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Francesco CORCIONE

Ospedale Monaldi
Naples, Италия
MD
2.1K лайков
112.1K просмотров
3 комментариев
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Расположение: Список Таблица
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.
F Corcione, J Marescaux
Хирургические операции
10 лет назад
8722 просмотров
36 лайков
1 комментарий
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.
F Corcione
Хирургические операции
11 лет назад
1436 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.
F Corcione
Хирургические операции
11 лет назад
153 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.