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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The consulted literature recommends that multivisceral resection must be considered if the patient is clinically able to undergo major surgery and does not present any signs of neoplasic dissemination, since the postoperative survival time is considerably longer in the resected group and some of these patients even achieve cure. Four trocars were placed in the abdomen. The operative steps are clearly outlined and shown in this high-definition film.
Ask a question to the author You must be logged in to ask a question to authors. 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. Here, authors highlight pitfalls as well as tips and tricks to overcome them.
Laparoscopic coloproctectomy for ulcerative colitis is a safe procedure and is associated with short-term benefits such as faster recovery and less pain. Advanced colic cancer associated to hepatic invasion can be safely treated by laparoscopy.
Peroperative ultrasonography permitted exclusion of other hepatic lesions and the delimitation of the en bloc resection of segment VI. The risk of vascular injury is all the more important. Are all complications of Crohn’s disease and ulcerative colitis manageable with laparoscopy?
Correct lymphadenectomy in colorectal dideita resection is a crucial point to improve oncological outcomes. The dissection plane appears in front of the access and postoperative pain remains minimal.
Barry Salky, MD, sharing in this way his own personal experience and highlighting the different surgical approaches available with tips and tricks. What kind of control do you achieve after anastomosis? It is crucial to have a perfect knowledge of all devices and adopt the correct operative strategy.
An adenocarcinoma of hemicplectomia hepatic colic flexure associated to liver invasion was diagnosed in a 55 year-old woman, who consulted for weight loss and anemia. In this video, authors demonstrate a standardized technique to perform a segmental sigmoidectomy for cancer. How to cite this article. This article reports the case of a patient whit a diagnosis of diarrhea hemicolectomiw weight loss. Different operative strategies are presented; contrasting the key steps in resection for neoplastic and non-neoplastic conditions.
Operative time was minutes and estimated blood loss mL.
Hemicolectomia Direita by Carolina Martins on Prezi
Laparoscopic surgery is widely performed. Laparoscopic time was minutes, estimated blood loss was 20cc, and the final scar length measured 4. The video “Three-trocar laparoscopic sigmoidectomy and transanal extraction of the specimen for diverticular sigmoiditis” authored by J. Currently, 48 months after the surgery, he does not present any signs of the disease dissemination or recurrence.
In this key lecture, Dr. This video demonstrates a right hemicolectomy for pT2 N0 M0 adenocarcinoma at the direira of the caeco-ascending junction using a medial approach. The vascular plane was firstly controlled by clips and, after mobilization of the entire left colon, the upper rectum was transected and the specimen was removed using the same access; a conventional circular transanal anastomosis was performed.
This video highlights the different protocols used and demonstrate them, bearing in mind that the best method is the standardization of the surgical procedure. En bloc laparoscopic right hemicolectomy associated to hemioclectomia hepatectomy for advanced cancer of the hepatic flexure. Marescaux is analysed by Dr. 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.
How to ensure an adequate laparoscopic lymphadenectomy in colorectal surgery. Services on Demand Journal. Huscher briefly describes the three-port Melani technique for splenic flexture mobilization. In this video presentation, Dr.
Subsidiary exams showed ulcerovegetant lesion in the second duodenal portion and duodenocolic fistula.