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Universidad en línea

La biblioteca de videos en línea más grande en cirugía mínimamente invasiva.

Apoyo educativo

El WebSurg es una universidad virtual creada por cirujanos para cirujanos. Es una extensa fuente de conocimiento en cirugía mínimamente invasiva. Es gratis y accesible para todos. El WebSurg promueve avances tecnológicos en el campo de la cirugía mínimamente invasiva, en todos los campos quirúrgicos, es decir, cirugía general y digestiva, urología, ginecología, cirugía pediátrica, cirugía endoscópica, cirugía de la base del cráneo, artroscopia y cirugía del miembro superior. Defina sus objetivos educativos y mire los videos que corresponden a su especialidad.

Contribuciones

El WeBsurg le permite mejorar sus habilidades quirúrgicas, pero también compartir sus conocimientos con la mayor comunidad de cirujanos del mundo. Envíe el video de su procedimiento quirúrgico en nuestro sitio web y forme parte de nuestro cuerpo docente internacional.

Intervención quirúrgica
12:28
Laparoscopic Frey's procedure with management of intraoperative complication
This is the case of a 61-year-old lady presenting with recurrent abdominal intractable pain she has been suffering from for the last 7 years. Multi-slice CT (MSCT) revealed pancreatic calcifications from 1 to 5-8mm and dilatation of the main pancreatic duct in the body of the pancreas up to 4mm. The patient underwent laparoscopic local resection of the pancreatic head combined with a longitudinal Roux-en-Y pancreaticojejunostomy, a technique known as Frey's procedure. It is recognized as an effective therapeutic option for the surgical treatment of patients with persistent pain caused by chronic pancreatitis.
After fashioning the posterior wall of the pancreaticojejunal anastomosis, we faced an intraoperative complication such as a volvulus of the Roux limb causing serious ischemia of the limb. We were forced to remove all previous sutures in order to untwist the Roux limb. The pancreaticojejunostomy was started anew afterwards.
The purpose of this video is to demonstrate that Frey's procedure can be performed in a minimally invasive fashion, which provides all the well-known advantages of this approach. We demonstrate that even a serious intraoperative complication such as a volvulus of the Roux limb can be managed without conversion. Our center has an experience of over 30 laparoscopic Frey's procedures. However, this is the first case where we encountered this complication and we believe this is an experience worth sharing.
Yet, we would like to underline that this approach should be used by highly skilled minimally invasive surgeons with an experience in intracorporeal suturing, which is the most challenging stage in Frey's procedure.
Laparoscopic Frey's procedure with management of intraoperative complication
P Agami, A Andrianov, V Shchadrova, M Baychorov, R Izrailov
260 visualizaciones
4 días atrás
Intervención quirúrgica
09:24
Transanal minimally invasive surgery (TAMIS) for rectal cancer with transabdominal and transrectal ICG-guided sentinel node
Transanal minimally invasive surgery (TAMIS) for rectal cancer is gaining interest, with the objective of maximum sparing for physiological functions. Although this approach may be considered appropriate for treating stage T1m tumors, a large proportion of T1sm and T2 tumors could well benefit from this. The greatest limitation to the application of TAMIS is represented by the difficulty of obtaining an adequate lymph node sample of the mesorectum. The use of indocyanine green (ICG) has recently been suggested as a possible lymph node marker after peritumoral injection. The case described in this video presents an innovative proposal for the detection and removal of lymph nodes draining a tumor of the lower rectum, with the aim of obtaining an adequate lymph node staging. After endoscopic peritumoral ICG injection, we proceeded to the search and removal of sentinel lymph nodes both with a laparoscopic transabdominal approach and with a transrectal approach (after specimen removal). If validated in a prospective series, this technique could represent the best lymph node harvesting strategy during TAMIS for early stage rectal cancer.
Transanal minimally invasive surgery (TAMIS) for rectal cancer with transabdominal and transrectal ICG-guided sentinel node
G Baiocchi, R Nascimbeni, N Vettoretto, N de Manzini, M Morino
427 visualizaciones
Hace 1 mes
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