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Laparoscopic resection of duodenal diverticulum.

Laparoscopic resection of duodenal diverticulum.
Professor Puchkov K.V. is performing an operation (2015).

Operation is performed for diverticulum, having the size 6 cm, located in the descending part of duodenum on the posterior wall. In this film the technique of mobilization of duodenum according to Kocher and exposure of diverticulum out of surrounding tissues by a 5 mm Harmonic Scalpel Ethicon instrument and instruments of Karl Storz Company is demonstrated. Then, under the guidance of duodenoscope, diverticulum is dissected in the transverse direction by a linear stitching EndoGIA apparatus MEDTRONIC COVIDIEN with casette length 60 mm and Tri-Staple technique. This technique provides consecutive closure of clips on the expanded spectrum of tissues of different thickness. Then, for the sake of hemostasis in the area of suture peritonization is performed by interrupted suture, using “Polysorb” thread. Operation duration is 60 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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