By Pierre Mozer, Jocelyne Troccaz, Dan Stoianovici (auth.), Li-Ming Su (eds.)
The Atlas of robot Urologic surgical procedure presents a close, step by step advisor to universal robot urologic systems for the aim of aiding beginner surgeons of their transition to robot surgical procedure and professional robot surgeons to refine their surgical procedure and extend their repertoire of robot tactics. furthermore, much less normally played robot systems akin to these for male infertility, pelvic organ prolapse, urinary tract reconstruction and pediatrics are incorporated. each one bankruptcy is written through the idea leaders in robot urologic surgical procedure with descriptive step by step textual content, complimented by means of figures and intraoperative pictures detailing the nuances of every process. Emphasis is put on operative setup, device and kit wishes and surgical thoughts for either the first health care provider in addition to the operative assistant. using ancillary gear and robot software and endoscope exchanges are highlighted during the procedural textual content by way of tables designed to help surgeons and their groups in enhancing potency. This quantity will supply distinct insights into robot urologic surgical procedure and decrease the training curve of achieving those more and more renowned procedures.
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Additional info for Atlas of Robotic Urologic Surgery
Once the bladder is opened, great care must be taken to visualize the posterior bladder neck for the presence of a median lobe. Also, inspect the bladder neck to ensure that there is sufficient distance from the ureteral orifices for later suturing and any need for later bladder neck reconstruction. We do not typically use indigo carmine to identify the ureteral orifices; however, this can be a useful adjunct. Finally, completely divide the bladder neck. Step 5: Dissection and ligation of the seminal vesicles and vas deferens We prefer to create a fairly generous incision along the bladder neck to allow the bladder to drop well away from the prostate.
It should be lowered as far as the ET tube will allow and thus will protect the tube from inadvertent dislodgement from the camera movement. Patient Positioning and Preparation Lower extremity compression stockings are placed. -M. M. I. 1 Typical operating room setup for transperitoneal robot-assisted laparoscopic radical prostatectomy (RALP). Adequate room for rolling the robot to and away from the table is necessary. 2). This positioning facilitates docking of the robot. We loosely wrap each leg with a blanket and use 3-inch silk tape to secure the blanket and legs to the table.
This will serve as the trocar for the da Vinci® endoscope, and the robotic camera arm is compatible with most 12 mm laparoscopic trocars. The camera trocar should be placed 15–18 cm from the target anatomy to allow optimal visualization of the surgical field. For obese patients, the camera trocar may need to be placed closer to target anatomy to adjust for abdominal girth. This is especially important when using the da Vinci® standard system . After visual access is obtained, secondary trocars can be placed under laparoscopic vision.