surgical anatomy
Situs Inversus Toupet
The patient presented a symptomatic gastroesophageal reflux disease. The preoperative assessement revealed a hiatal hernia, an oesophageal hypomotility but also a complete situs inversus anatomy. A laparoscopic...
Acute Gangrenous Cholecystitis
Why gangrenous patches appear firstly in the posterior wall of the fundus in cases of acute gangrenous cholecystitis? I ask the pathologists. In cases like this, was it better to leave the posterior wall...
Laparoscopic Right Hemicolectomy for Cecal Cancer
A right hemicolectomy (right colectomy) for malignant disease involves the resection of the terminal ileum, right colon, and proximal transverse colon followed by ileocolic anastomosis. The extent of...
Recurrent Adherent to the Gland
Identification of the recurrent laryngeal nerve is a must during total thyroidectomy or lobectomy. Otherwise injury may occur in a case like this where the nerve is so adherent to the gland where it lies...
Ligate the Superior Thyroid Vessels Near the...
Ligate the superior thyroid vessels near the upper pole of the gland to avoid injury of the external laryngeal nerve which supplies the cricothyroid muscle which is responsible for the production of the...
Caterpillar (Moynihan’s) Hump Anomaly Encountered...
While performing laparoscopic cholecystectomy in a obese male of BMI 40, after obtaining critical view of safety, a large pulsating vessel presumed to be cystic arteries with overlying node was found....
The “Critical View of Safety” in Laparoscopic...
Surgical technique video: to avoid vasculobiliary injuries, the Critical View of Safety (CVS) technique is strongly recommended during dissection of the hepatocystic triangle. However, in such cases of...
Laparoscopic Cholecystectomy Arterial and Ductal...
Surgical technique video: knowledge of relevant anatomy is important for the safe execution of any operative procedure. Specifically, in the context of a cholecystectomy, it has been recognized since...
Triple Arterial Blood Supply to the Gallbladder...
In the classic textbook description of hepatic artery anatomy, the common hepatic artery (CHA) arises from the celiac axis. The CHA then branches into the gastroduodenal artery and proper hepatic artery....
Adequate Heller Myotomy
Laparoscopy video case: five trocars were placed in the upper part of the abdomen. The gastroesophageal junction and lower mediastinal esophagus were widely mobilized while both vagus nerves were preserved....
Madany Triangle is Safe in Case with Caterpillar...
Madany triangle is safe as a critical view of safety even in a case with Caterpillar hump of Rt hepatic artery. We abolish the seat belt effect of the cystic artery and its branches on the proximal part...
Misinterpretation - Mirizzi Syndrome
Misinterpretation of anatomy in a case of Mirizzi syndrome during laparoscopic cholecystectomy can lead to serious complications such as injury to the common bile duct or hepatic duct. It is crucial for...
R-PeTEP Bottoms-Up Suprapubic
Small symptomatic incarcerated hernia associated to 2,8cm periumbilical limited diastasis recti. Totally extraperitoneal suprapubic approach, realignment of anatomical landmarks with Inan Inverting Plication,...
Duodeno-Jejunal Anastomosis for Superior Mesenteric...
This video presents the case of a young patient with Superior Mesenteric Artery Syndrome due to compression on the third portion of the duodenum. I performed a latero-lateral duodeno-jejunal anastomosis...
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