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Recently uploaded on WebSurg

Surgical intervention
12:59
Laparoscopic right radical nephrectomy for renal cell carcinoma: description of surgical technique
Aim: This video aims to present the laparoscopic technique for right radical nephrectomy in detail.
Case presentation: A 62-year-old man presented to our department with a one-week history of painless macroscopic hematuria. A preoperative abdominal CT-scan revealed a 6cm solid mass in the upper right kidney, originating from the renal cortex and extending into the renal pelvis. The patient was scheduled for a laparoscopic right radical nephrectomy.
Discussion: The laparoscopic approach for kidney surgery has been well described in the literature, both for total and partial nephrectomies. The indications for the laparoscopic approach in kidney surgery has expanded to include grossly advanced tumors even with renal vein thrombosis. Several key steps are crucial for a smooth intraoperative progression and for optimal postoperative outcomes.
Conclusions: The laparoscopic approach exhibits equivalent oncological outcomes, as well as a superior postoperative morbidity profile and should be the standard approach offered to all patients, especially with early carcinomas.

Bibliography:
1. Bollens, R., Rosenblatt, A., Espinoza, B. P., De Groote, A., Quackels, T., Roumeguere, T., Schulman, C. C. (2007, Sep). Laparoscopic partial nephrectomy with "on-demand" clamping reduces warm ischemia time. Eur Urol, 52(3), 804-809. doi:10.1016/j.eururo.2007.04.011
2. Dunn, M. D., Shalhav, A. L., McDougall, E. M., & Clayman, R. V. (2000, Sep). Laparoscopic nephrectomy and nephroureterectomy for renal and upper tract transitional cell cancer. Semin Laparosc Surg, 7(3), 200-10. Retrieved from https://pubmed.ncbi.nlm.nih.gov/11359244/
3. Garrett, J. E., & Rowland, R. G. (2005, Jul). Evolution of radical procedures for urologic cancer. Surg Oncol Clin N Am, 14(3), 553-68. doi:10.1016/j.soc.2005.05.004
4. Parsons, R. B., Canter, D., Kutikov, A., & Uzzo, R. G. (2012, Sep). RENAL nephrometry scoring system: the radiologist's perspective. AJR Am J Roentgenol, 199(3), W355-9. doi:10.2214/AJR.11.8355

Laparoscopic right radical nephrectomy for renal cell carcinoma: description of surgical technique

A Chamzin, C Theodoropoulos, A Triantafyllou, A Drogosis, N Michalopoulos, D Theodorou
9 hours ago
16
Lecture
00:00
Ultrapreservation in robotic radical prostatectomy: anterior, antegrade approaches
In this key lecture, Prof. Thierry Piéchaud, MD, PhD, addresses ultrapreservation in robotic radical prostatectomy outlining anterior, antegrade approaches.

Ultrapreservation in robotic radical prostatectomy: anterior, antegrade approaches

T Piechaud
3 days ago
51
Lecture
32:22
How to write the report - How to write the peer-reviewer report? (part 3/4)
Courtesy of BJS: This video is part of a series of four given by BJS and BJS Open Editors as a short introductory course on how to referee a clinical paper, focusing on how to write the peer-reviewer report. Although these are stand-alone videos that can be viewed individually, they are also used as an integral part of a longer taught online course in surgical publishing from the BJS Institute. Details of the courses and other tutorials are available on the BJS Academy website.
Many referee reports suffer from being either too long or too short, too detailed or not detailed enough. Ville Sallinen, Editor-in-Chief of BJS Open describes how to construct the perfect referee report in this video.

How to write the report - How to write the peer-reviewer report? (part 3/4)

V Sallinen
4 days ago
35
Surgical intervention
04:52
Laparoscopic repair of a post-traumatic diaphragmatic rupture
This is the case of a 34-year-old man who had a car accident which caused a left diaphragmatic rupture, a post-traumatic aortic isthmus rupture, and a femur fracture. An emergency surgery was indicated, and a laparoscopic approach was first recommended. A strangulated diaphragmatic hernia containing the stomach and the greater omentum was found. The hernia content was reintegrated into the abdomen with a diaphragmatic repair. Starting the procedure with a laparoscopic approach is a good option for the treatment of traumatic diaphragmatic ruptures. However, it is still rarely used. In this video, a prosthesis was not placed as the procedure was performed in an emergency, the patient was young, and the diaphragmatic defect was closed without tension.

Bibliographic reference:
Complicated Diaphragmatic Hernia in Emergency Surgery: Systematic Review of the Literature. Gennaro Perrone World J Surg. 2020 Dec;44(12):4012-4031.

Laparoscopic repair of a post-traumatic diaphragmatic rupture

Y Chaker, A Sebai, JM Kacem
7 days ago
257
Surgical intervention
10:53
Laparoscopic repair of acute diaphragmatic rupture: a stepwise approach
This video presents the case of a 20-year-old man who underwent an elective surgery for an abdominal blunt trauma. The aim of this video was to describe the laparoscopic management of this trauma in a stepwise fashion in order to easily expose, reduce the abdominal content, and safely close a left diaphragmatic rupture.

Laparoscopic repair of acute diaphragmatic rupture: a stepwise approach

FJ Martínez Jiménez, A Miranda, N Zaragoza Arias
7 days ago
165
Surgical intervention
07:42
Surgical treatment of a pulmonary hydatid cyst: video-assisted thoracoscopic surgery (VATS) cystotomy with capitonnage
This is the case of a 46-year-old woman who presented with cough and vomiting without any other symptoms and without any epidemiological history. X-ray of the chest and CT-scan showed a 52 by 44mm cyst in the anterior segment of the left lower lobe. After 15 days with albendazole, the surgical team decided to perform a VATS cystotomy with capitonnage. The postoperative period was uneventful and the patient was discharged on postoperative day 3. The histopathological exam revealed a pericystic layer in the lung tissue due to a hydatid cyst and a hydatid chitinous layer.

Surgical treatment of a pulmonary hydatid cyst: video-assisted thoracoscopic surgery (VATS) cystotomy with capitonnage

JG Yaryura Montero, MA Cafaro, JC Medina, RA Benavidez, R Navarro
7 days ago
74
Focus of the month

Focus on thoracic surgery (VATS & RATS)

7 days ago
0
Lecture
00:00
My VATS complications
In this authoritative lecture, Prof. Khalid Amer, MD, FRCS provides his experience with video-assisted thoracoscopic complications.

My VATS complications

K Amer
10 days ago
72

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IRCAD News

Renji University Hospital delegation visits IRCAD

Last week, we had the honor of welcoming a delegation from ‌Renji University Hospital. They had the chance to delve into the IRCAD concept and explore our facilities. Thank you to: – Mr Yumin Pan, General Consul of China – Pr Qiang XIA, President of Renji Hospital – Pr Weiping LI, Former President of Renji […]

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