We use cookies to offer you an optimal experience on our website. By browsing our website, you accept the use of cookies.

Monthly publications

#March 2009
Filter by
Specialty

Type
Category
Minimally invasive video-assisted parathyroidectomy for primary hyperparathyroidism
In recent years, the advances in preoperative localization studies, the availability of intraoperative parathyroid hormone (PTH) assay and the introduction of cervicoscopy revolutionized the surgical treatment of primary hyperparathyroidism (PHPT).
Minimally invasive video-assisted parathyroidectomy (MIVAP) is an efficacious and feasible procedure with the same complication rate as conventional surgery and has significant advantages in terms of cosmetic results, postoperative pain, recovery, and patient satisfaction. MIVAP should be considered a valid and validated option for the treatment of sporadic primary hyperparathyroidism, especially in case of a suspected single adenoma. This video demonstrates a minimally invasive approach for the excision of a right superior parathyroid adenoma in an inter-crico-thyroid position in a 65-year-old female patient.
M Vix, L Soler, J Marescaux
Surgical intervention
9 years ago
1487 views
29 likes
0 comments
04:46
Minimally invasive video-assisted parathyroidectomy for primary hyperparathyroidism
In recent years, the advances in preoperative localization studies, the availability of intraoperative parathyroid hormone (PTH) assay and the introduction of cervicoscopy revolutionized the surgical treatment of primary hyperparathyroidism (PHPT).
Minimally invasive video-assisted parathyroidectomy (MIVAP) is an efficacious and feasible procedure with the same complication rate as conventional surgery and has significant advantages in terms of cosmetic results, postoperative pain, recovery, and patient satisfaction. MIVAP should be considered a valid and validated option for the treatment of sporadic primary hyperparathyroidism, especially in case of a suspected single adenoma. This video demonstrates a minimally invasive approach for the excision of a right superior parathyroid adenoma in an inter-crico-thyroid position in a 65-year-old female patient.
Laparoscopic proctectomy with ileoanal anastomosis for inflammatory bowel disease
Total coloproctectomy with ileal pouch-anal anastomosis is the operation of choice for ulcerative colitis. The objective of this video is to demonstrate the technique used to perform a laparoscopic coloproctectomy for the treatment of inflammatory bowel disease (and particularly, ulcerative colitis) and to show the ileoanal anastomosis (with creation of an ileal J-pouch) that follows a total colectomy resection.
In this case, only sample exteriorization and ileal J-pouch formation are performed using the temporary ileostomy opening situated in the right flank.
All other steps are performed entirely laparoscopically. The dissection is carried out using the 10mm Ligasure Atlas device.
J Leroy, J Marescaux
Surgical intervention
9 years ago
1042 views
21 likes
0 comments
14:06
Laparoscopic proctectomy with ileoanal anastomosis for inflammatory bowel disease
Total coloproctectomy with ileal pouch-anal anastomosis is the operation of choice for ulcerative colitis. The objective of this video is to demonstrate the technique used to perform a laparoscopic coloproctectomy for the treatment of inflammatory bowel disease (and particularly, ulcerative colitis) and to show the ileoanal anastomosis (with creation of an ileal J-pouch) that follows a total colectomy resection.
In this case, only sample exteriorization and ileal J-pouch formation are performed using the temporary ileostomy opening situated in the right flank.
All other steps are performed entirely laparoscopically. The dissection is carried out using the 10mm Ligasure Atlas device.
Laparoscopic re-operation for severe dysphagia following fundoplication and prosthetic reinforcement of the hiatus
Complications related to prosthetic hiatoplasty for hiatal hernia repair are more common than previously reported with no apparent relationship between mesh type and mesh configuration. The aim of this video is to show a case of mesh repair complication.
A 50-year-old woman presented with severe dysphagia and important weight loss one year after redo laparoscopic Nissen fundoplication with prosthetic crural repair. At re-operation, important esophageal stenosis and angulation was found arising from the key-hole-shaped polypropylene mesh with pseudodiverticular dilatation of the distal esophagus. The esophagus was freed from the dense fibrotic capsule surrounding the prosthesis and a myotomy was performed.
B Dallemagne, S Perretta, J Marescaux
Surgical intervention
9 years ago
353 views
10 likes
0 comments
19:50
Laparoscopic re-operation for severe dysphagia following fundoplication and prosthetic reinforcement of the hiatus
Complications related to prosthetic hiatoplasty for hiatal hernia repair are more common than previously reported with no apparent relationship between mesh type and mesh configuration. The aim of this video is to show a case of mesh repair complication.
A 50-year-old woman presented with severe dysphagia and important weight loss one year after redo laparoscopic Nissen fundoplication with prosthetic crural repair. At re-operation, important esophageal stenosis and angulation was found arising from the key-hole-shaped polypropylene mesh with pseudodiverticular dilatation of the distal esophagus. The esophagus was freed from the dense fibrotic capsule surrounding the prosthesis and a myotomy was performed.
Laparoscopic partial fundoplication after lung transplant in a patient with severe esophageal motility disorders (scleroderma)
Gastroesophageal reflux disease (GERD) is prevalent among patients with end-stage lung disease before and after lung transplantation. In addition to problems with the lower esophageal sphincter, systemic diseases such as scleroderma and cystic fibrosis can diminish esophageal and gastric motility. After thoracic transplantation, esophageal and gastric motility often are negatively affected by damage to the vagus nerve and certain medications. Remodeling of the thoracic cavity also may alter the mechanics of esophageal muscle contraction. After transplantation, fundoplication may improve pulmonary function and prevent complications such as bronchiolitis obliterans syndrome.
This is the case of a 57-year old patient with scleroderma 8 months after lung transplantation for idiopathic pulmonary fibrosis (IPF). The patient presented with typical GERD symptoms, not responsive to a high dose of PPI. The trocar placement is the same as for a standard Nissen fundoplication. The video shows each surgical step carefully and demonstrates how to correctly perform esophageal and mediastinal dissection in case of a previous lung surgery.
B Dallemagne, S Perretta, J Marescaux
Surgical intervention
9 years ago
1383 views
22 likes
0 comments
06:21
Laparoscopic partial fundoplication after lung transplant in a patient with severe esophageal motility disorders (scleroderma)
Gastroesophageal reflux disease (GERD) is prevalent among patients with end-stage lung disease before and after lung transplantation. In addition to problems with the lower esophageal sphincter, systemic diseases such as scleroderma and cystic fibrosis can diminish esophageal and gastric motility. After thoracic transplantation, esophageal and gastric motility often are negatively affected by damage to the vagus nerve and certain medications. Remodeling of the thoracic cavity also may alter the mechanics of esophageal muscle contraction. After transplantation, fundoplication may improve pulmonary function and prevent complications such as bronchiolitis obliterans syndrome.
This is the case of a 57-year old patient with scleroderma 8 months after lung transplantation for idiopathic pulmonary fibrosis (IPF). The patient presented with typical GERD symptoms, not responsive to a high dose of PPI. The trocar placement is the same as for a standard Nissen fundoplication. The video shows each surgical step carefully and demonstrates how to correctly perform esophageal and mediastinal dissection in case of a previous lung surgery.
Totally laparoscopic duodenal pancreatectomy for cancer
Since the early 1990s, laparoscopic techniques have been applied to a growing number of pancreatic surgeries. Laparoscopic pancreatic resections have been performed in patients with a variety of diseases including chronic pancreatitis, pancreatic trauma, congenital hyperinsulinism. Laparoscopic proximal pancreatectomies for cancer with or without duodenum preservation remain controversial. Although a laparoscopic pancreaticoduodenectomy is technically feasible, laparoscopic reconstruction after proximal pancreatectomies is not yet generally practicable but limited to personal experiences of highly skilled surgeons.
This interesting video shows all steps and landmarks of a totally laparoscopic duodenopancreatectomy for cancer performed by a very experienced surgeon.
F Corcione, J Marescaux
Surgical intervention
9 years ago
8592 views
36 likes
1 comment
21:13
Totally laparoscopic duodenal pancreatectomy for cancer
Since the early 1990s, laparoscopic techniques have been applied to a growing number of pancreatic surgeries. Laparoscopic pancreatic resections have been performed in patients with a variety of diseases including chronic pancreatitis, pancreatic trauma, congenital hyperinsulinism. Laparoscopic proximal pancreatectomies for cancer with or without duodenum preservation remain controversial. Although a laparoscopic pancreaticoduodenectomy is technically feasible, laparoscopic reconstruction after proximal pancreatectomies is not yet generally practicable but limited to personal experiences of highly skilled surgeons.
This interesting video shows all steps and landmarks of a totally laparoscopic duodenopancreatectomy for cancer performed by a very experienced surgeon.
Laparoscopic management of gangrenous perforated cholecystitis
Laparoscopic cholecystectomy is the gold standard for symptomatic cholecystolithiasis. Technical maturation and advances in instrumentation have enabled the application of this procedure for acute cholecystitis.
This video demonstrates the surgical approach to performing a laparoscopic cholecystectomy in an older male patient with acute cholecystitis and who has had a previous laparotomy for vascular surgery. The surgeon uses a French approach standing between the patient's legs while he optical trocar is placed supraumbilically, 3cm to the right of the midline in order to avoid the adhesions caused by the previous surgery.
An ischemic gallbladder with necrotic area and infundibular perforation was found.
J D'Agostino, J Marescaux
Surgical intervention
9 years ago
4084 views
88 likes
22 comments
05:58
Laparoscopic management of gangrenous perforated cholecystitis
Laparoscopic cholecystectomy is the gold standard for symptomatic cholecystolithiasis. Technical maturation and advances in instrumentation have enabled the application of this procedure for acute cholecystitis.
This video demonstrates the surgical approach to performing a laparoscopic cholecystectomy in an older male patient with acute cholecystitis and who has had a previous laparotomy for vascular surgery. The surgeon uses a French approach standing between the patient's legs while he optical trocar is placed supraumbilically, 3cm to the right of the midline in order to avoid the adhesions caused by the previous surgery.
An ischemic gallbladder with necrotic area and infundibular perforation was found.
Laparoscopic resection of deep endometriotic nodule for pelvic pain, left hydronephrosis and renal function impairment
Renal function impairment is a rare condition when associated with endometriosis. This video shows the laparoscopic resection of a deep endometriotic nodule for pelvic pain, left hydronephrosis and renal function impairment. The left kidney has an almost silent pattern on scintigraphy. The therapeutic strategy consists of freeing the obstacle caused by the endometriotic nodule, placement of a double J (JJ) catheter and monitoring for renal function in the postoperative follow-up. Further laparoscopic nephrectomy is to be discussed if the renal function is not improved.
A Wattiez, J Nassif, I Miranda-Mendoza, J Marescaux
Surgical intervention
9 years ago
2195 views
42 likes
0 comments
07:56
Laparoscopic resection of deep endometriotic nodule for pelvic pain, left hydronephrosis and renal function impairment
Renal function impairment is a rare condition when associated with endometriosis. This video shows the laparoscopic resection of a deep endometriotic nodule for pelvic pain, left hydronephrosis and renal function impairment. The left kidney has an almost silent pattern on scintigraphy. The therapeutic strategy consists of freeing the obstacle caused by the endometriotic nodule, placement of a double J (JJ) catheter and monitoring for renal function in the postoperative follow-up. Further laparoscopic nephrectomy is to be discussed if the renal function is not improved.