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Francesco CORCIONE

Ospedale Monaldi
Naples, Италия
MD
2.1K лайков
114.4K просмотров
3 комментариев
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LIVE INTERACTIVE SURGERY: Interactive discussion around splenic flexure during laparoscopic sigmoidectomy for cancer
In this educational video, Professor Luc Soler gives a brief introduction of 3D reconstruction and modeling. Dr. Corcione introduces the main principles of trocar and port placement. He briefly demonstrates the technical aspects, main principles and key steps of laparoscopic sigmoidectomy for cancer in a 61-year-old male patient in a live interactive surgery. He highlights the technical aspects and main principles of lesser sac opening, vascular identification and division, splenic flexure mobilization, lateral mobilization, transection, suprapubic incision for specimen removal, and EEA anastomosis.
Хирургические операции
1 год назад
6447 просмотров
321 лайков
0 комментариев
58:02
LIVE INTERACTIVE SURGERY: Interactive discussion around splenic flexure during laparoscopic sigmoidectomy for cancer
In this educational video, Professor Luc Soler gives a brief introduction of 3D reconstruction and modeling. Dr. Corcione introduces the main principles of trocar and port placement. He briefly demonstrates the technical aspects, main principles and key steps of laparoscopic sigmoidectomy for cancer in a 61-year-old male patient in a live interactive surgery. He highlights the technical aspects and main principles of lesser sac opening, vascular identification and division, splenic flexure mobilization, lateral mobilization, transection, suprapubic incision for specimen removal, and EEA anastomosis.
Laparoscopic oncologic right colectomy for cancer in an obese patient: interest of a full laparoscopic procedure with ileocolic “in“ anastomosis
In this video, the author demonstrates the possibilities of an laparoscopic oncologic approach to perform a right colectomy in an obese patient.
After a primary vascular approach, the colon is freed from its posterior and lateral attachments prior to being resected. The intracorporeal anastomosis is beautifully described and substantiated here.
Finally, the author underlines the benefit of using dissection instruments recently developed by the medical device Industry (Sonicision™, V-Loc™, and Tri-Staple™ Technology by Covidien).
Хирургические операции
5 лет назад
10074 просмотров
341 лайков
0 комментариев
29:10
Laparoscopic oncologic right colectomy for cancer in an obese patient: interest of a full laparoscopic procedure with ileocolic “in“ anastomosis
In this video, the author demonstrates the possibilities of an laparoscopic oncologic approach to perform a right colectomy in an obese patient.
After a primary vascular approach, the colon is freed from its posterior and lateral attachments prior to being resected. The intracorporeal anastomosis is beautifully described and substantiated here.
Finally, the author underlines the benefit of using dissection instruments recently developed by the medical device Industry (Sonicision™, V-Loc™, and Tri-Staple™ Technology by Covidien).
Laparoscopic gastroesophageal resection after mesh migration
In this video, we describe a laparoscopic gastroesophageal resection after a mesh migration in a 47-year-old woman diagnosed with a giant paraesophageal hernia. Preoperatively, a barium esophagogram, an upper endoscopy and an esophageal manometry were performed to define the anatomy of the esophagus, stomach and gastroesophageal junction, the esophageal peristalsis and the function of the lower esophageal sphincter (LES) to confirm the diagnosis of paraesophageal hernia. Additionally, a 24-hour pH-monitoring was performed to determine the magnitude of gastroesophageal reflux.
Five months after the first operation, the patient presented with fever and dysphagia for solids with a 15 Kg weight loss.
She underwent a CT-scan of the thorax and the abdomen, a gastrografin X-ray examination and an upper endoscopy, which showed the presence of a mediastinal fistula secondary to mesh migration.
For that reason, the patient received a second surgical treatment consisting in a laparoscopic gastroesophageal resection.
Хирургические операции
6 лет назад
2177 просмотров
8 лайков
0 комментариев
16:00
Laparoscopic gastroesophageal resection after mesh migration
In this video, we describe a laparoscopic gastroesophageal resection after a mesh migration in a 47-year-old woman diagnosed with a giant paraesophageal hernia. Preoperatively, a barium esophagogram, an upper endoscopy and an esophageal manometry were performed to define the anatomy of the esophagus, stomach and gastroesophageal junction, the esophageal peristalsis and the function of the lower esophageal sphincter (LES) to confirm the diagnosis of paraesophageal hernia. Additionally, a 24-hour pH-monitoring was performed to determine the magnitude of gastroesophageal reflux.
Five months after the first operation, the patient presented with fever and dysphagia for solids with a 15 Kg weight loss.
She underwent a CT-scan of the thorax and the abdomen, a gastrografin X-ray examination and an upper endoscopy, which showed the presence of a mediastinal fistula secondary to mesh migration.
For that reason, the patient received a second surgical treatment consisting in a laparoscopic gastroesophageal resection.
SILS single port splenectomy in a woman diagnosed with idiopathic thrombocytopenia
Laparoscopic splenectomy (LS) has become the technique of choice for surgical removal of the spleen since its first description in 1991. Indications for LS have rapidly increased and LS is now considered the standard approach for the treatment of benign and malignant hematologic disorders, especially by young patients who find small scars cosmetically preferable.
Single incision laparoscopic surgery (SILS) is a rapidly evolving field as a bridge between traditional laparoscopic surgery and natural orifice transluminal endoscopic surgery. In this video, we present an original technique of SILS splenectomy in a woman diagnosed with idiopathic thrombocytopenia. A 2.2cm left subcostal incision lateral to the rectus muscles was used for the placement of the single port device with conventional laparoscopic instruments, using a Veress needle covered by a small sponge to lift the spleen that was removed through the same incision.
Хирургические операции
6 лет назад
2510 просмотров
38 лайков
0 комментариев
05:51
SILS single port splenectomy in a woman diagnosed with idiopathic thrombocytopenia
Laparoscopic splenectomy (LS) has become the technique of choice for surgical removal of the spleen since its first description in 1991. Indications for LS have rapidly increased and LS is now considered the standard approach for the treatment of benign and malignant hematologic disorders, especially by young patients who find small scars cosmetically preferable.
Single incision laparoscopic surgery (SILS) is a rapidly evolving field as a bridge between traditional laparoscopic surgery and natural orifice transluminal endoscopic surgery. In this video, we present an original technique of SILS splenectomy in a woman diagnosed with idiopathic thrombocytopenia. A 2.2cm left subcostal incision lateral to the rectus muscles was used for the placement of the single port device with conventional laparoscopic instruments, using a Veress needle covered by a small sponge to lift the spleen that was removed through the same incision.
Totally laparoscopic duodenal pancreatectomy for cancer
Since the early 1990s, laparoscopic techniques have been applied to a growing number of pancreatic surgeries. Laparoscopic pancreatic resections have been performed in patients with a variety of diseases including chronic pancreatitis, pancreatic trauma, congenital hyperinsulinism. Laparoscopic proximal pancreatectomies for cancer with or without duodenum preservation remain controversial. Although a laparoscopic pancreaticoduodenectomy is technically feasible, laparoscopic reconstruction after proximal pancreatectomies is not yet generally practicable but limited to personal experiences of highly skilled surgeons.
This interesting video shows all steps and landmarks of a totally laparoscopic duodenopancreatectomy for cancer performed by a very experienced surgeon.
Хирургические операции
10 лет назад
8775 просмотров
36 лайков
0 комментариев
21:13
Totally laparoscopic duodenal pancreatectomy for cancer
Since the early 1990s, laparoscopic techniques have been applied to a growing number of pancreatic surgeries. Laparoscopic pancreatic resections have been performed in patients with a variety of diseases including chronic pancreatitis, pancreatic trauma, congenital hyperinsulinism. Laparoscopic proximal pancreatectomies for cancer with or without duodenum preservation remain controversial. Although a laparoscopic pancreaticoduodenectomy is technically feasible, laparoscopic reconstruction after proximal pancreatectomies is not yet generally practicable but limited to personal experiences of highly skilled surgeons.
This interesting video shows all steps and landmarks of a totally laparoscopic duodenopancreatectomy for cancer performed by a very experienced surgeon.
Completion gastrectomy by laparoscopic approach for cancer of the gastric stump
This operative video demonstrates the performance of a completion gastrectomy in a patient who has had prior partial gastrectomy.
This patient had a previous partial gastrectomy. To mobilize the distal esophagus, the author divides the phrenoesophageal membrane, and then frees the esophagus of all its attachments in the lower mediastinum. This aids in retracting the esophagus into the abdomen. The author then carries out dissection with the ultrasonic scalpel, dividing the posterior and the anterior vagus nerves. To perform partial division of the esophagus, he uses the linear Endo-GIA (Covidien, North Haven, CT) and uses the stomach as a lever.
Хирургические операции
11 лет назад
1447 просмотров
55 лайков
0 комментариев
11:21
Completion gastrectomy by laparoscopic approach for cancer of the gastric stump
This operative video demonstrates the performance of a completion gastrectomy in a patient who has had prior partial gastrectomy.
This patient had a previous partial gastrectomy. To mobilize the distal esophagus, the author divides the phrenoesophageal membrane, and then frees the esophagus of all its attachments in the lower mediastinum. This aids in retracting the esophagus into the abdomen. The author then carries out dissection with the ultrasonic scalpel, dividing the posterior and the anterior vagus nerves. To perform partial division of the esophagus, he uses the linear Endo-GIA (Covidien, North Haven, CT) and uses the stomach as a lever.
Laparoscopic resection of the 3rd and 4th portion of duodenum for a gastrointestinal stromal tumor (GIST)
This video demonstrates the rather difficult procedure of laparoscopic resection of the distal duodenum. The duodenum is dissected from both above and below the transverse mesocolon. A hand-sewn duodenojejunal anastomosis restores bowel continuity. This video is recommended for upper GI surgeons.
The patient is in the dorsal position with arms outstretched and legs abducted. The surgeon stands between the patient’s legs. Mobilization begins with adhesiolysis and then moves onto dissection of the duodenum with a Kocher's maneuver. The author completely mobilizes the third portion of duodenum. Once the surgeon identifies the third and fourth portions of the duodenum, ultrasound helps define the resection margins, initially marked with metallic clips. The procedure continues with division of the ligament of Treitz and resection of the first jejunal loop with a vascular stapler.
Хирургические операции
11 лет назад
166 просмотров
33 лайков
0 комментариев
07:30
Laparoscopic resection of the 3rd and 4th portion of duodenum for a gastrointestinal stromal tumor (GIST)
This video demonstrates the rather difficult procedure of laparoscopic resection of the distal duodenum. The duodenum is dissected from both above and below the transverse mesocolon. A hand-sewn duodenojejunal anastomosis restores bowel continuity. This video is recommended for upper GI surgeons.
The patient is in the dorsal position with arms outstretched and legs abducted. The surgeon stands between the patient’s legs. Mobilization begins with adhesiolysis and then moves onto dissection of the duodenum with a Kocher's maneuver. The author completely mobilizes the third portion of duodenum. Once the surgeon identifies the third and fourth portions of the duodenum, ultrasound helps define the resection margins, initially marked with metallic clips. The procedure continues with division of the ligament of Treitz and resection of the first jejunal loop with a vascular stapler.