Video of operations
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Tachocomb (Austria)
Laparoscopic ischemic resection of the left kidney
Автор: Puchkov K.V.
Laparoscopic ischemic resection of the left kidney
Professor Puchkov K.V. is performing an operation (2019).
The film shows the technique of left-sided laparoscopic resection of the kidney in a malignant tumor (4 cm) located in the lower pole. Mobilization of the kidney and dissection of the renal artery and vein is performed using 5 mm instruments using the Thunderbeat (Olympus) and LigaSure system (MEDTRONIC COVIDIEN). A De Bekey vascular clamp (AESCULAP) is temporarily superimposed on the renal artery. Kidney resection is performed with a 5 mm Thunderbeat (Olympus) instrument within healthy tissue. Hemostasis in the area of the bed is carried out by the bipolar instrument of the Karl Storz Company. For the purpose of additional hemostasis, the wound is covered with a hemostatic plate Tachocomb (Austria). Next, the clamp is removed from the renal artery and blood flow is restored in the kidney. The time of thermal ischemia is 24 minutes. The tumor is immersed in a special plastic container MEDTRONIC COVIDIEN, which is removed through umbilical access. Operation time 1 hour 5 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 the kidney with ZERO ischemia
Автор: Puchkov K.V.
Laparoscopic resection of the kidney with ZERO ischemia
Professor Puchkov K.V. is performing an operation (2019).
Laparoscopic resection of the kidney with ZERO ischemia
You can read about this technique in detail on the personal cite of Professor Puchkov Konstantin Viktorovich. To go to the link.
Laparoscopic approach in the treatment of retrocervical endometriosis with the affected iliac colon
Автор: Puchkov K.V.
Laparoscopic approach in the treatment of retrocervical endometriosis with the affected iliac colon. Professor Puchkov K.V. is performing an operation (2016).
A 34 year-old patient was operated for deep infiltrating retrocervical endometriosis and affected iliac colon. In her anamnesis it is mentioned that she has had two cesarean sections. During laparoscopy it had been found out that the patient has a massive adhesions of organs of small pelvis with the involvement of greater omentum, sigmoid colon, uterus and the urinary bladder. In this video the technique of adhesion dissection by a 5 mm monopolar electrode and a 5 mm LigaSure («MEDTRONIC COVIDIEN») instrument is presented. During revision the lesion of the iliac colon by the invasive endometriosis at the distance of 4 cm from the ileocecal angle had been found out. The length of lesion was 6 cm. The focus invaded to all layers of the intestinal wall, and stenosis of organ lumen had been formed. Trocar port was expanded up to 4 cm, and an affected area of the colon was exteriorized onto the abdominal wall. Resection of some area of small colon was done with the dissection of the mesentery near the wall of colon, preserving the branches of a.ileocolica. It has given a possibility to form “end-to-end” anastomosis near the large colon, placing an atraumatic suture, using manual stitching and “Polysorb” thread 4-0. Suture line was additionally strengthened by a hemostatic patch TachoComb (Austria). Anastomosis was immersed into the abdominal cavity. Operation duration was 120 minutes.
You can read about this technique in detail on the personal cite of Professor Puchkov Konstantin Viktorovich. To go to the link.
Laparoscopic left resection of kidney (the tumour is 2.5 cm in the kidney hilus)
Автор: Puchkov K.V.
Laparoscopic left resection of kidney (the tumour is 2.5 cm in the kidney hilus).
Professor Puchkov K.V. is performing an operation (2016).
In this film the technique of laparoscopic left resection of kidney for malignant tumour (2.5 cm), located in the kidney hilus, is presented , as well as excision of renal cyst (7 cm). Kidney mobilization and dissection of the renal artery are done with the help of a 5 mm LigaSure (MEDTRONIC COVIDIEN) instrument and Karl Storz Company instruments. At the first stage the renal cyst is exposed and resected –it is located along the external contour of the kidney. The bed is handled by a monopolar electrode in the mode of “spray” coagulation. Then a vascular De Bekey forceps are temporarily applied onto the renal artery. Kidney resection is performed by Harmonic Scalpel Ethicon instrument within the boundaries of healthy tissues. For the sake of additional hemostasis the wound is covered by Tachocomb plate (Austria) Then forceps are removed from the renal artery, and blood supply is restored in the kidney. Ischemia time is 18 minutes. The tumour is placed into a special plastic container MEDTRONIC COVIDIEN, that is removed from the umbilical access. Operation duration is 50 minutes.
You can read about this technique in detail on the personal cite of Professor Puchkov Konstantin Viktorovich. To go to the link.
Laparoscopic technique of enucleoresection of kidney for cancer without ischemia
Автор: Puchkov K.V.
Laparoscopic technique of enucleoresection of kidney for cancer without
ischemia
Professor Puchkov K.V. is performing an operation (2006).
In this video the technique of laparoscopic left enucleoresection of kidney for renal cell carcinoma (RCC) (2 cm) is demonstrated. Kidney mobilization and fat dissection around the tumour are done with the help of a 10 mm LigaSure (COVISDIEN) instrument and Karl Storz Company instruments. Fat above the tumour is carefully removed and is sent for morphological investigation to determine exactly the stage of the process. The tumour is removed alongside with the kidney tissue -5-6 mm from the edge by the “cold” method by means of 5 mm endoscopic scissors. An atraumatic continuous suture is placed on the kidney wound, using ‘Vicryl” 2-0 thread and fixing clips Hem-o-lock (USA). For the sake of additional hemostasis the wound is covered by Tachocomb plate (Austria). The tumour and fat are placed into a special plastic container MEDTRONIC COVIDIEN and are removed via troacar access. Operation duration is 60 minutes.
You can read about this technique in detail on the personal cite of Professor Puchkov Konstantin Viktorovich. To go to the link.
