Abdominal Sacrocolpopexy
Fig. 9.1 Port placement placement for robotic abdominal sacrocolpopexy (using the 4-arm Da Vinci) Fig. 9.2 Port in place after insufflation. In this view from the head looking toward the…
Radical Cystectomy
Fig. 7.1 Representation of the regions and boundaries of the recommended lymphadenectomy Many authors have proposed that lymph node yield may indeed be a surrogate of surgical quality since it…
and Robotic Reconstruction of the Upper Genitourinary Tract
Laparoscopic Robotic (Intuitive Surgical, Sunnyvale, CA) 5 mm monopolar scissors 8 mm monopolar curved scissors 5 mm Maryland/atraumatic graspers 8 mm Maryland bipolar forceps 5 mm right angle graspers 8…
Laser Enucleation of the Prostate (HoLEP)
Fig. 15.1 The 100-W Versapulse holmium laser and Lumenis 120H used to perform HoLEP The holmium laser energy can be transmitted along flexible quartz fibers of varying diameters, ranging from…
Partial Nephrectomy
Guideline issuing organization Tumor size Solitary kidney Bilateral tumors Chronic kidney disease Proteinuria Surgical priority AUA (2017) <4 cm Prioritize Prioritize Prioritize Prioritize Negative margins Avoid prolonged warm ischemia time…
and Robot-Assisted Laparoendoscopic Single-Site Urologic Surgery
Fig. 10.1 Low-profile laparoscopic trocars (blue circles) can be used with a single-port device or a single-skin incision through multiple aponeurosis accesses The GelPort™ (Applied Medical, USA) was already in…
for Treatment of Calculi
Patient factors Anatomical features Stone features Obesity Solitary kidney Overall stone burden/size Coagulopathy Horseshoe kidney Stone composition Comorbidities Ectopic kidney Hounsfield unit (HU) density Pregnancy Lower pole stone SWL resistance…
Vaporization of the Prostate
Fig. 16.1 Cystoscopy prior to initiating the photoselective vaporization of the prostate demonstrates significant benign prostatic hyperplasia with complete visual obstruction by the median lobe (a) and lateral lobes (b)….
Renal Extirpative Surgery
Complication Prevention Management Positioning injury Brachial plexus injury Axillary roll for lateral positioning; axillary roll for obese patients in modified lateral position; prevent abduction of contralateral arm >90° Physical therapy…
