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Poornima DONEPUDI

NRI Medical College and General Hospital
Guntur, Индия
MS
644 лайка
9.5K просмотров
2 комментария
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LIVE INTERACTIVE SURGERY: laparoscopic left adrenalectomy for pheochromocytoma
Laparoscopic adrenalectomy was first described by Gagner et al. in 1992. It has become the procedure of choice for most benign adrenal lesions since then because of decreased blood loss, shorter hospital stay, faster recovery, and lower morbidity as compared to open surgery.
The indications for laparoscopic adrenalectomy are the same as for open surgery, except in cases of confirmed adrenocortical carcinomas.
Absolute contraindications for laparoscopic adrenalectomy are as follows: severe cardiopulmonary disease, locally advanced tumors, medically untreated pheochromocytoma, and uncontrolled coagulopathies. This is a live demonstration of a left adrenalectomy recorded during the Minimally Invasive Endocrine Surgery Course, which was held at IRCAD in May 2016.
Хирургические операции
3 года назад
4393 просмотра
339 лайков
0 комментариев
28:17
LIVE INTERACTIVE SURGERY: laparoscopic left adrenalectomy for pheochromocytoma
Laparoscopic adrenalectomy was first described by Gagner et al. in 1992. It has become the procedure of choice for most benign adrenal lesions since then because of decreased blood loss, shorter hospital stay, faster recovery, and lower morbidity as compared to open surgery.
The indications for laparoscopic adrenalectomy are the same as for open surgery, except in cases of confirmed adrenocortical carcinomas.
Absolute contraindications for laparoscopic adrenalectomy are as follows: severe cardiopulmonary disease, locally advanced tumors, medically untreated pheochromocytoma, and uncontrolled coagulopathies. This is a live demonstration of a left adrenalectomy recorded during the Minimally Invasive Endocrine Surgery Course, which was held at IRCAD in May 2016.
LIVE INTERACTIVE SURGERY: laparoscopic left adrenalectomy: retroperitoneal access
Retroperitoneal adrenalectomy (posterior approach) provides a direct access to the adrenal gland, hence preventing the risk of injury to intraperitoneal organs. The retroperitoneoscopic approach shortens the mean operative time and it is critical in cases of pheochromocytoma. Consequently, it is the recommended treatment for pheochromocytoma. Blood loss and the convalescence period are also shortened with this approach. The surgical principles of retroperitoneal adrenalectomy according to Professor Martin Walz are as follows: ‘en bloc’ resection, start of dissection with the upper pole of kidney, lower pole of the adrenal gland next, control of the main adrenal vein without clips, and morcellation of the gland if necessary in a bag.
Хирургические операции
3 года назад
2257 просмотров
185 лайков
1 комментарий
39:46
LIVE INTERACTIVE SURGERY: laparoscopic left adrenalectomy: retroperitoneal access
Retroperitoneal adrenalectomy (posterior approach) provides a direct access to the adrenal gland, hence preventing the risk of injury to intraperitoneal organs. The retroperitoneoscopic approach shortens the mean operative time and it is critical in cases of pheochromocytoma. Consequently, it is the recommended treatment for pheochromocytoma. Blood loss and the convalescence period are also shortened with this approach. The surgical principles of retroperitoneal adrenalectomy according to Professor Martin Walz are as follows: ‘en bloc’ resection, start of dissection with the upper pole of kidney, lower pole of the adrenal gland next, control of the main adrenal vein without clips, and morcellation of the gland if necessary in a bag.
Mini-laparoscopic cholecystectomy using 3mm instruments: needlescopic surgery
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.
Хирургические операции
3 года назад
2865 просмотров
120 лайков
0 комментариев
06:57
Mini-laparoscopic cholecystectomy using 3mm instruments: needlescopic surgery
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.