Abdominal Key

Fig. 25.1 Operating room layout and angle of robot approach for left adrenalectomy Port Placement Entry to the abdomen is done in the manner most familiar for the surgeon. Optical…

Fig. 21.1 Trocar positioning for right liver resection Fig. 21.2 Trocar positioning for left liver resection Fig. 21.3 Operating room setup and robotic system docking position Right Hepatic Lobectomy The…

Fig. 26.1 Lighted breast retractor Fig. 26.2 Modified robotic thyroidectomy retractor (Marina Medical, Sunrise, FL, USA) For the robotic dissection portion of the procedure, the da Vinci S, Si, or…

Fig. 8.1 Patient positioning Gaining Access Intraperitoneal access is gained with a 5 mm optical viewing trocar at the tip of the 11th rib along the right costal margin. Once…

Fig. 20.1 OR setup Operative Approach Peritoneal Access We gain access to the peritoneum with a 5 mm OptiView port in the left upper quadrant under direct vision. This can…

Fig. 24.1 Positioning patient in steep reverse Trendelenburg on sliding operating table Robot Positioning When using the Si system, the table will likely need to be positioned at an oblique…

Robotic instruments Laparoscopic instruments Disposable equipment Durable equipment Sutures/supplies 12 mm, 30° down scope 5 mm 0° and 30° scope GIA staplers (3.5 mm, 2.5 mm staple height) Split-leg OR table 2-0…

Fig. 12.1 Room set-up for anterior resection via single docking. Patient in Trendelenburg position, with right side of patient rotated downward Laparoscopic Phase A 12 mm × 130 mm Applied Kii® balloon blunt…

Fig. 7.1 Port placement If mesh size and laterality is known at this point, mesh is inserted into the abdomen and placed immediately beneath the camera. For bilateral hernias, it…

Fig.15.1 Surgeon console illustrating the display (a), wrist support with master controls (b), and foot pedal platform (c). ©2016 Intuitive Surgical, Inc. The patient-side cart supports the three or four…