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Laparoscopic partial resection of stomach

Laparoscopic partial resection of stomach

Laparoscopic stage-Prof. Puchkov K.V. is performing (2017), endoscopic diagnostics- D-r Tishchenko E.S. is performing.
The operation is performed for leiomyoma of the antral part of the stomach (2.5 cm at the distance of 3 cm from the pyloric part) and for hiatal hernia. In the film intraoperation gastroscopy is shown, with the marking of the resection area, then the technique of dissection of the area of the greater curvature by a 5 mm LigaSure MEDTRONIC COVIDIEN instrument. At the next stage in the longitudinal direction the part of stomach is resected by a linear stitching apparatus Endo GIA MEDTRONIC COVIDIEN with a 60 mm casette. The preparation is placed into a plastic container and is removed from the abdominal cavity. Operation duration is 30 minutes.

Simultaneous laparoscopic partial resection of stomach and fundoplication with cruroraphy

Simultaneous laparoscopic partial resection of stomach and fundoplication with cruroraphy.

Laparoscopic stage - Professor Puchkov K.V. is performing an operation (2017), endoscopic diagnostics- D-r Tishchenko E.S. is performing.
Operation is performed for leiomyoma of the antral part of the stomach (2.5 cm at the distance of 3 cm from the pyloric part) and for hiatal hernia. In the video intraoperation gastroscopy is presented, with the marking of the resection area, then the technique of dissection of the area of the greater curvature of stomach by a 5 mm LigaSure MEDTRONIC COVIDIEN instrument is presented, as well. At the next stage resection of the stomach part is done by the linear stitching Endo GIA MEDTRONIC COVIDIEN apparatus in the transverse direction under the guidance of gastroscopy. .The preparation is placed into the plastic container and is removed from the abdominal cavity. Then mobilization of gastroesophageal isthmus is done by a 5 mm LigaSure instrument, then cruroraphy and bylateral partial fundoplication according to Toupet (270 g) with the help of interrupted intracorporeal sutures is performed. Operation duration 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 appendectomy in case of endometriosis of the vermiform appendix.

Laparoscopic appendectomy in case of endometriosis of the vermiform appendix..
The operation is performed by Professor Puchkov K.V. (2017).

The patient is operated on for endometriosis of appendix. Resection of rectum is performed for retrocervical endometriosis. In this video the technique of dissection of mesentery of vermiform appendix by means of a 5 mm Liga Sure MEDTRONIC COVIDIEN instrument and by instruments, produced by Karl Storz Company, is presented. Then suturing of its base is done, and it is stitched by a linear stitching MEDTRONIC COVIDIEN apparatus. The apparatus is removed from the abdominal cavity, using a 12 mm troacar. The duration of this stage of appendectomy is 6 minutes.

Gastric shunting – Roux-en-Y gastric bypass-for morbid obesity

Gastric shunting – Roux-en-Y gastric bypass-for morbid obesity.
Professor A.Forgione is performing an operation (2016).

In this video the technique of bariatric operation – Roux-en-Y gastric bypass for morbid obesity is demonstrated. At the first stage the positioning of troacars is presented. For tissue dissection a 5 mm Harmonic Scalpel Ethicon instrument is used. Stitching of the colon and stomach is performed by a 60 mm Endo GIA MEDTRONOC COVIDIEN apparatus with white and blue casettes. Gastrointestinal anastomosis is formed by circular stitching apparatus.

Laparoscopic resection of cecum and appendectomy for infiltrative endometriosis

Laparoscopic resection of cecum and appendectomy for infiltrative endometriosis.
Professor Puchkov K.V. is performing an operation (2016).

The operation was performed for infiltrative endometriosis of cecum and base of appendix. The right fallopian tube and ovary were involved in the infiltrate. In the video the technique of adhesiolysis between appendages of uterus and cecum with 5 mm monopolar electrode, was demonstrated. Dissection of the mesentery of vermiform process was performed with a 5 mm LigaSure (“MEDTRONIC COVIDIEN”) instrument and instruments of Karl Storz Company. After mobilization it should be determined whether the whole of the cecum was involved into the process or it was without involving of ileocecal valve. Then the intestinal wall, lower than infiltrate level, was stitched and transected by a linear stitching device (“MEDTRONIC COVIDIEN”). Revision of the wound suture was done-there was no deformity and narrowing of ileocecal isthmus. Specimen was removed through the abdominal cavity via a 12 mm troacar. Duration of this stage was 16 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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