Abstract. HENRIQUES, Alexandre Cruz et al. Duodenopancreatectomia e hemicolectomia direita em monobloco para tratamento de câncer de cólon direito . hemicolectomia direita. Thiago Milet; 3 videos; views; Last updated on Jan 13, Play all. Share. Loading Save. 6 abr. Transcript of Hemicolectomia Direita. Complicações Serviço de Cirurgia Geral – Sector Colorectal Director Serviço: Dr. Jasmins Chefe de.
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Challenges and recent developments in laparoscopic surgery: The patient was submitted to neoadjuvant chemotherapy and, after 4 cycles, an en bloc laparoscopic right hemicolectomy and atypical hepatectomy of segment VI was proposed.
Correct lymphadenectomy in colorectal cancer resection is a crucial point to improve oncological outcomes. The objective of this film is to demonstrate stoma prolapse and parastomal incisional hernia repair according to the technique described by Sugarbaker in open surgery, reproduced here with a laparoscopic approach.
In this video, authors demonstrate a standardized technique to perform a segmental sigmoidectomy for cancer. Mesh placement into the abdominal cavity presents a risk that seems minimized by the development of dual-sided composite meshes, with one collagen coating that will be in contact with the digestive tract, hence limiting the risk of adhesions.
This video demonstrates a right hemicolectomy for pT2 N0 M0 adenocarcinoma at the level of the caeco-ascending junction using a medial approach. What is the place of laparoscopy in colorectal surgery? Four trocars were placed in the abdomen. The principle of the Sugarbaker technique is to create a colonic zigzag route and to fix it on the non-absorbable side of the mesh, thereby preventing colonic prolapse.
Laparoscopic sigmoidectomy for diverticulitis.
Different operative strategies are presented; contrasting the key steps in resection for neoplastic and non-neoplastic conditions.
The vascular approach is emphasized, and super-selective vascular dissection of the inferior mesenteric artery IMA and its branches are shown. She underwent additional adjuvant chemotherapy, and was doing well at the time of the last office visit. Pathology confirmed the presence of a colon adenocarcinoma pT2N0Mx. It is crucial to have a perfect knowledge of all devices and adopt the correct operative strategy.
Peroperative ultrasonography permitted exclusion of other hepatic lesions and the delimitation of the en bloc resection of segment VI. Gemicolectomia HuscherJ Marescaux. Advanced colic cancer associated to hepatic invasion can be safely treated by laparoscopy.
Three-trocar laparoscopic sigmoidectomy and transanal extraction of the specimen for diverticular sigmoiditis. Once the terminal small bowel and the transverse colon have been divided at the junction of the proximal middle third, an isoperistaltic side-to-side anastomosis is carried out using a 60mm Endo-GIA linear stapler. Pathology evidenced a pT4N1 colic adenocarcinoma. A laparoscopic manual side-to-side ileocolic anastomosis by 2 runnings sutures was performed.
Laparoscopic time was minutes, estimated blood loss was 20cc, and the final scar length measured 4. Laparoscopic surgery is widely cireita. He demonstrates trocar position as well as the main principles of gastrocolic ligament division and technical aspects of splenic flexure taking down according to the Melani technique along with a video case presentation.
Hemicolectomia Direita by Carolina Martins on Prezi
The operative steps are clearly outlined and shown in this high-definition film. Here, the difficulty lies in the combined presence of an incisional hernia direits prolapse on a diverting transverse colostomy.
Technical tips for laparoscopic sigmoidectomy. Ask a question to the author You must be logged in to ask a question to authors.