Laparoscopic resection of cyst of adrenal gland
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Laparoscopic resection of cyst of adrenal gland on the right
The author: Puchkov K.V.
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.