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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.

Endoscopic radiofrequency ablation (ERA) of Barrott esophagus

Endoscopic radiofrequency ablation (ERA) of Barrott esophagus.
D-r Tishchenko E.S., the Head of the Department, is performing an operation (2016).

A 27 year-old female patient is operated on for Barrett esophagus on the background of gastroesophageal reflux disease (GERD) without hiatal hernia. GERD has been proved by daily pH-metry and esophageal manometry, and Barrett esophagus-by morphological method. In this film diagnostic fibrogastroscopy (FGS) is presented, and biopsy of changes of mucous membrane of esophagus. After obtaining results of morphology radiofrequency ablation (RFA) of Barrott esophagus has been done. Self-set balloon catheter has been used (Barrx 360 Express RIA Medtronic company) that consists of bipolar electrodes that are in a soft balloon. This kind of positioning of active electrodes provides ablation zone up to 3 cm and gives a possibility to deliver circular energy of RFA to the affected tissue of the mucous membrane. The peculiarity of this kind of influence as compared to argon increased plasma is removal of only changed parts of the mucous membrane of esophagus, without injuring healthy parts and those parts that are located deeper. And it is not accompanied by stricture development in esophagus at the area of influence. After operation the therapy by proton pump inhibitors has been administered, under the dynamic guidance.

In 6 months after FGS Barrett esophagus has not been found out.

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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