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Laparoscopic cardiomyotomy
Simultaneous laparoscopic cardiomyotomy with partial fundoplication and cholecystectomy
Автор: Puchkov K. V.
Simultaneous laparoscopic cardiomyotomy with partial fundoplication and cholecystectomy
Surgeon: professor K.V. Puchkov (2018).
The operation is performed for achalasia cardia and chronic calculous cholecystitis. The film shows the technique of dissecting of esophageal-gastric junction with the 5 mm LigaSure (MEDTRONIC COVIDIEN) instrument. Cardiomyotomy was performed by the original method with a thin monopolar electrode in a reduced power mode. Attention is paid to the dissection of all muscle layers up to the submucosal layer at a distance of at least 8 cm. The defect is covered by the anterior wall of the stomach with fixation with a continuous intracorporal suture. At the end of this stage, the anterior crurography is performed. Then, in the video shows the technique of laparoscopic cholecystectomy in chronic calculous cholecystitis. At this stage, special attention is paid to careful dissection of tubular structures in the area of the Kahlo triangle. After dissection of the cystic duct and artery, as well as visualization of the lateral wall of the common bile duct, the selected structures cut between the clips. A 10 mm applicator is inserted from the working access in the left hypochondrium. The gallbladder is removed from the abdominal cavity in a plastic container.
You can read about this technique in detail on the personal cite of Professor Puchkov Konstantin Viktorovich. To go to the link.
Laparoscopic cholecystectomy, Kalo triangle dissection
Автор: Puchkov K.V.
Laparoscopic cholecystectomy, Kalo triangle dissection.
Professor Puchkov K.V. is performing an operation (2018).
The video shows the technique of laparoscopic classical cholecystectomy for chronic calculous cholecystitis. At this stage, special attention is paid to careful dissection of tubular structures in the area of the Kahlo triangle with a monopolar electrode (this stage is specifically shown without mounting). After dissection of the cystic duct and artery, as well as visualization of the lateral wall of the common bile duct, the selected structures cut between the clips. A 10 mm applicator is inserted from the working port in the left hypochondrium (it was used to perform cardiomyotomy for achalasia cardia). The gallbladder is removed from the abdominal cavity in a plastic container. You can read more about the techniques on the personal site of Professor Konstantin Viktorovich Puchkov.
You can read more about the techniques on the personal site of Professor Konstantin Viktorovich Puchkov.
Laparoscopic cardiomyotomy with the partial fundoplication in Volkova’s modification
Автор: Puchkov K.V.
Laparoscopic cardiomyotomy with the partial fundoplication in Volkova’s modification. Professor Puchkov K.V. is performing an operation (2014).
Operation is performed for achalasia of cardia, stage 3. In this film the technique of dissection of gastroesophageal isthmus by a 5 mm Liga Sure MEDTRONIC COVIDIEN instrument is demonstrated. Cardiomyotomy is performed, using the original technique - by means of a thin monopolar electrode in the mode of reduced power. One should pay attention to the dissection of all the muscular layers up to the submucous layer at the distance not less than 8 cm. Then the defect is covered by the anterior gastric wall, fixing by continuous intracorporeal suture. Operation duration is 40 minutes.
You can read about this technique in detail on the personal cite of Professor Puchkov Konstantin Viktorovich. To go to the link.
