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Laparoscopic resection of right renal cyst (the size is 10 cm) (Bosniak 3)

Laparoscopic resection of right renal cyst (the size is 10 cm) (Bosniak 3)
Professor Puchkov K.V. is performing an operation (2017).

In this film the technique of laparoscopic resection of complex renal cyst (Bosniak 3), having the size 10 cm. Access to the cyst is done by means of bringing down the liver angle of the large colon and dissection of tissues between Toldt’s fascia and fascia Gerotae by a 5 mm LigaSure (MEDTRONIC COVIDIEN) instrument and instruments of Karl Storz Company. At the next stage the cyst is maximally excised out of the renal parenchyma, using a 5 mm LigaSure instrument and monopolar electrode. The remaining area -4 cm- is coagulated by bipolar , until dry coagulated eschar is formed. The preparation is placed into a special plastic container MEDTRONIC COVIDIEN and is removed through the umbilical access. Operation time is 1 hour.

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 left renal cyst (7 cm) (Bosniak 3)

Laparoscopic resection of left renal cyst (7 cm) (Bosniak 3)
Professor Puchkov K.V. is performing an operation (2015).

In this film the technique of laparoscopic resection of complex renal cyst (Bosniak 3) , having the size 7 cm, located at the posterior wall, is presented. Access to the cyst is done by means of bringing down the splenic angle of the large colon and dissection of tissues between Toldt’s fascia and fascia Gerotae by a 5 mm Ligasure (MEDTRONIC COVIDIEN) instrument and Karl Storz Company instruments. At the next stage exposed and removed lower pole of kidney with the cyst is placed into a plastic container MEDTRONIC COVIDIEN for the sake of prophilaxis of dissemination of the contents of the container in the abdominal cavity. Then, using ultrasonic scissors MEDTRONIC COVIDIEN, the cyst is maximally excised out of the renal parenchyma. The remaining part, 4 cm, is coagulated by a monopolar electrode in non-contact mode , until dry coagulated eschar is formed. For the sake of additional hemostasis the wound is covered by hemostatic PerClot (Italy). Operation time is 1 hour

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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