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Laparoscopic removal of multiple leiomyomas of esophagus and stomach

Laparoscopic removal of multiple leiomyomas of esophagus and stomach.
Professor Puchkov K.V. is performing an operation (2015).

In this video the technique of removal of 2 formations of esophagus (leiomyomas-4 cm and 7 cm) without opening of the organ’s lumen by means of a monopolar electrode is presented. Leiomyoma in the cardial part of the stomach is removed by means of partial resection of the area of the wall with the help of a linear stitching Endo GIA MEDTRONIC COVIDIEN instrument. Mobilization of the gastroesophageal isthmus is done with the help of a 5 mm LigaSure MEDTRONIC COVIDIEN instrument. Esophageal wounds are closed by two--layer manual technique, using “Polysorb” 3-0 thread. At the final stage cruroraphy is performed. Leiomyoma nodes are removed from the abdominal cavity by means of electromechanical Rotocut G1 morcellation of Karl Storz Company.

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

Laparoscopic resection of leiomyoma of esophagus and partial (270 g) fundoplication according to Toupet.

Laparoscopic resection of leiomyoma of esophagus and partial (270 g) fundoplication according to Toupet.
Professor Puchkov K.V. is performing an operation (2014).

In this film the technique of removal of leiomyoma of esophagus -7 cm- without opening the lumen of the organ is presented. Simultaneously correction of hiatal hernia (7 cm) by means of laparoscopic way is done. Mobilization of gastroesophageal isthmus is done with the help of a 5 mm LigaSure MEDTRONIC COVIDIEN instrument. The operation is performed fast and without blood loss. Attention should be paid to the consecutive transection of the diaphragmaticoesophageal ligamemnts, as well as to fundodiaphragmatic ligaments, and to transection of short gastric vessels, using inferior access-beneath the esophagus. A special attention is paid to a careful cruroraphy and performing a partial fundoplication.

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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