Description
This video is a step-by-step approach to the technique of laparoscopic cholecystectomy without per-operative cholangiogram. The patient is a 57 yr old lady with six months history of recurrent billiary colic. There is no history of jaundice, and a recent ultrasound scan confirmed multiple stones in her gall bladder and a normal sized common bile duct. Similarly, recent blood tests including liver function tests were within the normal range.
Two 5mm ports are used for the instruments and one 10mm port for the telescope. The procedure was uncomplicated, the patient had uneventful recovery and was discharged from our day surgery unit four hours later.
WHY SURGICAL MIAVR ?
Reduction of surgical dissection low blood loss
Reduction of postoperative pain
Improvement of postoperative respiratory function
Early mobilization & shorter hospital stay
Faster recovery to functional activity
Less rehabilitation resources
Cosmetically superior incision
Facilitation for reoperation at a later date
Reduction of costs
Mitral valve repair is the gold standard procedure for patients who require surgery for mitral valve disease. Regardless of the surgical approach, minimal access vs. standard open techniques, the chosen therapy should ensure procedural safety and the ability of the surgeon to perform a durable mitral valve repair. Herein we demonstrate the less invasive approach we typically use for repair at the Reference Mitral Valve Center at Mount Sinai, the hallmark of which is a limited 7-8 cm lower midline incision, tunneling, full sternotomy, and standard cardiopulmonary bypass techniques with central cannulatio