Video of operations
Information is intellectual property.
All rights reserved in accordance with the legislation of the RF
Laparoscopic resection of kidney
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 right resection of kidney with wound stitching
Автор: Puchkov K.V.
Laparoscopic right resection of kidney with wound stitching. Professor Puchkov K.V. is performing an operation (2017).
In this film the laparoscopic resection of the right kidney for malignant tumour (4.5 cm), located in the area of the upper pole, is demonstrated. Mobilization of kidney and dissection of the renal artery and vein are done with the help of a 5 mm Harmonic Scalpel Ethicon instrument, as well as LigaSure (MEDTRONIC COVIDIEN) instrument. De Bekey vascular forceps are temporarily applied onto the renal artery. Kidney resection is performed by a 5 mm Harmonic Scalpel Ethicon instrument within the limits of healthy tissues. Hemostasis in the area of bed is done by a bipolar instrument of Karl Storz Company. An atraumatic interrupted suture is placed on the kidney wound, using “Vicryl” thread. For the sake of additional hemostasis the wound is stitched by hemostatic PerClot (Italy). Then the forceps are removed from the renal artery, and blood circulation is restored in the kidney. The time of ischemia is 32 minutes. The tumour is placed in a special container MEDTRONIC COVIDIEN and is removed through the umbilical access. Operation time 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.
Laparoscopic right resection of kidney with wound stitching
Автор: Puchkov K.V
Laparoscopic right resection of kidney with wound stitching.
Professor Puchkov K.V. is performing an operation (2017).
In this film the technique of the right laparoscopic resection of kidney for malignant tumour (2 cm), that is located on the anterior surface, is demonstrated. In the abdominal cavity there is an extensive adhesion process, developed after open cholecystectomy. Mobilization of kidney and dissection of the renal artery and vein are done with the help of a 5 mm LigaSure (MEDTRONOC COVIDIEN) instrument. De Bekey forceps are temporarily applied onto the renal artery. Kidney resection is performed by a 5 mm monopolar instrument within the limits of healthy tissues. An atraumatic interrupted suture is placed on the kidney wound, using “Polysorb” thread. For the sake of additional hemostasis the wound is covered by hemostatic PerClot (Italy). Then the forceps are removed from the renal artery, and blood circulation is restored in the kidney. The ischemia time is 25 minutes. The tumour is placed into a special container MEDTRONIC COVIDIEN and is removed through the umbilical access. Operation duration is 1 hour 30 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 left resection of kidney
Автор: Gallyamov E.A.
Laparoscopic left resection of kidney.
Professor Gallyamov E.A. is performing an operation (2013).
In this video the technique of laparoscopic left resection of kidney for malignant tumour, located in the lower pole, is demonstrated. Kidney mobilization and dissection of the renal artery and vein are done with the help of a 5mm Harmonic Scalpel Ethicon instrument. Hemostasis by means of manual stitching of the branch of the renal artery is demonstrated. Temporary ischemia is due to applying forceps onto the artery. Kidney resection is performed by means of 5 mm scissors by a “cold method” within the boundaries of healthy tissues. Kidney wound is stitched by V-lock system (MEDTRONIC COVIDIEN). Then the forceps are removed from the renal artery, and blood flow is restored in kidney. The tumour is placed into a special plastic container MEDTRONIC COVIDIEN, and is removed through the umbilical access.
You can read about this technique in detail on the personal cite of Professor Puchkov Konstantin Viktorovich. To go to the link.
Laparoscopic right resection of kidney for malignant tumour (4 cm)
Автор: Puchkov K.V.
Laparoscopic right resection of kidney for malignant tumour (4 cm)
Professor Puchkov K.V. is performing an operation (2012).
In this video the technique of laparoscopic right resection of kidney for malignant tumour (4 cm) is demonstrated. Kidney mobilization and dissection of the renal artery and veins are done by means of a 5 mm Thunderbeat Olympus instrument, when the conception “one operation-one instrument” has been realized. Tissue dissection is performed fast and without blood loss. Then De Bekey vascular forceps are transiently applied onto the renal artery. Kidney resection is performed by means of a 5 mm Thunderbeat Olympus instrument within the boundaries of healthy tissues. The wound is stitched by V-lock (MEDTRONIC COVIDIEN) system, using monofilament resorbable polydioxanone thread, that is oriented in space with the set angle. It gives a possibility to thread to slide freely in one direction and not to be shifted in the opposite direction. This system gives a possibility to stitch the kidney wound layer by layer and fast with the proper hemostasis. Then the forceps are removed from the renal artery, and blood supply is restored in the kidney. Ischemia time is 25 minutes. The tumour is placed into a special plastic container MEDTRONIC COVIDIEN, that is removed through the umbilical access. Operation duration is 45 minutes.
You can read about this technique in detail on the personal cite of Professor Puchkov Konstantin Viktorovich. To go to the link.
