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Simultaneous laparoscopic cholecystectomy and resection of hepatic cyst

Simultaneous laparoscopic cholecystectomy and resection of hepatic cyst.
Professor Puchkov K.V. is performing an operation (2016).

In this film the technique of classical laparoscopic cholecystectomy in case of calculous cholecystitis, using 4 ports, is presented. The author is demonstrating the virtuosity when showing the technique of working with a 5 mm monopolar electrode in the area of Calot’s triangle. Dissection of the cystic duct and artery is performed without blood loss. The duration of cholecystectomy stage is 6 minutes. Then, using these ports, and a 5 mm Ligasure MEDTRONIC COVIDIEN instrument, resection of the cyst of the right lobe of liver (8 cm) is done. The cyst is opened by a monopolar electrode, and its contents (350 mL) is evacuated with the help of electroejection. Then, on the boundary with the hepatic tissue resection of walls of the cyst is done by means of a 5 mm LigaSure MEDTRONIC COVIDIEN instrument. Destruction of the cystic wall near its bed is done with the help of a 5 mm monopolar instrument in the mode of non-contact coagulation “spray” of the Company Karl Storz. The gallbladder and cystic walls are placed into a special plastic container MEDTRONIC COVIDIEN, then are removed through the umbilical access. Operation time is 20 minutes.

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 hepatic cyst

Laparoscopic resection of hepatic cyst.
Professor Puchkov K.V. is performing an operation (2015).

In this film the technique of laparoscopic resection of the cyst of the right lobe of liver (12 cm) is presented. The cyst is opened by a monopolar electrode, and its contents (600 mL) are evacuated by an electroejector. Then, on the border on the hepatic tissue resection of cystic walls is done by means of a 5 mm LigaSure MEDTRONIC-COVIDIEN instrument. Destruction of the cystic wall near its bed is done with the help of a 5 mm monopolar instrument in the mode of non-contact “spray” coagulation, manufactured by Karl Storz Company. The cyst is placed into a special plastic container MEDTRONIC COVIDIEN, that is removed via the umbilical access. 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.

Laparoscopic resection of hepatic cyst

Laparoscopic resection of hepatic cyst.
Professor Puchkov K.V. is performing an operation (2013).

In this video the technique of laparoscopic resection of the cyst of the right lobe of liver (11 cm) is presented. The cyst is opened by a monopolar electrode, and its contents (400 mL) are evacuated by an electroejector. Then, on the border with the hepatic tissue resection of cystic walls by means of a 5 mm monopolar electrode and a 10 mm LigaSure (COVIDIEN) is done. Destruction of the cystic wall near its bed is done by a 5 mm monopolar instrument in the mode of non-contact “spray” coagulation, produced by Karl Storz Company. The cyst is placed into a special plastic container MEDTRONIC COVIDIEN, that is removed via the umbilical access. Operation duration is 20 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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