Surgical Steps
Figure 5.1 The robotic cart protected with a sterile drape 5.2 Skin Disinfection The patient’s skin is disinfected with a betadine® solution from the Xyphoid level to the thighs, and…
Anesthesiological Aspects Relevant for Robotic Assisted Laparoscopic Donor Nephrectomy
Figure 3.1 Non-invasive monitoring of vital parameters The induction is done only in the presence of the Surgeon. In Nice University Hospital it is performed according to the Target-Controlled Intravenous…
Robotic Instruments
Figure 4.1 Large needle driver EndoWrist® Graspers: Prograsp™ (Fig. 4.2), Cadiere Forceps (Fig. 4.3), or Double Fenestrated Graspers. Figure 4.2 Prograsp™ forceps Figure 4.3 Cadiere forceps (preferably used in prostatectomy)…
Surgical Anatomy of the Retroperitoneum
Figure 1.1 Contrast-CT of the abdomen. The dotted line shows the schematic pathway of intraperitoneal laparoscopic left nephrectomy. However, this curved line is in reality straightened by the lateral position…
Pre-operative Investigations
Figure 2.1 Renal CT-angiography showing the commonest finding of bilateral single renal artery The primary role of the CT-angiography is to depict the vasculature of the kidneys since renal vascular…
Surgical Treatment of Liver and Biliary Tree Trauma
Fig. 8.1 The liver is packed with laparotomy pads to provide compression against the abdominal wall, diaphragm, and retroperitoneum Once the liver is packed, the abdomen is rapidly but systematically…
Vascular Damage Control
Fig. 4.1 Tourniquet Fig. 4.2 Digital compression used for acute hemorrhage control Fig. 4.3 Foley catheter used for bleeding control from subclavian vascular injury Fig. 4.4 Foley catheter used for…
Surgical Treatment of Pancreatic Trauma
Fig. 11.1 CT of a blunt pancreatic injury Fig. 11.2 CT of a gunshot wound of the liver and pancreas Endoscopic retrograde cholangiopancreatography (ERCP) is very useful in identifying injuries…
Laparoscopy for Trauma: When, What, How?
Fig. 2.1 Seat belt injury to the left flank As the next step in the work-up after the clinical examination, two imaging studies should be ordered: Ultrasound and computed tomography…
Surgical Treatment of Duodenal Trauma
Grade Types of injury Details I Hematoma Laceration Single hematoma Partial thickness II Hematoma Laceration Distributed in more than one portion <50 % circumference III Lacerations 50–75 % D2 50–100…
