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Simultaneous laparoscopic cholecystectomy and right nephrectomy

Simultaneous laparoscopic cholecystectomy and right nephrectomy.
Professor Puchkov K.V. is performing an operation (2011).

In this video the technique of classical laparoscopic cholecystectomy for chronic calculous cholecystitis, using 4 ports, is demonstrated. Then, using those ports and a 10 mm LigaSure MEDTRONIC COVIDIEN instrument, right nephrectomy with lymphadenectomy for renal cancer is performed. Attention should be paid to the technique of duodenum mobilization according to Kocher, to fat dissection along the inferior vena cava and transection of the gonadal vein. Then the lower surface of fascia Gerotae is exposed, and transection of ureter takes place. After that the consecutive stitching and transection of the renal artery and vein are done by means of the endoscopic stitching apparatus. The kidney is exposed en block with preserving the adrenal gland. The preparation is placed into a special plastic container MEDTRONIC COVIDIEN, that is removed via 4 cm incision.

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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