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Nobuhiko TANIGAWA

Department of General & Gastroenterological Surgery
Osaka, Japon
MD, PhD, FACS
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An original technique of liver retraction in laparoscopic esophagogastric surgery
Adequate exposure enables an operation to be performed safely and with precision. In most of the upper abdominal operations, good retraction of the hepatic lobe is necessary. A simple, effective and inexpensive method of liver retraction is clearly described in this video. We apply a hand-made liver retractor for access and visualization particularly around lesser curve and esophageal hiatus. A 17cm long and 6mm large penrose drain is used. Our hand-made drain is prepared preoperatively by fixing 3 heavy ties along its length. The middle tie is passed superiorly through a dissected gap in the left triangular ligament while the other ties are separated laterally for retraction of the left lobe of liver.
Fine adjustments are made to achieve adequate exposure of the lesser curve and diaphragmatic hiatus.
Vidéo chirurgicale
Il y a 9 ans
4776 vues
6 J'aime
0 commentaire
06:35
An original technique of liver retraction in laparoscopic esophagogastric surgery
Adequate exposure enables an operation to be performed safely and with precision. In most of the upper abdominal operations, good retraction of the hepatic lobe is necessary. A simple, effective and inexpensive method of liver retraction is clearly described in this video. We apply a hand-made liver retractor for access and visualization particularly around lesser curve and esophageal hiatus. A 17cm long and 6mm large penrose drain is used. Our hand-made drain is prepared preoperatively by fixing 3 heavy ties along its length. The middle tie is passed superiorly through a dissected gap in the left triangular ligament while the other ties are separated laterally for retraction of the left lobe of liver.
Fine adjustments are made to achieve adequate exposure of the lesser curve and diaphragmatic hiatus.
Laparoscopic surgery for transverse colon cancer
Laparoscopic surgery is feasible and safe in selected patients with rectal cancer, with favorable short-term and mid-term outcomes. Recently, results of large randomized controlled trials comparing laparoscopic with conventional open surgery have been published, demonstrating that laparoscopic surgery for colon cancer was equivalent to open surgery in terms of postoperative complications and long-term outcomes. In this lecture, Professor Junji Okuda presents the laparoscopic approach for transverse colon cancer and shows the port and patient positioning, precious technical details when performing splenic flexure dissection and anatomical notes along with a demonstration video.
Présentation
Il y a 9 ans
3479 vues
33 J'aime
0 commentaire
10:47
Laparoscopic surgery for transverse colon cancer
Laparoscopic surgery is feasible and safe in selected patients with rectal cancer, with favorable short-term and mid-term outcomes. Recently, results of large randomized controlled trials comparing laparoscopic with conventional open surgery have been published, demonstrating that laparoscopic surgery for colon cancer was equivalent to open surgery in terms of postoperative complications and long-term outcomes. In this lecture, Professor Junji Okuda presents the laparoscopic approach for transverse colon cancer and shows the port and patient positioning, precious technical details when performing splenic flexure dissection and anatomical notes along with a demonstration video.