how to

surgical intervention video

This video describes an "ideal" cholecystectomy, with a stepwise approach to the cystic pedicle and the dissection of the gallbladder. This video emphasizes the key points of dissection necessary to perform a safe cholecystectomy.

The initial approach aims to expose the infundibulum and to successively dissect the anterior and posterior reflection of the peritoneum. It provides a safe view of the cystic duct and the cystic artery which can be dissected in order to secure the “critical view of safety”, exposing the cystic artery clearly away from the common bile duct and the right hepatic artery. This highlights the risky parts of the dissection when rules are not respected.

After complete control of the pedicle, freeing of the gallbladder in the appropriate plane avoids any oozing, keeping the operative field totally clear and safe.

Finally, the video shows the extraction method for the gallbladder, allowing the procedure to be performed with three 5mm ports and one 10-12mm port, thereby limiting the risk of postoperative port-site hernia. 

This 20-minute live uncut video is a demonstration of a gold standard procedure.

LIVE UNCUT SURGERY: laparoscopic cholecystectomy for cholelithiasis, a gold standard procedure

CHIRURGIE LIVE INTEGRALE : cholécystectomie laparoscopique pour cholélithiase, une intervention de référence

"Este vídeo descreve uma colecistectomia ""ideal"", com abordagem passo a passo para o pedículo cístico e a dissecção da vesícula biliar. Este vídeo ressalta os pontos-chave da dissecção necessários para realizar uma colecistectomia segura. A abordagem inicial visa expor o infundíbulo e dissecar com sucesso a reflexão posterior e anterior do peritônio. Fornece uma visão segura do ducto cístico e da artéria cística, que podem ser dissecados para garantir a ""visão crítica de segurança"", expondo a artéria cística claramente afastada do colédoco e da artéria hepática direita. Isso destaca as partes arriscadas da dissecção quando as regras não são respeitadas. Após o controle completo do pedículo, a liberação da vesícula no plano apropriado evita qualquer extravasamento, mantendo o campo operatório totalmente limpo e seguro. Finalmente, o vídeo mostra o método de extração para a vesícula biliar, permitindo que o procedimento seja realizado com três portais de 5 mm e um portal de 10-12 mm, limitando assim o risco de hérnia pós-operatória no sítio do portal.  Este vídeo ao vivo sem cortes de 20 minutos é uma demonstração de um procedimento padrão-ouro."


CIRURGIA AO VIVO SEM CORTES: colecistectomia laparoscópica para colelitíase, um procedimento padrão-ouro

LIVE НЕМОНТИРОВАННАЯ ХИРУРГИЯ: лапароскопическая холецистэктомия по поводу холелитиаза

This video describes an "ideal" cholecystectomy, with a stepwise approach to the cystic pedicle and the dissection of the gallbladder. This video emphasizes the key points of dissection necessary to perform a safe cholecystectomy. The initial approach aims to expose the infundibulum and to successively dissect the anterior and posterior reflection of the peritoneum. It provides a safe view of the cystic duct and the cystic artery which can be dissected in order to secure the “critical view of safety”, exposing the cystic artery clearly away from the common bile duct and the right hepatic artery. This highlights the risky parts of the dissection when rules are not respected. After complete control of the pedicle, freeing of the gallbladder in the appropriate plane avoids any oozing, keeping the operative field totally clear and safe. Finally, the video shows the extraction method for the gallbladder, allowing the procedure to be performed with three 5mm ports and one 10-12mm port, thereby limiting the risk of postoperative port-site hernia. This 20-minute live uncut video is a demonstration of a gold standard procedure.

Laparoscopic cholecystectomy for cholelithiasis, a gold standard procedure

LIVE UNCUT SURGERY: laparoscopic cholecystectomy for cholelithiasis, a gold standard procedure