Tag Archives: laparoscopic

Print Release, Surgical Technology

PUBLISHED: Setup for a Laparoscopic Appendectomy (Kingsborough Community College, Brooklyn, NY)

Setup for a Laparoscopic Appendectomy (Kingsborough Community College, Brooklyn, NY)
Roxanne West, BS, CST
Kingsborough Community College, Brooklyn, NY

Correct preoperative setup of the sterile field, including surgical instrumentation, is critical to ensure patient safety and optimize surgical outcomes. Educational videos such as this provide important resources for surgical technology students and other healthcare professionals who are learning how to master these foundational skills. This video demonstrates a complete setup of the back table and Mayo stand for a laparoscopic appendectomy, during which all instruments are identified and counted in accordance with established safety protocols. The setup process includes verification of sterile indicators to confirm sterility, followed by a systematic count of soft goods and sharps and identification of specialized laparoscopic instrumentation.

Print Release, Surgical Technology

PUBLISHED: Setup for a Laparoscopic Appendectomy (Eastwick College, Ramsey, NJ)

Setup for a Laparoscopic Appendectomy (Eastwick College, Ramsey, NJ)
Hansel Samson Perez, AAS, CST; Karen L. Chambers, MHA/Ed, CST, FAST
Eastwick College, Ramsey, NJ

Laparoscopic appendectomy has become the standard surgical approach for acute appendicitis. Organization and maintenance of the sterile field are necessary in order to protect the patient’s safety and ensure an efficient surgical workflow. This educational video demonstrates how to prepare a back table, Mayo stand, and ring basin for a laparoscopic appendectomy using an efficient method that promotes patient safety.

Print Release, Surgical Technology

PUBLISHED: Setup for a Laparoscopic Hemicolectomy (Eastwick College, Ramsey, NJ)

Setup for a Laparoscopic Hemicolectomy (Eastwick College, Ramsey, NJ)
Ana M. Anilmis, AAS, CST; Karen L. Chambers, MHA/Ed, CST, FAST
Eastwick College, Ramsey, NJ

Laparoscopic hemicolectomy is a minimally invasive surgical intervention requiring careful organization and clear setup procedures. A systematic approach to this setup ensures all necessary equipment is available, and it supports optimal surgical outcomes and patient safety. This educational video provides a demonstration of a setup for a laparoscopic hemicolectomy including back table organization, Mayo stand preparation, instrument arrangement, and the initial count with a circulator.

Print Release, Surgical Technology

PUBLISHED: Setup for a Laparoscopic Hemicolectomy (Kingsborough Community College, Brooklyn, NY)

Setup for a Laparoscopic Hemicolectomy (Kingsborough Community College, Brooklyn, NY)
Gina Forsythe, CST
Kingsborough Community College, Brooklyn, NY

Laparoscopic hemicolectomy has become the standard of care for the surgical management of various colonic pathologies. Proper instrument setup and systematic counting protocols are essential components of surgical safety and procedural efficiency. The setup protocol for laparoscopic hemicolectomy shown in this video is based on established guidelines for sterile technique and encompasses instrument arrangement, the initial count, and discussion of fluid management on the sterile field. The setup includes organized placement of laparoscopic instruments, trocars, sponges, sharps, and essential equipment. This setup promotes surgical safety, reduces procedural delays, and minimizes the risk of retained surgical items.

General Surgery, Pediatrics, Print Release

PUBLISHED: Laparoscopic Percutaneous Extraperitoneal Closure (LPEC) for an Inguinal Hernia in a Pediatric Female

Laparoscopic Percutaneous Extraperitoneal Closure (LPEC) for an Inguinal Hernia in a Pediatric Female
Yuki Noguchi, MD, PhD; Shogo Saito, MD; Shohei Hiwatashi, MD, PhD; Satoshi Umeda, MD, PhD; Masahiro Zenitani, MD, PhD; Keigo Nara, MD, PhD
Osaka Women’s and Children’s Hospital

Pediatric inguinal hernias are indirect, resulting from a persistent patent processus vaginalis (PPV). These hernias will not spontaneously heal and carry a serious, persistent risk of incarceration. Consequently, surgical repair is typically advised soon after diagnosis to minimize the risk of incarceration.

This report details a 4-year-old girl with a reducible left inguinal hernia containing the greater omentum undergoing minimally invasive laparoscopic percutaneous extraperitoneal closure (LPEC). LPEC offers improved visualization, superior cosmetic results, and the ability to identify and repair contralateral PPV during the same procedure, which reduces the risk of metachronous hernia—particularly in girls, where the technique is technically straightforward.

General Surgery, Pediatrics, Print Release

PUBLISHED: Pediatric Laparoscopic Splenectomy for Splenomegaly due to Hereditary Spherocytosis

Pediatric Laparoscopic Splenectomy for Splenomegaly due to Hereditary Spherocytosis
Swetha Jayavelu, MD; Marc Mankarious, MD; Bryanna M. Emr, MD
Penn State Health Milton S. Hershey Medical Center

Hereditary spherocytosis (HS) is a form of inherited hemolytic anemia seen in children. HS is characterized by anemia, jaundice, splenomegaly, and complications such as gallstone formation or growth delay. While mild cases may be managed conservatively, splenectomy remains the definitive treatment for patients with severe symptoms or complications. This case presents a 10-year-old male with HS who presented with anemia, fatigue, abdominal pain, and palpable splenomegaly. He was found to have splenomegaly with a splenic length of 19.6 cm. He ultimately underwent a laparoscopic total splenectomy after receiving appropriate preoperative vaccinations. The procedure was completed successfully without complications, and the patient was discharged on post-op day 3. At follow-up, he demonstrated improved hemoglobin levels, resolution of abdominal pain, and no early complications. This case highlights the role of laparoscopic total splenectomy as a safe and effective treatment for pediatric patients with hereditary spherocytosis and massive splenomegaly, offering durable hematologic improvement with the benefits of a minimally invasive approach.

Print Release, Surgical Technology

PUBLISHED: OR Setup for a Laparoscopic Cholecystectomy (South College, Knoxville, TN)

OR Setup for a Laparoscopic Cholecystectomy (South College, Knoxville, TN)
Madison Campbell, AS-Ed, AS-ST, CST
South College, Knoxville, TN

The laparoscopic approach is widely regarded as the preferred surgical method for gallbladder removal procedures. The operating room setup for laparoscopic cholecystectomy follows established protocols that provide patient safety through the use of aseptic technique and AORN guidelines for surgical counts. These procedures form the foundation for successful surgery and are covered in this article.

General Surgery, Print Release

Laparoscopic-Assisted Takedown of a Gastrocutaneous Fistula

Laparoscopic-Assisted Takedown of a Gastrocutaneous Fistula
Victoria J. Grille, MD1; Eric M. Pauli, MD, FACS, FASGE2
1Jersey Shore University Medical Center
2Penn State Milton S. Hershey Medical Center

A gastrocutaneous fistula is an abnormal connection between the stomach and skin, most commonly occurring after removal of a gastrostomy feeding tube. This video demonstrates the surgical technique of laparoscopic takedown of a gastrocutaneous fistula, performed in conjunction with upper endoscopy. The patient is a pediatric patient with a history of gastrostomy tube placement and Nissen fundoplication for reflux during infancy. Despite removal of the tube, the fistula persisted. Prior endoscopic interventions, including over-the-scope clip placement, were unsuccessful. Due to ongoing drainage and patient preference for definitive closure, surgical intervention was pursued.

General Surgery, Print Release

PUBLISHED: Bilateral Laparoscopic Inguinal Hernia Repair with Mesh Using the Totally Extraperitoneal (TEP) Technique

Bilateral Laparoscopic Inguinal Hernia Repair with Mesh Using the Totally Extraperitoneal (TEP) Technique
Shirin Towfigh, MD
Beverly Hills Hernia Center

This video is a comprehensive step-by-step demonstration of laparoscopic inguinal hernia repair using the TEP method. It features a middle-aged male with bilateral inguinal hernias who has experienced left groin pain for several years. This case is significant as it showcases the efficiency of laparoscopic techniques in addressing bilateral hernias, which are relatively common, through a single surgical procedure. The detailed description of the procedure provides valuable insights for surgeons at various stages of their careers. For novice surgeons, it offers a step-by-step guide to the TEP technique, highlighting critical anatomical landmarks and potential pitfalls. Experienced surgeons may benefit from the nuanced discussions on tissue handling, dissection techniques, and mesh placement.

General Surgery, Print Release

PUBLISHED: Laparoscopic-Assisted Right Hemicolectomy

Laparoscopic-Assisted Right Hemicolectomy
Anthony D. Douglas II, MD; Derrius Anderson, MD; Jelani Williams, MD; Rowan Hussein; Ashley Russell; Konstantin Umanskiy, MD
UChicago Medicine

The patient-centered environment of the operating room often precludes extensive intraoperative discussions or detailed explanations between a resident and the attending surgeon. This constraint in real-time feedback poses a challenge for surgical residents to refine their surgical skills. Implementation of a structured case review between attendings and senior residents at interval timepoints of their rotations could support addressing this gap. This case presents a laparoscopic right hemicolectomy. This procedure removes a portion of the colon and is commonly indicated for colon cancer. In this video article, a senior general surgery resident participates in the procedure and then engages in a structured case review with their attending, analyzing the fundamental steps of the procedure as well as identifying opportunities for technical improvement and enhancement of intraoperative decision-making.