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MainMINIMALLY INVASIVE PROCEDURESGeneral surgeryCyst of the adrenal gland

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Laparoscopic resection of cyst of adrenal gland on the right

Laparoscopic resection of cyst of adrenal gland on the right
Professor Puchkov K.V. is performing an operation (2014).

Organopreserving operation is performed for cyst of the adrenal gland, having the diameter 16 cm, located in the medial pedicle. An access to the adrenal gland is done by means of bringing down the hepatic angle of the large colon and dissection of tissues between Toldt’s fascia and fascia Gerotae with the help of a 5 mm Harmonic Scalpel Ethicon instrument and instruments of Karl Storz Company. Then mobilization of duodenum according to Kocher is performed, with the exposure of the inferior vena cava and suprarenal vein. Then the cyst is opened, its contents are evacuated , the walls of it are resected within the boundaries of healthy tissues. Destruction of cyst wall near its bed is done by a bipolar instrument. The cyst is placed into a plastic container and is removed from the abdominal cavity. Operation time is 35 minutes.

You can read about this technique in detail on the personal cite of Professor Puchkov Konstantin Viktorovich. To go to the link.

Laparoscopic partial left adrenalectomy

Laparoscopic partial left adrenalectomy.
Professor Puchkov K.V. is performing an operation (2014).

Organopreserving operation is performed for cyst of the adrenal gland, the diameter is 11 cm, it is located in the lateral pedicle. The access to the adrenal gland is via the spleen angle of the large colon, and dissection of tissues is between fascia Gerotae and fasdia told with the help of 5 mm endoscopic monopolar scissors. The further dissection of tissues in the area of the adrenal gland, transection of the vascular structures and tissue of the adrenal gland is performed by a 5 mm LigaSure MEDTRONIC COVIDIEN instrument. The use of modern ligating systems gives a possibility not to do additional hemostasis of the stump of the adrenal gland and not to leave drainage in the abdominal cavity. The cyst is placed into the plastic container and is removed from the abdominal cavity. Operation duration is 50 minutes.

You can read about this technique in detail on the personal cite of Professor Puchkov Konstantin Viktorovich. To go to the link.

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