Monthly publications : November 2004 | WebSurg, the online university of IRCAD

This video demonstrates a safe approach to carrying a laparoscopic cholecystectomy in a patient with macroscopic liver cirrhosis and portal hypertension. The surgeon uses a 5 mm bipolar cautery to ensure adequate hemostasis during the dissection.

M Simone, J Marescaux

Surgical intervention

Laparoscopic cholecystectomy in a patient with macroscopic liver cirrhosis: use of LigaSure

This video demonstrates a safe approach to carrying a laparoscopic cholecystectomy in a patient with macroscopic liver cirrhosis and portal hypertension. The surgeon uses a 5 mm bipolar cautery to ensure adequate hemostasis during the dissection.

Laparoscopic total mesorectal excision for rectal cancer

J Leroy, J Marescaux

Surgical intervention

Laparoscopic ileocecal resection for Crohn's disease

J Leroy, J Marescaux

Surgical intervention

Can you explain how and why laparoscopic hysterectomy is revolutionary?

H Reich

Is there an age limit for bariatric surgery?

Are gastroesophageal reflux and hiatal hernia contraindications for restrictive procedures?

Are gastroesophageal reflux and hiatal hernia contraindications for restrictive procedures?

Can you tell me how eating habits may affect your decision as to which procedure to perform?

Which procedure is best indicated in a patient with diabetes mellitus?

Can you tell me how eating habits may affect your decision as to which procedure to perform?

JL Alle

Which procedure is best indicated in a patient with diabetes mellitus?

Is there an age limit for bariatric surgery?

Can you tell me how eating habits may affect your decision as to which procedure to perform?

What are the surgical options for management of superobesity (BMI greater than 50)?

Is there an age limit for bariatric surgery?

KD Higa

Are gastroesophageal reflux and hiatal hernia contraindications for restrictive procedures?

JL Alle

Is there an age limit for bariatric surgery?

JL Alle

What are the surgical options for management of superobesity (BMI greater than 50)?

JL Alle

Which procedure is best indicated in a patient with diabetes mellitus?

JL Alle

Can you tell me how eating habits may affect your decision as to which procedure to perform?

What are the surgical options for management of superobesity (BMI greater than 50)?

Laparoscopic gastric banding in a 45-year-old female patient with a BMI of 40

This video demonstrates the basic steps in placement of a gastric band. The surgeon demonstrates the key anatomical landmarks and dissection. He also discusses things to avoid. The dissection of retrogastric window is clearly demonstated and the band is introduced through an 18 mm port in the left upper quadrant and positioned in the upper stomach after calibration with a 15 mL balloon passed by the anesthetist. Once the band is locked, the anterior segment is buried by approximating the two borders of the stomach. The reservoir is placed in the LUQ at the site of the 18 mm port.

GB Cadière

Surgical intervention

Laparoscopic gastric banding in a 45-year-old female patient with a BMI of 40

This video demonstrates the basic steps in placement of a gastric band. The surgeon demonstrates the key anatomical landmarks and dissection. He also discusses things to avoid. The dissection of retrogastric window is clearly demonstated and the band is introduced through an 18 mm port in the left upper quadrant and positioned in the upper stomach after calibration with a 15 mL balloon passed by the anesthetist. Once the band is locked, the anterior segment is buried by approximating the two borders of the stomach. The reservoir is placed in the LUQ at the site of the 18 mm port.

Laparoscopic reversal of Hartmann's procedure

This video demonstrates a laparoscopic closure of a Hartmann's 6 months after it was done for a perforated diverticular disease. The surgeon gains access to the peritoneal cavity through a port placed under direct vision in the right upper quadrant. The adhesions to the midline scar are taken down. The rectal stump is identified and mobilized proximally. The colostomy is then taken down and an end to end anastomosis is made with the rectum using an EEA stapler.

J Leroy, DJ Fölscher

Surgical intervention

Laparoscopic reversal of Hartmann's procedure

This video demonstrates a laparoscopic closure of a Hartmann's 6 months after it was done for a perforated diverticular disease. The surgeon gains access to the peritoneal cavity through a port placed under direct vision in the right upper quadrant. The adhesions to the midline scar are taken down. The rectal stump is identified and mobilized proximally. The colostomy is then taken down and an end to end anastomosis is made with the rectum using an EEA stapler.

Laparoscopic Nissen-Rossetti with minimal dissection

Compared with other anti-reflux procedures, the Nissen-Rossetti procedure does not require the resection of the short gastric vessels; thus, it consists in a safer procedure with decreased bleeding.
In this video, Prof. Jacques Marescaux demonstrates the laparoscopic procedure in a stepwise fashion.

J Marescaux

Surgical intervention

Laparoscopic Nissen-Rossetti with minimal dissection

Compared with other anti-reflux procedures, the Nissen-Rossetti procedure does not require the resection of the short gastric vessels; thus, it consists in a safer procedure with decreased bleeding.
In this video, Prof. Jacques Marescaux demonstrates the laparoscopic procedure in a stepwise fashion.

Giant hiatal hernia: laparoscopic management

J Leroy

Surgical intervention

Laparoscopic treatment of a voluminous hiatal hernia

J Leroy

Surgical intervention

Laparoscopic sigmoidectomy for diverticulitis: a standard case

This video demonstrates principles of laparoscopic sigmoidectomy for benign disease with preservation of superior rectal artery. In this case, the patient had several episodes of diverticulitis and the surgeon only resected the affected sigmoid colon after mobilization of the splenic flexure. The preservation of the superior rectal artery will ensure nerve preservation and is believed to reduce the possibility of anastomotic ischemia causing leaks or stenosis.

J Leroy

Surgical intervention

Laparoscopic sigmoidectomy for diverticulitis: a standard case

This video demonstrates principles of laparoscopic sigmoidectomy for benign disease with preservation of superior rectal artery. In this case, the patient had several episodes of diverticulitis and the surgeon only resected the affected sigmoid colon after mobilization of the splenic flexure. The preservation of the superior rectal artery will ensure nerve preservation and is believed to reduce the possibility of anastomotic ischemia causing leaks or stenosis.

Laparoscopic sigmoidectomy for diverticulitis

C Huscher

Surgical intervention

Laparoscopic pelvic transperitoneal lymphadenectomy

C Saussine

Surgical intervention

Laparoscopic left enlarged nephrectomy by transperitoneal approach

R Gaston

Surgical intervention

Laparoscopic TME: principles and technique

J Leroy

Surgical intervention

Laparoscopic management of urolithiasis

The description of the laparoscopic management of urolithiasis covers all aspects of the surgical procedure used for the management of urolithiasis.
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: exposure, opening of urinary tract, stent placement, end of procedure.
Consequently, this operating technique is well standardized for the management of this condition.

Laparoscopic management of urolithiasis

The description of the laparoscopic management of urolithiasis covers all aspects of the surgical procedure used for the management of urolithiasis.
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: exposure, opening of urinary tract, stent placement, end of procedure.
Consequently, this operating technique is well standardized for the management of this condition.