Urologic Robotic Surgery

✍ Scribed by Jeffrey A. Stock

• Publisher: Humana Press
• Year: 2008
• Tongue: English
• Leaves: 236
• Series: Current Clinical Urology
• Edition: 1
• Category: Library

✦ Synopsis

Laparoscopy has allowed surgeons to perform major surgical procedures through small incisions. The introduction of laparoscopy has revolutionized the field of minimally invasive surgery. Urologic Robotic Surgery presents accepted robotic applications to treat common urological problems. Accomplished authors demonstrate their expertise in basic instrumentation and techniques, potential applications and contraindications, with attention to patient positioning and trocar placement. Despite the increasing popularity of this technology, there remains a dearth of literature available to surgeons and patients. Urologic Robotic Surgery reveals the critical steps for each procedure, reviews robotic suturing, complications, training and credentialing.

✦ Table of Contents

Cover......Page 1
Foreword......Page 7
Contents......Page 8
Contributors......Page 11
I - Historical Perspective......Page 13
1. History of Robotic Surgery......Page 14
RESOURCES......Page 36
II - Setup and Access......Page 37
2. CREATING LAPAROSCOPIC BASKETS......Page 38
3. ORGANIZING, CREATING, AND HANDLING ROBOTIC EQUIPMENT......Page 39
5. SETTING UP A CASE......Page 41
6. POSITIONING THE PATIENT......Page 42
2. VERESS NEEDLE ACCESS (CLOSED TECHNIQUE)......Page 47
3. HASSON TECHNIQUE (OPEN TECHNIQUE)......Page 50
5. EXTRAPERITONEAL/RETROPERITONEAL LAPAROSCOPY......Page 51
6. TROCAR REMOVAL AND PORT CLOSURE......Page 52
REFERENCES......Page 53
III - Robotic Laparoscopic Procedures......Page 54
1. INTRODUCTION......Page 55
3. POINTS OF TECHNIQUE......Page 56
4. OUTCOMES......Page 65
5. FUNCTIONAL OUTCOMES......Page 67
REFERENCES......Page 72
1. INTRODUCTION......Page 76
2. PREOPERATIVE ASSESSMENT......Page 77
3. ANESTHETIC CONSIDERATIONS......Page 78
4. PATIENT POSITIONING......Page 79
6. TROCAR INSERTION......Page 80
7. SALVAGE OF EXTRAPERITONEAL SPACE......Page 81
8. POSITIONING OF THE TROCARS AND ROBOTIC ARMS TO CONTINUE THE EXTRAPERITONEAL PROCEDURE......Page 82
10. ENDOPELVIC FASCIA OPENING......Page 83
12. POSTERIOR BLADDER NECK TRANSECTION......Page 84
13. SEMINAL VESICLE AND VASA DISSECTION......Page 85
15. TRANSECTION OF THE DORSAL VENOUS COMPLEX AND URETHRA......Page 86
16. RUNNING ANASTOMOSIS......Page 87
REFERENCES......Page 88
SUGGESTED READINGS......Page 91
1. INTRODUCTION......Page 93
2. SURGICAL ANATOMY CONSIDERATIONS......Page 94
3. PREOPERATIVE ASSESSMENT......Page 95
5. PATIENT POSITIONING......Page 96
7. ROBOTIC SURGICAL TECHNIQUE......Page 98
9. SPECIAL CONSIDERATIONS......Page 108
REFERENCES......Page 113
1. INTRODUCTION......Page 114
3. OPERATING ROOM CONFIGURATION AND PATIENT POSITIONING......Page 115
4. INSTRUMENTS......Page 116
5. TROCAR PLACEMENT......Page 118
6. NEPHRECTOMY PROCEDURE......Page 119
8. PARTIAL NEPHRECTOMY PROCEDURE......Page 121
9. NEPHROURETERECTOMY BLADDER CUFF PROCEDURE......Page 123
11. COMPLICATIONS......Page 124
REFERENCES......Page 126
1. INTRODUCTION......Page 128
2. SURGICAL ANATOMY......Page 130
4. INSTRUMENTATION......Page 131
5. OPERATING ROOM SETUP (FIG. 2)......Page 133
6. ROBOTIC HAND-ASSISTED DONOR NEPHRECTOMY......Page 135
7. POSTOPERATIVE CARE......Page 138
8. MANAGEMENT OF COMPLICATIONS......Page 139
REFERENCES......Page 140
2. PREOPERATIVE ASSESSMENT......Page 141
5. STEP-BY-STEP APPROACH......Page 142
6. SPECIAL CONSIDERATIONS......Page 145
REFERENCES......Page 146
1. INTRODUCTION......Page 147
2. LITERATURE REVIEW......Page 148
5. INSTRUMENTATION......Page 150
8. PORT PLACEMENT......Page 151
9. STEP-BY-STEP APPROACH......Page 153
REFERENCES......Page 155
1. INTRODUCTION......Page 160
3. SURGICAL ANATOMY......Page 161
4. PREOPERATIVE ASSESSMENT......Page 162
5. INSTRUMENTATION......Page 163
8. PORT PLACEMENT......Page 164
9. STEP-BY-STEP APPROACH......Page 166
REFERENCES......Page 169
IV - Other Considerations for Robotic Surgery......Page 170
2. METHODOLOGY......Page 171
3. THEORY AND HISTORY......Page 172
4. ERGONOMICS......Page 173
5. COGNITIVE BENEFITS OF ROBOTIC SUTURING......Page 174
6. 3D VISUALIZATION AS IT APPLIES TO SURGICAL SUTURING......Page 175
7. NARROW WORKING VIEW AND SUTURE MANIPULATION......Page 176
8. HAPTIC FEEDBACK......Page 177
9. MICROSURGICAL ANASTOMOSES AND TREMOR FILTRATION......Page 178
10. LEARNING CURVES......Page 179
11. FUTURE APPLICATION......Page 180
12. CONCLUSIONS......Page 181
REFERENCES......Page 182
2. PREPARATION......Page 185
3. AVOIDANCE......Page 186
4. MINOR VENOUS BLEEDING......Page 188
5. MAJOR VENOUS BLEEDING......Page 189
6. MINOR ARTERIAL BLEEDING......Page 190
8. ELECTIVE HEMOSTASIS......Page 191
REFERENCES......Page 197
2. PATIENT SELECTION......Page 199
3. PREOPERATIVE PREPARATION......Page 200
4. SURGERY......Page 201
REFERENCES......Page 204
1. INTRODUCTION......Page 206
3. CREDENTIALING......Page 207
4. CONCLUSIONS......Page 210
REFERENCES......Page 211
1. INTRODUCTION......Page 213
2. PHYSIOLOGICAL EFFECTS OF LAPAROSCOPIC SURGERY......Page 214
3. PREOPERATIVE CONSIDERATIONS......Page 218
4. INTRAOPERATIVE CONSIDERATIONS AND RISKS OF LAPAROSCOPIC SURGERY......Page 221
5. POSTOPERATIVE CONSIDERATIONS AND MANAGEMENT TECHNIQUES......Page 222
REFERENCES......Page 224
Index......Page 227