Robotic procedure Indication Reconstructive + stone extraction Pyeloplasty with pyelolithotomy Ureteropelvic junction obstruction with secondary stones Ureteropyelostomy with pyelolithotomy Duplex pelvicalyceal system with ureteropelvic junction obstruction in the lower…
Fig. 8.1 (a) Initial operating room setup for a right-sided retroperitoneal robotic partial nephrectomy. (b) Final operating room setup once the patient and operating table have been turned 135° to…
Fig. 26.1 Operative room schematic Patient Positioning Patient positioning and anesthetic considerations are similar to robotic-assisted laparoscopic prostatectomy (See Chap. 21). Patients are placed in dorsal lithotomy position utilizing Allen…
Fig. 20.1 (a, b) Proper patient positioning for robot-assisted laparoscopic radical prostatectomy Following positioning, correct trocar placement is crucial. After establishing a pneumoperitoneum, there may be abnormal protuberance of abdominal…
Very low riska PSA < 10 Gleason ≤ 6 PSAD < 0.015 & No pattern 4 or 5 & Clinical stage T1c < 50% cancer/core ≤ 2 positive coresb Low…
Fig. 6.1 Operating room setup using a three-armed or four-armed robotic technique Patient Preparation and Positioning The patient is placed under general endotracheal anesthesia and all intravenous lines, arterial lines,…
Fig. 33.1 Single-site access using SILS Port (Covidien, Minneapolis, MN) Fig. 33.2 Single-port access with GelPort (Applied Medical, Rancho Santa Margarita, CA) Single-site access involves the use of a single…
Fig. 23.1 Patient positioning. Hips are externally rotated and relevant landmarks are kept in view Trocar Placement As seen in Fig. 23.2, the camera port is about three fingerbreadths inferior…
Fig. 24.1 Insertion of nonconductive wire through fistula tract via cystoscopy Fig. 24.2 Mobilization of bladder off rectum Fig. 24.3 Identification of nonconductive wire through fistula Fig. 24.4 Transverse cystotomy…
Fig. 34.1 (a) Prototype dexterous manipulator robot deployed through sheath into bladder model (b) dexterous segment and end-effectors including laser, grasper, and fiberscope camera deployed. (c) Laser ablation of target…
