Monthly publications : February 2003 | WebSurg, the online university of IRCAD

This video demonstrates one of many options of dealing with CBD stones. This video demonstrates a transduodenal sphincteroplasty of the ampulla of Vater through a duodenotomy made following kocherization of the duodenum. A choledochoscope is used to examine the CBD and aid in removal of the stones. The duodenotomy is closed in a transverse fashion. This technique requires a duodenotomy, which often is enlarged during the course of surgery and is not a preferred technique in dealing with CBD stones, but if a papillotomy is required due to long stenosis, then it may be a good option.

L Novellino

Surgical intervention

Laparoscopic transduodenal sphincteroplasty for common bile duct stones

This video demonstrates one of many options of dealing with CBD stones. This video demonstrates a transduodenal sphincteroplasty of the ampulla of Vater through a duodenotomy made following kocherization of the duodenum. A choledochoscope is used to examine the CBD and aid in removal of the stones. The duodenotomy is closed in a transverse fashion. This technique requires a duodenotomy, which often is enlarged during the course of surgery and is not a preferred technique in dealing with CBD stones, but if a papillotomy is required due to long stenosis, then it may be a good option.

Laparoscopic left nephrectomy by extraperitoneal approach

This video demonstrates a laparoscopic nephrectomy for a non-functioning kidney. The surgeon uses an extraperitoneal approach to resect the kidney. The retroperitoneum is entered below the 12th costal margin and the space is expanded by a 500 mL balloon. The trocars are then inserted and the dissection is started by taking Gerota's fascia off the psoas. The kidney is slowly mobilized towards the hilum. Once adequate mobilization is achieved the hilar vessels are divided and the kidney is removed by use of a bag through the previous subcostal incision.

C Eden

Surgical intervention

Laparoscopic left nephrectomy by extraperitoneal approach

This video demonstrates a laparoscopic nephrectomy for a non-functioning kidney. The surgeon uses an extraperitoneal approach to resect the kidney. The retroperitoneum is entered below the 12th costal margin and the space is expanded by a 500 mL balloon. The trocars are then inserted and the dissection is started by taking Gerota's fascia off the psoas. The kidney is slowly mobilized towards the hilum. Once adequate mobilization is achieved the hilar vessels are divided and the kidney is removed by use of a bag through the previous subcostal incision.

Extraperitoneal laparoscopic pyeloplasty

C Eden

Surgical intervention

Laparoscopic left adrenalectomy for Conn's disease: transabdominal approach

This video demonstrates a laparoscopic left adrenalectomy in a patient with a small Conn's tumor. There is an anatomic anomaly of position of inferior vena cava identified by preoperative CT-scan. The surgeon demonstrates the identification and division of adrenal vein and accessory adrenal vein, as well as the superior middle and inferior adrenal arteries.

D Mutter, J Marescaux

Surgical intervention

Laparoscopic left adrenalectomy for Conn's disease: transabdominal approach

This video demonstrates a laparoscopic left adrenalectomy in a patient with a small Conn's tumor. There is an anatomic anomaly of position of inferior vena cava identified by preoperative CT-scan. The surgeon demonstrates the identification and division of adrenal vein and accessory adrenal vein, as well as the superior middle and inferior adrenal arteries.

Laparoscopic left adrenalectomy by retroperitoneal approach

J Bonjer

Surgical intervention

Video-assisted left thyroid lobectomy

This video demonstrates a video-assisted left thyroid lobectomy. The surgeon demonstrates the identification of key vessels and nerves. The thyroid pedicles are divided with ultrasonic shears, so is the thyroid isthmus.

P Miccoli

Surgical intervention

Video-assisted left thyroid lobectomy

This video demonstrates a video-assisted left thyroid lobectomy. The surgeon demonstrates the identification of key vessels and nerves. The thyroid pedicles are divided with ultrasonic shears, so is the thyroid isthmus.

Video-assisted parathyroidectomy: right superior adenoma

P Miccoli

Surgical intervention

Video-assisted parathyroidectomy: left inferior adenoma

P Miccoli

Surgical intervention

Laparoscopic partial splenectomy in children

The description of the laparoscopic partial splenectomy in children covers all aspects of the surgical procedure used for the management of primarily benign tumoral pathologies and cases of hypersplenism.
Operating room set up, position of patient and equipment, instruments used are thoroughly described. The technical key steps of the surgical procedure are presented in a step by step way: exploration, exposure, dissection, ligation, transection of parenchyma, end of procedure.
Consequently, this operating technique is well standardized for the management of this condition.

G Podevin, Y Héloury

Laparoscopic partial splenectomy in children

The description of the laparoscopic partial splenectomy in children covers all aspects of the surgical procedure used for the management of primarily benign tumoral pathologies and cases of hypersplenism.
Operating room set up, position of patient and equipment, instruments used are thoroughly described. The technical key steps of the surgical procedure are presented in a step by step way: exploration, exposure, dissection, ligation, transection of parenchyma, end of procedure.
Consequently, this operating technique is well standardized for the management of this condition.

Pediatric nephrectomy via retroperitoneal approach

The description of the pediatric nephrectomy via retroperitoneal approach covers all aspects of the surgical procedure used for the management of dysfunctional kidney in children.
Operating room set up, position of patient and equipment, instruments used are thoroughly described. The technical key steps of the surgical procedure are presented in a step by step way: dissection of kidney, freeing of the kidney, extraction.
Consequently, this operating technique is well standardized for the management of this condition.

MD Leclair, Y Héloury

Pediatric nephrectomy via retroperitoneal approach

The description of the pediatric nephrectomy via retroperitoneal approach covers all aspects of the surgical procedure used for the management of dysfunctional kidney in children.
Operating room set up, position of patient and equipment, instruments used are thoroughly described. The technical key steps of the surgical procedure are presented in a step by step way: dissection of kidney, freeing of the kidney, extraction.
Consequently, this operating technique is well standardized for the management of this condition.