Tips and tricks

Tips and tricks: standard case of laparoscopic cholecystectomy in an obese patient with a BMI of 49

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This video demonstrates a series of technical tricks designed to overcome the specific challenges of laparoscopic cholecystectomy in morbidly obese patients.

English - 06'46'' 00'15''  Case presentation 00'30''  Patient positioning and set-up 01'00''  Case commences with placement of optical port 02'10''  Placement of working ports 02'48''  Fundal retraction of gallbladder 03'00''  Skeletonization of Calot's triangle 05'00''  Clipping and division of cystic duct and artery 05'40''  Completion of gallbladder dissection 06'10''  Removal of specimen

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Use of the new EEA stapler in a laparoscopic Roux-en-Y gastric bypass

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This video shows the advantages of performing a laparoscopic gastrojejunostomy in a gastric bypass with the new DST Series EEA stapler. Every operative step is clearly shown and described.

English - 04'05'' 00'09''  Division of the jejunum 00'51''  Preparation of the jejunal side of the gastrojejunal anastomosis 01'21''  Creation of the gastrojejunal anastomosis 02'50''  Specimen retrieval 03'40''  Methylene blue test 03'55''  Closure of mesenteric defect

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A stepwise approach for laparoscopic right colectomy using the new LigaSure Advance

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This video presents a laparoscopic right colectomy performed with the aid of the new Ligasure Advance. The combination of advanced tissue fusion and division functionalities thanks to a dissecting electrode, allows for a more effective and a less time-consuming procedure.

English - 04'02'' 00'08''  Medial approach 00'54''  Vascular dissection 01'24''  Transverse mesocolon dissection 01'50''  Terminal ileum resection

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Tips and tricks: a new method for colorectal anastomosis using a triple stapling technique

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This video presents a new method for colorectal anastomosis in an easy and reproducible stepwise approach.

English - 03'53'' 00'06''  Preparation of colonic resection 01'06''  Anvil insertion into proximal colon 01'27''  Proximal colon resection 01'34''  Specimen extraction 01'54''  Anvil's positioning and colotomy closure 02'56''  Circular stapler insertion and intracorporeal anastomosis 03'25''  Air test

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Tips and tricks: preservation of superior rectal vessels using the new LigaSure Advance

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This video describes an elective laparoscopic sigmoidectomy for benign disease with the aid of the new Ligasure Advance. This 5mm laparoscopic electrosurgical instrument incorporates both a monopolar and tissue fusion (bipolar) function.

English - 05'20'' 00'08''  Case presentation 00'30''  Dissection and division of the mesentery (medial approach) 02'35''  Preparation of the colorectal junction 02'55''  Distal transection 03'05''  Lateral mobilization of the colon 03'55''  Anvil insertion 04'20''  Intracorporeal re-anastomosis

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Tips and tricks for plexus dissection in laparoscopic TME for rectal cancer in a female patient

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This is a detailed demonstration of an anterior resection, specifically highlighting the key steps to prevent nerve injury at various stages.

English - 09'15'' 01'10''  Preservation of the hypogastric trunk during IMA control 06'20''  Dissection of lateral pelvic nerves during TME

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Acute cholecystitis management and technical tips

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This video demonstrates the laparoscopic approach to cholecystectomy for acute cholecystitis. Key points such as gallbladder decompression, adhesiolysis and exposure of the operative field and dissection of Calot’s triangle during acute inflammation are described in detail.

English - 07'22'' 00'28''  Aspiration of gallbladder 01'20''  Dissection of Calot’s triangle 03'40''  Cystic duct isolation 04'20''  Cystic artery isolation 04'45''  Clipping and division of cystic duct and artery 05'45''  Gallbladder dissection 06'40''  Hemostasis of liver bed

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Technical tips for laparoscopic sigmoidectomy

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This didactic video describes the principles of sigmoid colon resection. Different operative strategies are presented; contrasting the key steps in resection for neoplastic and non-neoplastic conditions. The vascular approach is emphasized, and super-selective vascular dissection of the inferior mesenteric artery (IMA) and its branches are shown.

English - 14'00'' 00'12''  Patient and trocar positionning 01'42''  Case 1: Skeletonization of the inferior mesenteric vessels in diverticulitis 03'45''  Dissection along Toldt's fascia 05'00''  Lateral dissection 05'45''  Superior dissection 06'45''  Case 2: Dissection with Ligasure for diverticulitis 07'45''  Division of IMA 08'05''  Lateral dissection 08'48''  Case 3: Oncologic approach for sigmoid cancer 10'00''  High ligation of IMA 10'45''  Dissection of left hypogastric nerve 11'25''  IMV division 11'50''  Dissection along Toldt's fascia 12'45''  Division of lateral attachments 13'00''  Specimen extraction 13'15''  Anastomosis

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Tips and tricks for gastrojejunostomy in laparoscopic Roux-en-Y gastric bypass

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This video demonstrates the use of a EEA circular stapler in performing the gastro-jejunal anastomosis during the gastric bypass surgery. The surgeon demonstrates the preparation of the anvil, the transoral intubation, and introduction of the shaft. This video is intended to provide basic instruction as to the use of this specific technique.

English - 08'00'' 00'13''  Creation of gastric pouch 01'24''  Preparation of the anvil 02'21''  Positioning of the anvil on the pouch 03'12''  Fashioning of the alimentary limb 04'28''  Closure of enterotomy

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Tips and tricks for jejuno-jejunostomy in laparoscopic gastric bypass

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This video demonstrates a technique of jejunojejunostomy in an antecolic Roux-en-Y gastric bypass procedure. The surgeon shows how to measure the alimentary and biliary limb and to complete the anastomosis without twisting of the bowel. He also demonstrates the closure of mesenteric defects, which could be potential sites of herniation.