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Laparoscopic left nephrectomy

Laparoscopic left nephrectomy.
Professor Gallyamov E.A. is performing an operation (2013).

The author is commenting on his operation. In the film the technique of laparoscopic left nephrectomy for renal cancer is presented. The access to kidney hilus is done by bringing down the splenic angle of the large colon and dissection of tissues between Toldt’s fascia and Fascia Gerotae by a 10 mm LigaSure (MEDTRONIC COVIDIEN) instrument and Karl Storz Company instruments. The renal vein and artery are ligated by the system Weck Hem-o-Lock and are transected by the endoscopic scissors. The preparation is placed into a special plastic container and is removed through the access according to Pfannenstil.

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

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.

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