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surgical intervention video

Reoperación laparoscópica por fundoplicatura de Nissen utilizando EndoFLIP® (sonda de imagen luminal funcional endoluminal)


This video demonstrates a redo laparoscopic Nissen fundoplication in a 46-year-old woman with recurrent gastroesophageal reflux symptoms 10 years after the previous antireflux repair, in which a functional lumen imaging probe "the endoFLIP" was used. 

Laparoscopic redo Nissen fundoplication using the EndoFLIP® (Endolumenal Functional Lumen Imaging Probe) Imaging System

应用EndoFLIP®（腔内功能内腔成像探头）成像系统进行腹腔镜Redo-NeNeon胃底折叠术


Reprise de fundoplicature de Nissen par laparoscopie : utilisation du système d'imagerie EndoFLIP® (Endolumenal Functional Lumen Imaging Probe)


Reoperação laparoscópica por fundoplicatura de Nissen usando o sistema de imagem EndoFLIP® (sonda de imagem luminal funcional endoluminal)


在肺移植的年轻女性患者中用于腹腔镜Nissen胃底折叠术的迷你仪器


Studies demonstrated that lung transplant survival has been significantly improved in patients who have benefited from an anti-reflux surgery, generally if surgery is performed before the development of a severe obliterating bronchiolitis, which is the most frequent cause of mortality. 

This video demonstrates a Nissen fundoplication performed with 3mm instruments in a young woman, 12 months after lung transplant for mucoviscidosis. 

Mini instrumentation for laparoscopic Nissen fundoplication in a lung transplanted young female patient

Mini-instruments pour réaliser une fundoplicature de Nissen laparoscopique chez une patiente jeune transplantée


Мини-инструментарий при выполнении лапароскопической фундопликации по Ниссену у пациентки с пересаженными легкими


Mini-instrumentação para fundoplicatura de Nissen laparoscópica em paciente do sexo feminino com transplante de pulmão 


Miniinstrumentación para fundoplicatura de Nissen laparoscópica en paciente del sexo femenino con trasplante pulmonar 


During laparoscopic bariatric procedures in morbidly obese patients, the surgeon's operative view is often obscured by the hypertrophic adipose left lobe of the liver. 

To provide adequate operative views and working space, an appropriate retraction of the left liver lobe is required. 

The use of a conventional liver retractor mandates an additional subxiphoid wound, resulting in patient discomfort for pain and scar formation, with the additional risk of iatrogenic liver injury during retraction maneuvers. 

To overcome these limitations, we present the use of a simple, rapid, and safe technique for liver retraction using the VERSA LIFTER™ Band disposable liver suspension system or retractor. 

The VERSA LIFTER BAND™: a new option for liver retraction in laparoscopic Roux-en-Y gastric bypass for morbid obesity

El VERSA LIFTER BAND™: una nueva opción para retracción del hígado en el bypass gástrico en Y de Roux para obesidad mórbida


Le VERSA LIFTER BAND™ : nouvelle option pour écartement du foie lors d'un bypass gastrique laparoscopique pour obésité morbide


VERSA LIFTER BAND™：腹腔镜Roux-en-Y胃旁路术治疗病态肥胖的新选择


O VERSA LIFTER BAND™: uma nova opção para afastamento do fígado no bypass gástrico em Y de Roux para obesidade mórbida


Новый печеночный ретрактор VERSA LIFTER BAND™ при выполнении лапароскопического шунтирования желудка по Ру по поводу морбидного ожирения


Трансанальная ТМЕ с конфокальной эндомикроскопией по поводу рака прямой кишки


癌症的共聚焦显微镜导向的经肛门TME


TME transanal guiada por microscopia confocal para câncer


The objectives of this video are to demonstrate the use of probe-based confocal laser endomicroscopy (pCLE) for the intraoperative detection of the distal margin of a middle rectal tumor and to show the steps of a pure transanal TME in a 71-year-old woman, who presented with a T2N0 middle rectal adenocarcinoma.

Confocal imaging is performed prior to surgery, and clips are placed on the microscopically proven healthy mucosa. 

Confocal microscopy-guided transanal TME for cancer

Excision totale du mésorectum pour cancer par voie transanale guidée par microscopie confocale


TME transanal guiada por microscopia confocal para cáncer


This is the case of a 48-year-old man who presented with rectal bleeding. A cT3N1 adenocarcinoma was diagnosed in the middle/high rectum. This video demonstrated the intraoperative use of a 3D model. Preoperatively, a 3D model was extracted from medical imaging (CT-scan) by experts in medical image analysis. The technique of laparoscopic robot-assisted low anterior resection is described in a stepwise manner.

Laparoscopic robotic assisted TME for lower rectal cancer guided by a 3D model

TME laparoscópica assistida por robô para câncer retal baixo guiada por um modelo 3D


Лапароскопическая робот-ассистированная ТМЕ по поводу рака нижнеампулярного отдела прямой кишки с 3D-навигацией


腹腔镜机器人辅助TME治疗低位直肠癌的3D模型指导


TME laparoscópica asistida por robot para cáncer rectal bajo guiada por un modelo 3D


Excision totale du mésorectum par voie laparoscopique assistée par robot et guidée par reconstruction 3D pour cancer rectal inférieur


After 200 cholecystectomies with micro-instruments, the author can present a video with some tips and tricks. 

The aim of this video is to provide all patients with a micro-invasive approach to cholecystectomy. This approach allows for optimal cosmetic results and reduced postoperative pain. The procedure has already been performed in young and elderly patients with various body sizes. 

Micro-instrumentation for laparoscopic cholecystectomy: tips and tricks

Microinstrumentación para colecistectomía laparoscópica: consejos y trucos


腹腔镜胆囊切除术的微型仪器：技巧和窍门


Микро-инструменты для выполнения лапароскопической холецистэктомии: советы по использованию


Microinstrumentação para colecistectomia laparoscópica: dicas e truques


Cholécystectomie laparoscopique par micro-instruments : trucs et astuces


Colecistectomía minilaparoscópica utilizando instrumentos de 3 mm: cirugía agujascópica


Colecistectomia minilaparoscópica usando instrumentos de 3 mm: cirurgia agulhascópica


Мини-лапароскопическая холецистэктомия с использованием 3-мм инструментов 


使用3mm仪器的迷你腹腔镜胆囊切除术：针头手术


Cholécystectomie mini-laparoscopique avec instruments de 3 mm : chirurgie laparoscopique fine à l'aiguille


Mini-laparoscopic surgery involves the usage of small trocars and instruments, ranging from 2 to 3.5mm in size. 

The operative procedure is similar to that of a conventional laparoscopic cholecystectomy, except for the size of instruments. 

The use of micro-instruments requires a selection of patients and a minor adaptation to the surgical steps as these instruments are more fragile and they require the use of micro-optics to apply clips to the cystic duct and artery. 

The small trocars cause less tissue damage, and subsequently result in less postoperative pain, a faster recovery, and a better cosmesis. 

Mini-laparoscopic cholecystectomy using 3mm instruments: needlescopic surgery

Интраоперационная холангиография с флуорисценцией и дополненной реальностью (FLARIOC)


FLARIOC : Fluorescence et cholangiographie peropératoire par réalité augmentée


This video shows a case of robotically assisted cholecystectomy for symptomatic lithiasis, complemented with fluorescence and augmented reality guidance. The use of robotics and sequential multimodal imaging protocol for cholecystectomy, should be interpreted as a model evocative of the upcoming paradigm shift towards cybernetic surgery rather than a state-of-the-art application. 

FLARIOC: FLuorescence and Augmented Reality Intra-Operative Cholangiography

FLARIOC：荧光和增强现实术中胆管造影


FLARIOC: Colangiografia Intraoperatória por Fluorescência e Realidade Aumentada


FLARIOC: Colangiografía Intraoperatoria por Fluorescencia y Realidad Aumentada


This video summarizes the main steps of a thoracoscopic left S6 segmentectomy whose indication was a high suspicion of invasive pulmonary aspergillosis (IPA) in a female patient presenting with an acute myeloid leukemia. IPA was resistant to antifungal therapy. A resection was rapidly required as an allogenic bone marrow transplantation was pending. 

A full thoracoscopic technique, i.e., with access incision, was used. As for all anatomical segmentectomies performed in our department, a tridimensional reconstruction was carried out preoperatively. A high-definition camera system, a deflectable scope, as well as dedicated thoracoscopic instruments were used. 

Full thoracoscopic left 6 segmentectomy for invasive pulmonary aspergillosis (IPA)

Segmentectomia esquerda total laparoscópica do segmento 6 para aspergilose pulmonar invasiva (API)


Segmentectomía izquierda total laparoscópica del segmento 6 para aspergilosis pulmonar invasiva (API)


Торакоскопическая сегментэктомия S6 легкого по поводу инвазивного легочного аспергиллеза


全胸腔镜左侧6节段侵入性肺曲霉菌病（IPA）


Segmentectomie gauche (segment 6) entièrement thoracoscopique pour aspergillose pulmonaire invasive


荧光指导下的胆囊切除术：在Show Chwan纪念医院（IRCAD台湾）


Cholécystectomie guidée par la fluorescence : une intervention réalisée au Show Chwan Memorial Hospital (IRCAD Taïwan)


Холецистэктомия с флуоресцентным ориентированием: операция, выполняемая в госпитале Show Chwan Memorial (IRCAD, Тайвань)


Colecistectomia guiada por fluorescência: um procedimento realizado ao vivo no Show Chwan Memorial Hospital (IRCAD Taiwan)


Biliary tract injuries during cholecystectomy remain a major concern as they may entail dramatic consequences for patients. Intraoperative cholangiography is generally performed electively considering technical and time constraints related to the approach. Intraoperative fluorescence is a recent real-time imaging technology, and its impact on the rate of biliary complications is under evaluation.

Fluorescence-guided cholecystectomy: a procedure performed live at the Show Chwan Memorial Hospital (IRCAD Taiwan)

Colecistectomía guiada por fluorescencia: un procedimiento realizado en vivo en el Show Chwan Memorial Hospital (IRCAD Taiwán)


video lecture

Chirurgie peropératoire guidée par fluorescence


In this lecture delivered during the Advanced Course in Digestive Surgery (October 15-17, 2015) at the IRCAD, Strasbourg, France, Dr. Michele Diana provides a quick overview of current and potential clinical applications of fluorescence-guided surgery. 

Intraoperative fluorescence-guided surgery

Techniques innovantes pour la chirurgie endoscopique


O advento da cirurgia laparoscópica e a emergência da endoscopia flexível intervencionista claramente demonstram que a cirurgia digestiva do futuro será guiada por imagens. Será uma cirurgia de alta qualidade e reproduzível. Terá como meta reduzir o trauma cirúrgico e buscará preservar os órgãos saudáveis o máximo possível. Com o fim de atingir esses objetivos, novas tecnologias devem ser desenvolvidas para fornecer aos cirurgiões dados em tempo real, orientação intraoperatória e instrumentos intuitivos.


Métodos inovadores para a cirurgia endoscópica

The advent of laparoscopic surgery and the emergence of interventional flexible endoscopy clearly demonstrate that digestive surgery of the future will be image-guided. It will be a high quality, reproducible surgery. It will aim to reduce surgical trauma and will endeavour to preserve healthy organs to a maximum. In order to reach these objectives, novel technologies must be developed in order to provide operators with real-time data, intraoperative guidance, and intuitive instruments. 

Innovative methods for endoscopic surgery

In this key lecture, Professor Soler covers image-guided surgery using augmented reality.

Image-guided surgery using Augmented Reality (AR)

Chirurgie guidée par l'image utilisant la réalité augmentée


Nesta palestra magistral, o Professor Soler cobre a cirurgia guiada por imagem usando a realidade aumentada.


Cirurgia guiada por imagem usando Realidade Aumentada (RA)

В центре внимания - технические достижения


Focus On Technological Breakthroughs!

Focus sur les avancées technologiques
