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MainMINIMALLY INVASIVE PROCEDURESGeneral surgeryDiseases of gallbladderMinilaparoscopic cholecystectomy

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Minilaparoscopic cholecystectomy

Minilaparoscopic cholecystectomy.
Professor Puchkov K.V. is performing an operation (2015).

The operation is performed for polyposis of the gallbladder. In the video the technique of using only a 3 mm troacar is presented, as well as using of instruments of Karl Storz Company. The umbilical access 10 mm is required for removing gallbladder and clipping cystic duct and artery. During clipping of structures of Calot’s triangle via the umbilical port the optics are shifted into a 3 mm epigastral port. Operation duration is 25 minutes.

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

Transvaginal hybrid minilaparoscopy-assisted cholecystectomy (N.O.T.E.S. technique)

Transvaginal hybrid minilaparoscopy-assisted cholecystectomy (N.O.T.E.S. technique).
Professor Puchkov K.V. is performing an operation (2015).

In this film a simple technique of removal of a gallbladder, using the transvaginal access with laparoscopic assistance, is presented. The instruments that are used, are as follows: 3 troacars-10 mm, 3 mm, 5 mm and instruments of Karl Storz Company. The technique of transvaginal introduction of the first troacar, under the visual guidance of a laparoscope, is presented. Visualization of the surgical site is done due to a 10 mm (the length is 55cm) hard laparoscope. Attention is paid to the consecutive and safe dissection of the structures of Calot’s triangle, using Endo Mini-Retract COVIDIEN instrument with clipping by means of a 5 mm MEDTRONIC COVIDIEN applicator via a 5 mm umbilical access. Removal of the gallbladder is done transvaginally with the closure of vaginal wound by one stitch, where synthetic resorbable thread has been used.

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

Minilaparoscopic cholecystectomy

Minilaparoscopic cholecystectomy.
Professor Puchkov K.V. is performing an operation (2002).

Operation is performed for chronic calculous cholecystitis ( ¾ of the volume of the gallbladder is filled with the concrements).In this film the technique of cholecystectomy, using only 3 troacars - a 3 mm and a 5 mm instruments - is presented. Umbilical access is 10 mm for removing gallbladder that is filled by stones. Fixation of the gallbladder is done by the transabdominal stitching. When clipping Calot’s triangle structures, the optics are shifted into a 5 mm epigastral port.

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

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