Hellow guys, Welcome to my website, and you are watching Partial Laparoscopic Nephrectomy - Right Hilar Endophytic Tumor | Edited | Dr Lucas Burttet. and this vIdeo is uploaded by Dr. Lucas Burttet - Urologia / Cirurgia Robótica at 2021-11-04T08:19:44-07:00. We are pramote this video only for entertainment and educational perpose only. So, I hop you like our website.
| Name | Partial Laparoscopic Nephrectomy - Right Hilar Endophytic Tumor | Edited | Dr Lucas Burttet |
| Video Uploader | Video From Dr. Lucas Burttet - Urologia / Cirurgia Robótica |
| Upload Date | This Video Uploaded At 04-11-2021 15:19:44 |
| Video Discription | Vídeo editado de uma nefrectomia parcial direita laparoscópica 3D realizada pelo Dr Lucas Burttet no Hospital Moinhos de Vento, em Porto Alegre - RS. O vídeo encontra-se em velocidade 1,3x. #cancerderim #cirurgialaparoscopica #cirurgiarobotica #rim #nefrectomiparcial #laparoscopicsurgery #roboticsurgery #partialnephrectomy #nephrectomy #kidneycancer #cancer #nephronsparing Caso: - A paciente era uma mulher de 50 anos, com duas lesões sólidas, uma com 3,1cm central rim direito. RENAL nephrometry score: 10ph. Hipertensa, diabética, com sobrepeso. Função renal pré-operatória Creatinina: 0,7; TGF 92. Rim contralateral normal. Cirurgia: - Realizada com câmera 3D Storz. Foram utilizados 2 trocateres 11mm + 1 de 5,5mm + 3 de 5mm para afastamento do fígado, 2 aspiradores e pinça auxiliar. Os instrumentos usados foram tesoura monopolar, pinça bipolar fenestrada (empresa Doctools), e pinça Ligasure Maryland. Após disseção do hilo renal e identificação da lesão, foi realizado clampeamento com bulldogs Scanlan e Taimin nas artérias renais. Realizada enucleação da lesão e clipagem de estruturas do hilo com clips metálicos 300 e clips de polímero Clipfix. Tempo de isquemia 20min, sem utilização de manitol. Realizada colocação de hemostasia adicional mais colocação de hemostático Surgicell fibrilar e Surgicell hemostático. Posteriormente foi realizada ressecção da lesão do polo inferior sem clampeamento. Posteriormente foi realizado fechamento da fáscia de Gerota e gordura peri-renal e posicionado dreno de Blake 15F. O pós operatório transcorreu sem intercorrências, e a paciente recebeu alta no 2o dia pós operatório (36 horas após a cirurgia). E-mail: contato@lucasburttet.com.br - Este vídeo é destinado a médicos e outros profissionais de saúde. Para mais informações ou para agendar uma consulta com o Dr Lucas Burttet, acesse o site www.lucasburttet.com.br ou WhatsApp: (51) 992084231 ---------------- Edited video of a 3D laparoscopic right partial nephrectomy performed by Dr Lucas Burttet at Hospital Moinhos de Vento, in Porto Alegre - RS. The video is at 1.3x speed. #cancerderim #cirurgialaparoscopica #cirurgiarobotica #rim #nefrectomiparcial #laparoscopicsurgery #roboticsurgery #partialnephrectomy #nephrectomy #kidneycancer #cancer #nephronsparing Case: - The patient was a 50-year-old woman with two solid lesions, one with 3.1 cm in the central right kidney. RENAL nephrometry score: 10ph. Patient had hypertension, diabetes melitus and obesity. Preoperative renal function was Creatinine: 0.7; GFR 92, and contralateral kidney was normal. Surgery: - Performed with 3D Storz camera. Two 11mm + 1 5.5mm + 3 5mm trocars were used to remove the liver, 2 aspirators and auxiliary forceps. The instruments used were monopolar scissors, fenestrated bipolar forceps (Doctools company), and Ligasure Maryland forceps (Medtronic). After dissection of the renal hilum and identification of the lesion, clamping with Scanlan and Taimin bulldogs was performed in the renal arteries. Enucleation of the lesion and clipping of hilum structures with 300 metal clips and Clipfix polymer clips were performed. Ischemia time 20min, without the use of mannitol. Placement of additional hemostasis plus placement of Surgicell fibrillar hemostatic and Surgicell hemostatic was performed. Subsequently, resection of the lower pole lesion was performed without clamping. Subsequently, the closure of Gerota's fascia and perirenal fat was performed, and Blake's 15F drain was placed. The postoperative period was uneventful, and the patient was discharged on the 2nd postoperative day (36 hours after surgery). E-mail: contato@lucasburttet.com.br - This video is intended for doctors and other healthcare professionals. For more information or to schedule an appointment with Dr Lucas Burttet, please visit the website www.lucasburttet.com.br or WhatsApp: (51) 992084231 |
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