By Shuodong Wu, Ying Fan, Yu Tian
This atlas provides an in depth choice of single-incision laparoscopic operations in most cases surgical procedure played from 2008 to 2013 in Shengjing medical institution of China clinical college. 2000 operations are pronounced in it. all of the figures in it have been accumulated utilizing genuine time recordings of the operations with a purpose to be fairly attention-grabbing to the readers. In each one particular surgical procedure, authors supply its key surgical steps, issues and administration and contraindication. This atlas is meant for medical surgeons who can evolve those operations quickly after analyzing approximately them. sufferers also will make the most of this ebook a result of mix of minimum invasiveness and beauty influence of single-incision laparoscopic surgery.
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Extra info for Atlas of Single-Incision Laparoscopic Operations in General Surgery
8 b 40 3 After previous mobilization, the left part of the gastrocolic ligament was freed. To expose the right gastroepiploic vein, continuous dissection to the right was performed until the antrum was reached. At the lower margin of the pancreas, the right gastroepiploic vein was first encountered, dissected, clipped and cut. In this step, much attention must be paid to avoid injury to the vein, which is prone to tear (Fig. 9a–d). a b Right gastroepiploic vein c Fig. 2 41 Laparoscopic Subtotal Gastrectomy (Billroth-IIanastomosis) Then, the right gastroepiploic artery was dissected, clipped and cut (Fig.
After adequate flushing of the operative field, a closed suction drain was placed into the surgical field through the umbilical incision (Fig. 14a, b). 7 Tips and Tricks 1. The patient should be placed in the supine position with the legs straddled. The surgeon stood between the legs, and the first assistant and the cameraman (second assistant) stood on the right and left side of the patient, respectively. 2. The patient should be placed in an anti-Trendelenburg position and rotated to the right.
Holding forceps, non-traumatic intestinal clamps, needle holder etc. 3. Harmonic scalpel. 4 Team Setup, Anesthesia and Position The same as Sect. 4. 2 Esophageal Surgery Key Steps 1. Establishment of Pneumoperitoneum and Placement of Trocars. 2. Abdominal Exploration. 3. Division of lower esophagus and bilateral cruras. 4. Division of the cardia and fundus of the stomach. 5. Hernioplasty. 6. Fundoplication. 7. Placement of the suction drainage. 6 Surgical Techniques 1. Establishment of Pneumoperitoneum and Placement of Trocars.
Atlas of Single-Incision Laparoscopic Operations in General Surgery by Shuodong Wu, Ying Fan, Yu Tian