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Thoracoscopy in children

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Video-assisted thoracic surgery (VATS) has been used in humans since the turn of last century. It is only in the seventies that VATS could find some applications in children, when Rodgers introduced it to perform small biopsies and decortications.
Today, thanks to continuous technological advances and refinements in techniques, VATS has gained a wide range of indications in children. VATS mainly deals with diseases of the esophagus, the diaphragm and the lungs, including tumors and metastasis, thoracic infections and thoracic wall malformations.
Unquestionable advantages of VATS include improved cosmesis and avoidance of thoracotomies with prevention of functional disorders of the thorax and shoulder girdle.
However, other presumed benefits such as less postoperative pain and fewer complications, still require systematic randomized studies.
The aim of this video is to give a non-exhaustive general overview of various feasible VATS procedures in children.

English - 13'50''

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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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Robotic-assisted subtotal gastrectomy with extended lymphadenectomy for gastric cancer

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This video demonstrates the performance of a subtotal gastrectomy with extended lymphadenectomy for gastric cancer using the DaVinci system for robotic assistance.

English - 08'05'' 00'15''  Case presentation and trocar placement 00'25''  Gastroscopy 00'35''  Case commencement with initial perigastric dissection 01'25''  Division of right gastroepiploic vessels 01'45''  Division of duodenum 02'40''  Peripancreatic dissection and division of right and left gastric vessels 06'00''  Transection of proximal stomach 06'40''  Roux loop anastomosis 07'39''  Drain placement and procedure end

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TAPP (transabdominal preperitoneal) repair of a right infraumbilical Spiegelian hernia

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This video demonstrates how the principles of TAPP procedures may be applied to repair Spiegelian hernia of the abdominal wall.

English - 08'10'' 00'15''  Patient and trocar position 00'45''  Case commencement 00'55''  Clarification of hernia anatomy 01'55''  Peritoneal dissection and development of preperitoneal space 06'30''  Mesh placement 07'45''  Re-approximation of peritoneum 08'23''  Procedure end

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Complication of fundoplication: esophageal stenosis at the hiatal orifice

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The video demonstrates the laparoscopic surgical management of an unusual case of postoperative dysphagia following a Nissen's fundoplication for reflux disease.

English - 09'40'' 00'12''  Case presentation 01'17''  Case commencement 01'30''  Initial dissection and adhesiolysis 04'10''  Examination of hiatus and in-situ wrap 04'50''  Take-down of prior crural repair 06'40''  Resolution of obstruction 07'10''  Postoperative outcome on follow-up examination

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Laparoscopic TAPP repair for a right Nyhus type IVa inguinal hernia in a male patient

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This edit of a case performed at a recent EITS Laparoscopic Course demonstrates the TAPP technique for a right inguinal hernia. As well as the technical steps, the relevant anatomy is expertly demonstrated.

English - 10'32'' 00'20''  Case presentation 00'40''  Trocar positioning 01'50''  Case commencement 02'10''  Anatomical landmarks 02'30''  Peritoneal dissection 03'30''  Development of preperitoneal space 04'50''  Dissection of hernial sac 06'28''  Mesh preparation and placement 08'10''  Mesh fixation 08'50''  Re-approximation of peritoneum

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