Name: Laparoskopik sağ hemikolektomi ile tam mezokon eksizyonu ve D3 lenf düğümü diseksiyonunda kaudal-kraniyal yaklaşım (Video) | JoVE Journal
Uploaded: 2026-01-09T14:20:00.000+00:00
Duration: 6 min 46 s
Description: Keşfedin sağ hemikolektomi için kaudal-kraniyal laparoskopik yaklaşımı. Tam mezokon eksizyonu ve D3 lenf düğümü diseksiyonu ile kolorektal kanser cerrahisinde güvenliği artıran minimal invaziv tekniği öğrenin.

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</ol>

<table><tbody><tr><td>Karın Trokarı</td><td>Golden Stapler Surgical Co., Ltd</td><td>JW12TLV; 5mm, 10mm, 12mm</td><td>Karın ponksiyonu yoluyla operatif kanallar oluşturulması</td></tr><tr><td>Emme cerrahi dikişi</td><td>Jian Shi Cerrahi Aletler Şirketi, Ltd</td><td>3-0</td><td>İnce bağırsak ve kolonun ortak açıklığını kapatın</td></tr><tr><td>Emme cerrahi dikişi</td><td>Jian Shi Cerrahi Aletler Şirketi, Ltd</td><td>No. 2</td><td>Periton ve linea alba'yı sürekli kapatın</td></tr><tr><td>Emme cerrahi dikişi</td><td>B.Braun Cerrahi.S.A</td><td>3-0</td><td>Bağırsak kütüğüne dikme</td></tr><tr><td>Tek kullanımlık ligasyon klipsi</td><td>Kang Ji Tıbbi Aletler Şirketi, Ltd</td><td>KJ-JZJ06L, KJ-JZJ06ML</td><td>Kan damarlarının bağlanması</td></tr><tr><td>Tek kullanımlık tıbbi drenaj borusu</td><td>Chen Sheng Tıbbi Teknoloji A., Ltd</td><td>Tip G</td><td>Drenaj ve Sulama</td></tr><tr><td>Endoskopik lineer zımba</td><td>Reach Surgical Instrument Co.,Ltd</td><td>IM60WHT</td><td>Sindirim sistemi rekonstrüksiyonu</td></tr><tr><td>HD laparoskop</td><td>KARL STORZ SE & Şirket KG</td><td>TC200</td><td>&mdash; &mdash;</td></tr><tr><td>Laparoskopik enstrümanlar</td><td>Tonglu Youshi Tıbbi Ekipman Şirketi, Ltd</td><td>&mdash; &mdash;</td><td>&mdash; &mdash;</td></tr><tr><td>İpek örgülü emilmez dikiş</td><td>Johnson & Johnson Medical (China) Ltd.</td><td>2-0</td><td>Deriyi dikmek</td></tr><tr><td>Cerrahi hemostaz & nbsp; &nbsp; Ablasyon elektrotomu</td><td>Yi Boleiming Tıbbi Teknoloji A., Ltd</td><td>LM-A5</td><td>Karın bölgesinde mini laparotomi yapın</td></tr><tr><td>Ultrason bıçağı</td><td>Innolcon Medical Technology Co.,Ltd</td><td>SG35 Modeli, 5mm çapı</td><td>Cerrahi işlem</td></tr></tbody></table>

laparoskopik sağ hemikolektomi ile tam mezokon eksizyonu ve d3 lenf düğümü diseksiyonunda kaudal-kraniyal yaklaşım

Caudal-to-cranial Approach in Laparoscopic Right Hemicolectomy with Complete Mesocolon Excision and D3 Lymph Node Dissection

Laparoskopik sağ hemikolektomi ile tam mezokon eksizyonu ve D3 lenf düğümü diseksiyonunda kaudal-kraniyal yaklaşım

Laparoscopic right hemicolectomy (LRH) has been proven to be an effective and safe surgical approach. However, due to the numerous vessels involved in the ...

caudal-to-cranial-approach-laparoscopic-right-hemicolectomy-with

Research

JoVE Journal

Medicine

Tıp

Burada açıklanan robotik teknik, periton yansımasının altında bulunan lokal olarak ilerlemiş (T3/T4) rektum kanseri için robot destekli total mezorektal eksizyon ve lateral pelvik lenf nodu diseksiyonuna adım adım yaklaşmayı amaçlamaktadır.

Lokal İlerlemiş Orta-Düşük Rektum Kanseri için Robot Destekli Total Mezorektal Eksizyon ve Lateral Pelvik Lenf Nodu Diseksiyonu

Burada, kolorektal kanser için tek cerrahlı, üç portlu, laparoskopik rezeksiyonu doğal orifis örneği ekstraksiyonu ile başarılı bir şekilde gerçekleştirmek için bir protokol sunuyoruz.

Doğal Orifis Örneği Ekstraksiyonu ile Kolorektal Kanser için Tek Cerrahlı, Üç Portlu, Laparoskopik Rezeksiyonun Klinik Uygulaması

Bu protokol, vasküler yönetimi ve lenf nodu diseksiyonunu optimize etmek, cerrahi prosedürleri basitleştirmek ve cerrahi güvenlik ve verimliliği artırmak için tasarlanmış modifiye bir laparoskopik sağ hemikolektomi olan Cerrahi Gövde odaklı Laparoskopik Sağ Hemikolektomiyi (ST-LRH) tanımlar.

Sağ Kolon Kanseri için Cerrahi Gövde Yönelimli Laparoskopik Sağ Hemikolektomi (ST-LRH)

Perihiler kolanjiokarsinom (pCCA) oldukça malign ve agresif bir tümördür ve radikal rezeksiyon tek küratif tedavi mevcuttur. Laparoskopik teknikler ve aletlerdeki sürekli gelişmelerle birlikte, pCCA için laparoskopik radikal cerrahi artık teknik olarak güvenli ve uygulanabilir olarak kabul edilmektedir. Bununla birlikte, cerrahinin yüksek karmaşıklığı ve kanıta dayalı klinik desteğin olmaması nedeniyle, tip IIIb pCCA için laparoskopik radikal cerrahi sadece birkaç büyük hepatobiliyer merkezde...

Perihiler Kolanjiokarsinom Tip IIIb'nin Komple Laparoskopik Radikal Rezeksiyonu

Kaudat lobun intrahepatik kolanjiokarsinomu, benzersiz konumu nedeniyle birçok cerrah için bir zorluktur. Burada, kolanjiokarsinom için kaudat lob rezeksiyonu ile kombine laparoskopik sol hemihepatektominin adım adım detaylarını gösteren bir protokol sunuyoruz.

Laparoskopik Sol Hemihepatektomi ve Kaudat Lob Rezeksiyonu

Bu çalışmanın amacı, mezenter kökündeki mezenterik lenfatiklerin makro ve mikrodiseksiyonunun uygulanabilirliğini ve buna eşlik eden lenfatik klirenslerin morfometrisini sunmaktır.

İnce ve Kalın Barsak Mezenterinin D3 Volümünde Kolik ve İnce Barsak Arter Lenfovasküler Demetlerinin Tanımlanmasında Anatomik Diseksiyonun Rolü

Laparoskopik sağ hemihepatektominin klinik faydalarını in situ anterior yaklaşımla değerlendirmek, özellikle kompleks karaciğer tümörleri için tümör yayılma risklerini en aza indirme, kanamayı azaltma ve cerrahi güvenliği artırmadaki avantajlarını vurgulamak.

In Situ Anterior Yaklaşımla Laparoskopik Anatomik Sağ Hemihepatektomi

Bu makale, Laennec'in sağ anterior kesitektomi için kapsül kılavuzluğunda laparoskopik yaklaşımını sunmayı ve karmaşık karaciğer rezeksiyonlarında güvenliği, hassasiyeti ve tekrarlanabilirliği artırma potansiyelini vurgulamayı amaçlamaktadır.

Hepatik Pedikül Öncelikli Yaklaşımla Laparoskopik Anatomik Sağ Ön Bölümektomi: Teknik Detaylar ve Temsili Vaka İllüstrasyonu

Protokol, Bismut-Corlette tip IIIb perihiler kolanjiyokarsinomun radikal rezeksiyonu için adım adım laparoskopik bir protokol sunmaktadır. Bu işlem, ameliyat öncesi PTCD, karmaşık damar diseksiyon ve onarımı ile yüksek hacimli hepatobiliyer merkezlerde uygulama için safra rekonstrüksiyonunu entegre eder.

Bismut-Korlette Tip IIIb perihiler kolanjiyokarsinomun Laparoskopik Radikal Rezeksiyonu için Karmaşık Vasküler Adezyon Altında Ameliyat Dışı Strateji

Floresans görüntüleme, görüntü kılavuzluğunda cerrahi cerrahi onkoloji için umut verici bir yenilikçi bir yöntemidir. Bu video jinekolojik oncologicy görücüye olarak floresan görüntüleme ile sentinel lenf nodu tespiti için teknik prosedür açıklanmaktadır. Multispektral floresan kamera sistemi, floresan madde ile birlikte yeşil indosiyanin uygulanır.

Jinekolojik Onkoloji Sentinel lenf nodu intraoperatif Algılama için Multispektral Gerçek zamanlı Floresans Görüntüleme

Keşfedin sağ hemikolektomi için kaudal-kraniyal laparoskopik yaklaşımı. Tam mezokon eksizyonu ve D3 lenf düğümü diseksiyonu ile kolorektal kanser cerrahisinde güvenliği artıran minimal invaziv tekniği öğrenin.

Laparoskopik sağ hemikolektomi ile tam mezokon eksizyonu ve D3 lenf düğümü diseksiyonunda kaudal-kraniyal yaklaşım

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