Video of operations
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Cholecystectomy
Laparoscopic correction of diastasis recti and umbilical hernia, cholecystectomy
Автор: Puchkov K. V.
Laparoscopic correction of diastasis recti and umbilical hernia, cholecystectomy
Surgeon: professor K.V. Puchkov (2018).
Overweight patient. Gallbladder size 22 cm x 6 cm. Massive adhesions. The calculus size about 5.5 cm. Diastasis 18x5 cm, the size of the hernia gate is 4 cm. During the first stage, cholecystectomy is performed. Further, in the video it shows the technique of correction of diastasis recti and umbilical hernia by suturing them with the V-lock non-absorbable 2-0 thread (MEDTRONIC COVIDIEN) on an atraumatic needle. This stage is performed through trocars inserted for cholecystectomy. The final stage is the closure of the suture line with a ParietexComposite mesh (20x16 cm) and its fixation with transperitoneal sutures and a ProTack (MEDTRONIC COVIDIEN) hernia stapler. The duration of the whole simultaneous operation is 1 hour 30 minutes, the stage of correction of diastasis 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.
Laparoscopic cholecystectomy for rare version of positioning of cystic artery
Автор: Пучков К.В.
Laparoscopic cholecystectomy for rare version of positioning of cystic artery. Professor Puchkov K.V. is performing an operation (2017)
In this film the technique of laparoscopic cholecystectomy in case of rare version of positioning of cystic artery is presented. The cystic artery originates from the common hepatic artery (it is marked in 2 % of cases), and both the common hepatic artery and the right hepatic artery are near the wall of the gallbladder. That is why it is necessary to perform a careful dissection of tubular structures near Calot’s triangle before their transection. This technique of operation is a kind of prophilaxis to prevent from severe complications-clipping and transection of the common hepatic artery.
You can read about this technique in detail on the personal cite of Professor Puchkov Konstantin Viktorovich. To go to the link.
Simultaneous laparoscopic cholecystectomy and resection of hepatic cyst
Автор: Puchkov K.V.
Simultaneous laparoscopic cholecystectomy and resection of hepatic cyst.
Professor Puchkov K.V. is performing an operation (2016).
In this film the technique of classical laparoscopic cholecystectomy in case of calculous cholecystitis, using 4 ports, is presented. The author is demonstrating the virtuosity when showing the technique of working with a 5 mm monopolar electrode in the area of Calot’s triangle. Dissection of the cystic duct and artery is performed without blood loss. The duration of cholecystectomy stage is 6 minutes. Then, using these ports, and a 5 mm Ligasure MEDTRONIC COVIDIEN instrument, resection of the cyst of the right lobe of liver (8 cm) is done. The cyst is opened by a monopolar electrode, and its contents (350 mL) is evacuated with the help of electroejection. Then, on the boundary with the hepatic tissue resection of walls of the cyst is done by means of a 5 mm LigaSure MEDTRONIC COVIDIEN instrument. Destruction of the cystic wall near its bed is done with the help of a 5 mm monopolar instrument in the mode of non-contact coagulation “spray” of the Company Karl Storz. The gallbladder and cystic walls are placed into a special plastic container MEDTRONIC COVIDIEN, then are removed through the umbilical access. Operation time is 20 minutes.
You can read about this technique in detail on the personal cite of Professor Puchkov Konstantin Viktorovich. To go to the link.
Transvaginal hybrid minilaparoscopy-assisted cholecystectomy (N.O.T.E.S. technique)
Автор: Puchkov K.V.
Transvaginal hybrid minilaparoscopy-assisted cholecystectomy (N.O.T.E.S. technique).
Professor Puchkov K.V. is performing an operation (2015).
In this film a simple technique of removal of a gallbladder, using the transvaginal access with laparoscopic assistance, is presented. The instruments that are used, are as follows: 3 troacars-10 mm, 3 mm, 5 mm and instruments of Karl Storz Company. The technique of transvaginal introduction of the first troacar, under the visual guidance of a laparoscope, is presented. Visualization of the surgical site is done due to a 10 mm (the length is 55cm) hard laparoscope. Attention is paid to the consecutive and safe dissection of the structures of Calot’s triangle, using Endo Mini-Retract COVIDIEN instrument with clipping by means of a 5 mm MEDTRONIC COVIDIEN applicator via a 5 mm umbilical access. Removal of the gallbladder is done transvaginally with the closure of vaginal wound by one stitch, where synthetic resorbable thread has been used.
You can read about this technique in detail on the personal cite of Professor Puchkov Konstantin Viktorovich. To go to the link.
Minilaparoscopic cholecystectomy
Автор: Puchkov K.V.
Minilaparoscopic cholecystectomy.
Professor Puchkov K.V. is performing an operation (2015).
The operation is performed for polyposis of the gallbladder. In the video the technique of using only a 3 mm troacar is presented, as well as using of instruments of Karl Storz Company. The umbilical access 10 mm is required for removing gallbladder and clipping cystic duct and artery. During clipping of structures of Calot’s triangle via the umbilical port the optics are shifted into a 3 mm epigastral port. Operation duration is 25 minutes.
You can read about this technique in detail on the personal cite of Professor Puchkov Konstantin Viktorovich. To go to the link.
Simultaneous laparoscopic cholecystectomy and supracervical hysterectomy, using the single laparoscopic access
Автор: Puchkov K.V.
Simultaneous laparoscopic cholecystectomy and supracervical hysterectomy, using the single laparoscopic access.Professor Puchkov K.V. is performing an operation (2013).
In this video the technique of laparoscopic cholecystectomy, using the single port (COVIDIEN SILS port) in case of calculous cholecystitis, is presented. The sizes of the gall bladder are the following: 14x7 cm. The technique of trancscutanous fixing stitching, exposure of the vesicular duct and arteries, using COVIDIEN mini retract instrument and clipping of these structures by a 10 mm automatic applicator have been demonstrated. Hysterectomy is performed by means of a 10 mm Liga Sure MEDTRONIC COVIDIEN instrument. Dissection of the uterine body from its cervix is performed by Karl Storz monopolar loop. Abdomen peritonization and stitching of the sacrouterine ligaments are done with the help of Endo Stitch COVIDIEN instrument.
You can read about this technique in detail on the personal cite of Professor Puchkov Konstantin Viktorovich. To go to the link.
Laparoscopic cholecystectomy with the use of PerClot hemostatic
Автор: Puchkov K.V.
Laparoscopic cholecystectomy with the use of PerClot hemostatic. Professor Puchkov K.V. is performing an operation (2012).
In this film the technique of laparoscopic cholecystectomy is presented. While performing cholecystectomy, opening of hepatic sinus sometimes arises, and hemostasis, using usual methods, is not efficient. In this situation the use of PerClot hemostatic (Italy) gives a possibility to stop bleeding fast and safely. And there is no need to leave drainage after operation in this case.
You can read about this technique in detail on the personal cite of Professor Puchkov Konstantin Viktorovich. To go to the link.
