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…
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…
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…
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…
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…
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)….
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…
N Mean age Mean follow up (mo) OR time (min) Hospital LOS (d) Complications Success rates (%) Definition of success Song et al. 2017 [16] LP RAP 30 10…
Fig. 1.1 (a) Veress tip—spring-loaded inner core retracts once the tip of the Veress needle traverses the muscle and enters the abdominal cavity. (b) Veress placement. Holding the Veress securely…
