Video Clips

Minimally Invasive Surgery for General Surgeon

Air Marshal, Assist Prof. Poschong Suesat , MD. Bhumibol Adulyadej Hospital , Royal Thai Air Force.

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          Laparoscopic Tips

 

Closed Trocar Insertion Technique 1

Closed Trocar Insertion Technique 2 

Closed Trocar Insertion Technique 3

Closed Trocar Insertion Technique 4  

Closed Trocar Insertion Technique 5

Open Trocar Insertion Technique 1 

Open Trocar Insertion Technique 2 

Open Trocar Insertion Technique 3

Falciform Retraction Technique

Trocar Wound Closure Technique 1

Trocar Wound Closure Technique 2

Specimen Removal Technique

Gall Bladder Removal Techniques

Simple Interrupted Suture  

Continuous Suture 

Extracorporeal Knot Tying 

Balloon Dissection Technique 1 

Balloon Dissection Technique 2

The Forearm Balloon Invention

The Economical Hand Port

 

         Laparoscopic Cholecystectomy

 

Cholecystectomy 1  

Cholecystectomy 2  

Cholecystectomy (Short cystic duct) 

Cholecystectomy (Closure of the cholecystoenteric fistula) 

Cholecystectomy 3

Cholecystectomy 4

Cholecystectomy 5 (Ultrasonic)

Cholecystectomy 6

Cholecystectomy 7 (Cholecystitis)

Cholecystectomy 8

Cholecystectomy 9 (Double ports)

Cholecystectomy 10 (Double ports)

Cholecystectomy 11 (Cholecystitis)

Cholecystectomy 12 (with appendectomy)

Cholecystectomy 13 (Cystic duct ligation)

Cholecystectomy 14 (Cholecystitis)

Cholecystectomy 15 (Cholecystitis, fundus dissection)

Cholecystectomy 16 (Empyema GB)

Cholecystectomy 17 (Cystic duct ligation)

Cholecystectomy 18 (Cystic duct ligation)

Cholecystectomy 19 (Cystic duct ligation)

Cholecystectomy 20 (with liver cyst fenestration)

Cholecystectomy 21 (Severe adhesion)

Cholecystectomy 22 (Cholecystitis) 

Cholecystectomy 23 (Cholecystitis) 

Cholecystectomy 24 (Cholecystitis, fundus dissection) 

Cholecystectomy 25 (Elongated GB) 

Cholecystectomy 26 (Cirrhosis) 

Cholecystectomy 27 (After cholecystostomy) 

Cholecystectomy 28 (Short cystic duct)

Cholecystectomy 29

Cholecystectomy 30 (Cholecystitis)

Cholecystectomy 31 (Bleeding cystic artery)

Cholecystectomy 32 (Venous bleeding at gallbladder bed)

Cholecystectomy 33 (Arterial bleeding)

Cholecystectomy 34 (with liver cyst fenestration)

Cholecystectomy 35 (Redundant GB)

Cholecystectomy 36 (with duodenal tumor resection , Ectopic Pancreas)

Cholecystectomy 37 (with Umbilical Hernia Repair , IPOM)

Cholecystectomy 38 (Falciform Ligament Retraction)

Cholecystectomy 39 (Large Cystic Duct)

Cholecystectomy 40 (Cystic Duct Drainage)

Cholecystectomy 41 (Empyema GB)

Cholecystectomy 42 (Previous Explor. Lap. for Blunt Abdominal Injuries)

Cholecystectomy 43 (with Umbilical Hernia Repair , IPOM)

Cholecystectomy 44 (Slip Knot Ligation)

Cholecystectomy 45 (Slip Knot Ligation)

Cholecystectomy 46 (with Liver Cyst Fenestration)

Cholecystectomy 47 (Ultrasonic Dissection)

Cholecystectomy 48 (Acute Cholecystitis)

Cholecystectomy 49 (Cholecystitis, fundus dissection)

Cholecystectomy 50 (Acute Cholecystitis)

Cholecystectomy 51

Cholecystectomy 52

 

      Laparoscopic Hepatobiliary Surgery

 

CBD Exploration 1 

CBD Exploration 2

CBD Exploration 3 

CBD Exploration 4

CBD Exploration 5

CBD Exploration 6

CBD Exploration 7

CBD Exploration 8

CBD Exploration 9

CBD Exploration 10

CBD Exploration 11

CBD Repair over T-tube (Bile duct injury) 

Cholecystojejunostomy

Cholecystojejunostomy with gastrojejunostomy

Choledochoduodenostomy 1

Choledochoduodenostomy 2

Choledochoduodenostomy 3

Choledochoduodenostomy 4

Choledochoduodenostomy 5

Choledochoduodenostomy 6

Choledochoduodenostomy 7

Choledochoduodenostomy 8

Choledochoduodenostomy 9 (Multiple stones)

Choledochoduodenostomy 10 (Previous gastrostomy)

Choledochoduodenostomy 11 (Multiple stones)

Choledochoduodenostomy 12 (S/P Open cholecystectomy and second reccurent stones)

Choledochoduodenostomy 13 (Large CBD with Dificult ERCP)

Choledochoduodenostomy 14 (Empyema GB and fibrosed CBD)

Choledochoduodenostomy 15 (Impacted Stone)

Choledochoduodenostomy 16 (Large CBD with Duodenal Diverticulum)

Choledochoduodenostomy 17 (Fail ERCP)

Choledochoduodenostomy 18 (Prolonged CBD stent , Reccurent stones and Distal CBD stenosis)

Choledochoduodenostomy 19 (Recurrent Stones , Multiple repeated ERCP , Fibrosed CBD )

Choledochoduodenostomy 20 (Recurrent Stones , S/P LC )

Choledochoduodenostomy with gastrojejunostomy

Choledochojejunostomy with gastrojejunostomy

Hepaticojejunostomy 1

Hepaticojejunostomy 2

Hepaticojejunostomy 3

Hepaticojejunostomy 4

Hepaticojejunostomy 5

Hepaticojejunostomy 6

Hepaticojejunostomy 7

Fenestration of Polycystic Liver 1 

Fenestration of Polycystic Liver 2  

Diagnostic Partial Hepatectomy

Diagnostic Laparoscopy

Hepatic Tumor Resection

Hepatectomy 1 (Left lateral segmentectomy)

Hepatectomy 2 (Right partial segmentectomy)

Hepatectomy 3 (Left hepatectomy)

Hepatectomy 4 (Right partial segmentectomy)

Hepatectomy 5 (Right partial segmentectomy)

Hepatectomy 6 (Hand-assisted left partial segmentectomy)

Biliary Drainage (Advanced Cholangio CA)

Cholecystostomy 1 (Acute Cholecystitis)

Cholecystostomy 2 (Advanced CA. Head of Pancreas)

 

      Laparoscopic Adrenalectomy

 

Adrenalectomy 1 (Left aldosteronoma)  

Adrenalectomy 2 (Left aldosteronoma)

Adrenalectomy 3 (Left Cortisol-producing Adenoma)

Adrenalectomy 4 (Left Cortisol-producing Adenoma)

Adrenalectomy 5 (Right aldosteronoma)

Adrenalectomy 6 (Left aldosteronoma)

Adrenalectomy 7 (Left aldosteronoma)

Adrenalectomy 8 (Left pheochromocytoma)

Adrenalectomy 9 (Left aldosteronoma)

Adrenalectomy 10 (Right aldosteronoma)

Adrenalectomy 11 (Left aldosteronoma)

Adrenalectomy 12 (Left aldosteronoma)

Adrenalectomy 13 (Right adrenal Schwannoma)

Adrenalectomy 14 (Right aldosteronoma)

Adrenalectomy 15 (Left aldosteronoma)

Adrenalectomy 16 (Left aldosteronoma with LC)

Adrenalectomy 17 (Right aldosteronoma)

Adrenalectomy 18 (Right aldosteronoma)

Adrenalectomy 19 (Left aldosteronoma)

Adrenalectomy 20 (Right aldosteronoma)

Adrenalectomy 21 (Left aldosteronoma)

Adrenalectomy 22 (Left aldosteronoma with LC)

Bilateral Adrenalectomy (Cushing's disease)

 

       Laparoscopic Inguinal Hernia Repair  

                                 

Intraperitoneal Onlay Mesh Repair (IPOM 1 , Recurrent groin hernia with gallstones)

Intraperitoneal Onlay Mesh Repair (IPOM 2)

Intraperitoneal Onlay Mesh Repair (IPOM  3 , Reurrent TEP)

Transabdominal Preperitoneal Approach (TAPP 1) 

Transabdominal Preperitoneal Approach (TAPP 2)

Transabdominal Preperitoneal Approach (TAPP 3)

Transabdominal Preperitoneal Approach (TAPP 4 , Lady IIH)

Transabdominal Preperitoneal Approach (TAPP 5 , with LC)

Transabdominal Preperitoneal Approach (TAPP 6 , S/P Urinary Bladder stone removal)

Transabdominal Preperitoneal Approach (TAPP 7 , S/P IPOM for Incisional Hernia Repair)

Totally Extraperitoneal Hernia Repair (TEP 1) 

Totally Extraperitoneal Hernia Repair (TEP 2) 

Totally Extraperitoneal Hernia Repair (TEP 3) 

Totally Extraperitoneal Hernia Repair (TEP 4) 

Totally Extraperitoneal Hernia Repair (TEP 5) 

Totally Extraperitoneal Hernia Repair (TEP 6, Lady)

Totally Extraperitoneal Hernia Repair (TEP 7, Lady)

Totally Extraperitoneal Hernia Repair (TEP 8, Recurrent right DIH)

Totally Extraperitoneal Hernia Repair (TEP 9, Recurrent left DIH)

Totally Extraperitoneal Hernia Repair (TEP 10, Recurrent left DIH)

Totally Extraperitoneal Hernia Repair (TEP 11, Peritoneal Tearing)

Totally Extraperitoneal Hernia Repair (TEP 12, DIH and IIH)

Totally Extraperitoneal Hernia Repair (TEP 13, Plus Internal Ring Suture)

Totally Extraperitoneal Hernia Repair (TEP 14, Plus Internal Ring Suture)

TEP for Large Inguinal Hernia 1 

TEP for Large Inguinal Hernia 2 

TEP for Large Inguinal Hernia 3

TEP for Large Inguinal Hernia 4

TEP for Large Inguinal Hernia 5

Mesh Insertion for TEP 1

Mesh Insertion for TEP 2

Mesh Insertion for TEP 3

Mesh Insertion for TEP 4 (Glue fixation)

Mesh Insertion for TEP 5

Mesh Insertion for TEP 6 (Fibrin Glue fixation)

Mesh Insertion for TEP 7 (Hernial sac ligation and omentectomy)

TEP for Bilateral Inguinal Hernia 1

TEP for Bilateral Inguinal Hernia 2 

TEP for Bilateral Inguinal Hernia 3 

TEP for Bilateral Inguinal Hernia 4 

TEP for Bilateral Inguinal Hernia 5

TEP for Bilateral Inguinal Hernia 6

TEP for Bilateral Inguinal Hernia 7

TEP for Bilateral Inguinal Hernia 8 (Lateral Split Meshes)

TEP for Bilateral Inguinal Hernia 9 (3DMax Meshes)

TEP for Bilateral Inguinal Hernia 10 (with Vasectomy)

TEP for Bilateral Inguinal Hernia 11 (with Cholecystectomy)

TEP for Bilateral Inguinal Hernia 12 (Reducible Sacs)

TEP for Bilateral Inguinal Hernia 13 (with Vasectomy)

TEP for Bilateral Inguinal Hernia 14 (DIH and IIH)

TEP for Bilateral Inguinal Hernia 15 (Hernial Sac Ligation)

TEP for Bilateral Inguinal Hernia 16 (Partial Hernial Sac Ligation)

TEP for Bilateral Inguinal Hernia 17

TEP for Bilateral Inguinal Hernia 18

TEP for Bilateral Inguinal Hernia 19

TEP for Bilateral Inguinal Hernia 20

TEP for Bilateral Inguinal Hernia 21 (Incarcerated Hernia , PIRS)

TEP for Bilateral Inguinal Hernia 22 (Communicating Hydrocele)

 

     Laparoscopic Ventral Hernia Repair

 

Umbilical Hernia 1 (TAPP) 

Umbilical Hernia 2 (IPOM)

Umbilical Hernia 3 (IPOM)

Umbilical Hernia 4 (IPOM)

Umbilical Hernia 5 (IPOM)

Epigastric Hernia (IPOM)

Hypogastric Hernia (IPOM)

Diastasis Recti Hernia (IPOM)

ParastomaL Hernia 1 (IPOM)

ParastomaL Hernia 2 (IPOM)

Incisional Hernia 1 (TEP) S/P Explor. Lap. for GSW of liver

Incisional Hernia 2 (TEP) S/P Appendectomy  

Incisional Hernia 3 (TAPP) S/P Laparoscopic colectomy

Incisional Hernia 4 (IPOM) S/P Caecarian operation

Incisional Hernia 5 (TAPP) S/P Gastric surgery

Incisional Hernia 6 (IPOM) S/P Nephrectomy

Incisional Hernia 7 (IPOM) S/P Appendectomy

Incisional Hernia 8 (IPOM) S/P Explor. Lap. for penetrating wounds

Incisional Hernia 9 (IPOM) S/P Explor. Lap. for appendectomy

Incisional Hernia 10 (IPOM) S/P Abdominal flap mammoplasty

Incisional Hernia 11 (IPOM) S/P Open cholecystectomy

Incisional Hernia 12 (IPOM) S/P Drainage of retroperitoneal abscess

Incisional Hernia 13 (IPOM) S/P Laparoscopic cholecystectomy with CBD exploration, Port site hernia

Incisional Hernia 14 (IPOM) S/P Laparoscopic cholecystectomy, Port site hernia

Incisional Hernia 15 (IPOM) S/P Open hepatectomy

Incisional Hernia 16 (IPOM) S/P IPOM, Port site hernia

Incisional Hernia 17 (IPOM) S/P Open repair with mesh graft

Incisional Hernia 18 (IPOM) S/P Explor. Lap. for Pu Perforation

Incisional Hernia 19 (IPOM) S/P IPOM, Port site hernia

Incisional Hernia 20 (IPOM) S/P TAH, with Cholecystectomy

Incisional Hernia 21 (IPOM) S/P Explor. Lap. for appendectomy

Incisional Hernia 22 (IPOM) S/P Orthopedic Spine Surgery

Incisional Hernia 23 (IPOM) S/P Caecarian operation

Incisional Hernia 24 (IPOM Plus) S/P Open Cholecystectomy

Incisional Hernia 25 (IPOM Plus) S/P Appendectomy

Incisional Hernia 26 (IPOM Plus) S/P Explor. Lap. for Ruptured Appendix

Incisional Hernia 27 (IPOM Plus) S/P Sigmoid Colectomy

 

     Laparoscopic Diaphragmatic Hernia Repair

 

Diaphragmatic Hernia Repair 1

Diaphragmatic Hernia Repair 2

Hiatal Hernia Repair 1

Hiatal Hernia Repair 2

Hiatal Hernia Repair 3

  

   Laparoscopic Colon Resection

 

Right Colectomy 1 

Right Colectomy 2 

Right Colectomy 3 

Right Colectomy 4 

Right Colectomy 5

Right Colectomy 6 (Extended right colectomy 1) 

Right Colectomy 7 (Advanced CA caecum)

Right Colectomy 8 (TB with intestinal obstruction)

Right Colectomy 9 (CA caecum)

Right Colectomy 10 (with Cholecystectomy)

Right Colectomy 11 (Advanced CA Transverse Colon)

Extended right colectomy 2 (with cholecystectomy)

Extended right colectomy 3

Extended right colectomy 4

Left Colectomy     

Sigmoid Colectomy 1 

Sigmoid Colectomy 2

Sigmoid Colectomy 3

Sigmoid Colectomy , Hand-assisted 1 

Sigmoid Colectomy , Hand-assisted 2

Sigmoid Colectomy , Hand-assisted 3

Anterior Resection 1 

Anterior Resection 2  

Anterior Resection 3  

Anterior Resection 4 

Anterior Resection 5 (Low anterior resection 1)  

Anterior Resection 6

Anterior Resection 7 (Low anterior resesection 2)

Anterior Resection 8

Splenic Flexure Mobilization

Abdomimoperineal Resection 1 

Abdominoperineal Resection 2 

Abdominoperineal Resection 3

Abdominoperineal Resection 4

Abdominoperineal Resection 5

Subtotal Colectomy 1

Subtotal Colectomy 2

 

       Laparoscopic Gastric Surgery

 

Simple Suture with Omental Patch 1 

Simple Suture with Omental Patch 2

Simple Suture with Omental Patch and Cholecystectomy 

Posterior Truncal Vagotomy And Anterior Seromyotomy 

Truncal Vagotomy and Pyloroplasty

Truncal Vagotomy and Gastrojejunostomy

Gastrojejunostomy and Cholecystectomy 

Gastrojejunostomy 1 (CA pancreas) 

Gastrojejunostomy 2 (CA stomach)

Gastrojejunostomy 3 (CA stomach)

Gastrojejunostomy 4 (CA pancreas)

Gastrojejunostomy 5 (Periampalary CA)

Gastrectomy 1 (Antrectomy with Billoth II)

Gastrectomy 2 (Partial Gastrectomy for GIST)

Gastrectomy 3 (Partial Gastrectomy for Submucosal Tumors)

Nissen Fundoplication

Gastrostomy Tube Placement

 

    Laparoscopic Appendectomy 

 

Appendectomy 1  

Appendectomy 2 (midline caecum)  

Appendectomy 3 (with cholecystectomy)  

Appendectomy 4

Appendectomy 5 (with corpus luteal rupture)

Appendectomy 6 (with corpus luteal rupture)

Appendectomy 7  

Appendectomy 8 (with cholecystectomy)

Appendectomy 9 (with cholecystectomy)

Appendectomy 10

Appendectomy 11

Appendectomy 12 (with cholecystectomy)

Appendectomy 13

Appendectomy 14

Appendectomy 15

Appendectomy 16 (with Cholecystectomy)

Appendectomy 17 (Retrocecal Appendix)

Appendectomy 18

 

     Laparoscopic Concomitant Procedures

 

TAPP with Cholecystectomy and Explore CBD 

Cholecystectomy with Appendectomy 

Cholecystectomy with Right Colectomy 

Gastrojejunostomy with Cholecystectomy   

Simple Suture with Cholecystectomy 

Cholecystectomy with Retroperitoneal Tumor Removal 

Cholecystectomy with appendectomy

Cholecystectomy with liver cyst fenestration

Right Colectomy with Cholecystectomy  

Appendectomy with Cholecystectomy  

Appendectomy with Cholecystectomy  

Appendectomy with Cholecystectomy 

Inguinal Hernia Repair (IPOM) with Cholecystectomy

Subtotal Colectomy with Cholecystectomy

Cholecystectomy  with Adrenalectomy

Extended Right Colectomy with Cholecystectomy

Appendectomy with total gastrectomy and distal pancreatectomy

Cholecystectomy with liver cyst fenestration

TEP and Umbilical Hernia Repair

Cholecystectomy with duodenal tumor resection

Cholecystectomy with Umbilical Hernia Repair ( IPOM)

Bilateral TEP with Vasectomy

Bilateral TEP with Cholecystectomy

Incisional Hernia (IPOM) with Cholecystectomy 

Bilateral TEP with Vasectomy

Adrenalectomy with Cholecystectomy

Right Colectomy with Cholecystectomy

Appendectomy with cholecystectomy

TAPP with Cholecystectomy

Cholecystectomy with Umbilical Hernia Repair (IPOM)

Appendectomy with Cholecystectomy

 

 Hand-assisted Laparoscopic Surgery

                                                    

The Forearm Balloon Version1 

The Forearm Balloon Version2                  

Gastrojejunotomy  

Adrenalectomy

Splenectomy 1

Splenectomy 2 

Hepaticojejunostomy  

Right Colectomy 1 (CA colon)

Right Colectomy 2 (Diverticulitis)

Right Colectomy 3 

Extended right colectomy with cholecystectomy

Left Colectomy 

Sigmoid Colectomy 1 

Sigmoid Colectomy 2

Sigmoid Colectomy 3

Anterior Resection 

Splenic Flexure Mobilization

Subtotal Colectomy 1

Subtotal Colectomy 2 

Subtotal Colectomy 3 

Fundoplication

Appendectomy with total gastrectomy and distal pancreatectomy

Hepatectomy (left partial segmentectomy)

 

 Miscellaneous Minimally Invasive Surgery

 

Heller Myotomy 1  

Heller Myotomy 2 (with Dor fundoplication)

Heller Myotomy 3 (with Dor fundoplication)

Heller Myotomy 4 (with Dor fundoplication)

Heller Myotomy 5 (with Dor fundoplication)

Heller Myotomy 6 (with Dor fundoplication)

Heller Myotomy 7 (with Dor fundoplication)

VAT for Excision of Pleural Mass 

VAT for Truncal Vagotomy 

Lysis of Adhesions 1 (S/P Right hemicolectomy)  

Lysis of Adhesions 2 (Sigmoid colon, S/P Hysterectomy)

Lysis of Adhesions 3 (S/P Appendectomy) 

Lysis of Adhesions 4 (S/P Explor. Lap. and appendectomy) 

Lysis of Adhesions 5 

Lysis of Adhesions 6

Lysis of Adhesions 7

Lysis of Adhesions 8

Lysis of Adhesions 9

Lysis of Adhesions 10  

Enterocolostomy (Malignant obstruction) 

Cystogastrostomy for Pancreatic Cyst

Spleen-preserving Distal Pancreatectomy

 

     Open Surgery

 

Preperitoneal Hernia Repair (Bilateral inguinal hernia)

Preperitoneal Hernia Repair (Recurrent Right IIH)

Subtotal Colectomy (Complicated Diverticulitis)

Cholangiojejunostomy with U-tube Drainage (Modified Longmire Operation)