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Laparoscopic right resection of kidney with wound stitching

Laparoscopic right resection of kidney with wound stitching.
Professor Puchkov K.V. is performing an operation (2017).

In this film the laparoscopic resection of the right kidney for malignant tumour (4.5 cm), located in the area of the upper pole, is demonstrated. Mobilization of kidney and dissection of the renal artery and vein are done with the help of a 5 mm Harmonic Scalpel Ethicon instrument, as well as LigaSure (MEDTRONIC COVIDIEN) instrument. De Bekey vascular forceps are temporarily applied onto the renal artery. Kidney resection is performed by a 5 mm Harmonic Scalpel Ethicon instrument within the limits of healthy tissues. Hemostasis in the area of bed is done by a bipolar instrument of Karl Storz Company. An atraumatic interrupted suture is placed on the kidney wound, using “Vicryl” thread. For the sake of additional hemostasis the wound is stitched by hemostatic PerClot (Italy). Then the forceps are removed from the renal artery, and blood circulation is restored in the kidney. The time of ischemia is 32 minutes. The tumour is placed in a special container MEDTRONIC COVIDIEN and is removed through the umbilical access. Operation time is 1 hour 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 right resection of kidney with wound stitching

Laparoscopic right resection of kidney with wound stitching.
Professor Puchkov K.V. is performing an operation (2017).

In this film the technique of the right laparoscopic resection of kidney for malignant tumour (2 cm), that is located on the anterior surface, is demonstrated. In the abdominal cavity there is an extensive adhesion process, developed after open cholecystectomy. Mobilization of kidney and dissection of the renal artery and vein are done with the help of a 5 mm LigaSure (MEDTRONOC COVIDIEN) instrument. De Bekey forceps are temporarily applied onto the renal artery. Kidney resection is performed by a 5 mm monopolar instrument within the limits of healthy tissues. An atraumatic interrupted suture is placed on the kidney wound, using “Polysorb” thread. For the sake of additional hemostasis the wound is covered by hemostatic PerClot (Italy). Then the forceps are removed from the renal artery, and blood circulation is restored in the kidney. The ischemia time is 25 minutes. The tumour is placed into a special container MEDTRONIC COVIDIEN and is removed through the umbilical access. Operation duration is 1 hour 30 minutes.

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

Laparoscopic right resection of kidney for malignant tumour (4 cm)

Laparoscopic right resection of kidney for malignant tumour (4 cm)
Professor Puchkov K.V. is performing an operation (2012).

In this video the technique of laparoscopic right resection of kidney for malignant tumour (4 cm) is demonstrated. Kidney mobilization and dissection of the renal artery and veins are done by means of a 5 mm Thunderbeat Olympus instrument, when the conception “one operation-one instrument” has been realized. Tissue dissection is performed fast and without blood loss. Then De Bekey vascular forceps are transiently applied onto the renal artery. Kidney resection is performed by means of a 5 mm Thunderbeat Olympus instrument within the boundaries of healthy tissues. The wound is stitched by V-lock (MEDTRONIC COVIDIEN) system, using monofilament resorbable polydioxanone thread, that is oriented in space with the set angle. It gives a possibility to thread to slide freely in one direction and not to be shifted in the opposite direction. This system gives a possibility to stitch the kidney wound layer by layer and fast with the proper hemostasis. Then the forceps are removed from the renal artery, and blood supply is restored in the kidney. Ischemia time is 25 minutes. The tumour is placed into a special plastic container MEDTRONIC COVIDIEN, that is removed through the umbilical access. Operation duration is 45 minutes.

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

Laparoscopic right resection of kidney with wound stitching, using interrupted suture

Laparoscopic right resection of kidney with wound stitching, using interrupted suture
Professor Puchkov K.V. is performing an operation (2005).

A 60 year-old female patient is being operated on for renal cell carcinoma (RCC) T1a N0M0 G1. In the video the technique of laparoscopic right resection of kidney for malignant tumour (2 cm) is presented. Access to kidney hilum is due to bringing down the liver angle of the large colon and dissection of tissues between Toldt’s fascia and fascia Gerotae. This stage is fulfilled by means of 5 mm bipolar scissors and a 10 mm LigaSure (COVIDIEN) instrument. Then duodenum mobilization according to Kocher is done, with exposure of the inferior vena cava and the gonadal vein. The endoscopic stitching Endo GIA apparatus (COVIDIEN) with used 45 mm casette is transiently placed onto the renal artery and vein. Kidney resection is done by 5 mm endoscopic scissors within the boundaries of healthy tissues by the “cold” method. An atraumatic interrupted suture is placed on kidney wound, using “Vicryl” 2-0 thread. Then the apparatus is removed from the renal artery, and blood supply is restored in kidney. Ischemia time is 26 minutes. The tumour and removed fat are placed into a special plastic container Covidien, and are removed through the umbilical access. Operation duration is 1 hour 35 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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