hook and mini retract tool COVIDIEN and clipping of these structures with a 10 mm Aesculap DS applicator with titanium latch clips was performed. Gallbladder is removed from the abdominal cavity in a plastic container.
You can read more about the techniques on the personal site of Professor Konstantin Viktorovich Puchkov.
