Laparoscopic unroofing of simple liver cyst - general and visceral surgery

You have not purchased a license - paywall is active: to the product selection
  • Minilaparotomy

    Video
     
    Minilaparotomy
     

    After skin prepping and draping of the surgical field perform an infra-umbilical minilaparotomy. Insert Verres needle and establish pneumoperitoneum.

  • Trocar positioning

    Video
     
    Trocar positioning
     

    Insert one 11 mm trocar for the laparoscope and the other 11 mm trocars left laterally (working trocar for, e.g., the scissors) and in the epigastrium (working trocar for, e.g., a grasper): Insert one 5 mm trocar in right upper quadrant (working trocar, e.g. for suction).

  • Exploration

    Paid content (video)
    Paid content (image)

    Expose the cyst and open it with the electrocautery scissors. Suction the cyst contents.

    Tips: Depending on the thickness and quality of the cyst wall, resect it with the mono-/bipolar scissors or even the harmonic scalpel!

    Perform careful hemostasis!

    Deeper cysts (e.g., in polycystic liver disease) may display a blueish tinge and must be differentiated from veins: In these cases, laparoscopic ultrasound with vascular Doppler capability can be quite helpful!

  • Inspecting the cyst for neoplasia

    Paid content (video)
    Paid content (image)
    Paid content (text)
  • Circular resection of cyst wall

    Paid content (video)
    Paid content (image)
    Paid content (text)
  • Inspecting the cyst bed

    Paid content (video)
    Paid content (image)
    Paid content (text)
  • Removing the trocars

    Paid content (video)
    Paid content (image)
    Paid content (text)
  • Suturing the trocar site fascia

    Paid content (text)
date of update: 21.08.2022
date of publication: 26.04.2009

Single Access

Access to this lecture
for 3 days

€4.99 inclusive VAT

SEPA Maestro Mastercard VISA

webop-Account Single

full access to all lectures
price per month

for the modul: vascular surgery

from 8,17 €

hospitals & libraries

for the modul: vascular surgery

from 390,00 euros