Fig. 45.1
Patient positioning and padding for robotic procedures
Fig. 45.2
Port placement of pelvic procedures. An additional 5-mm assistant port showing in green is placed if needed. In patients with kyposcoliosis the primary camera port is moved supraumbilically, to yield 12 cm of puboumbilical distance (From Chang et al. [10])
Fig. 45.3
Ports position
Fig. 45.4
Appendix prepared for isolation
Fig. 45.5
Rent created in mesoappendix close to base, preserving appendicular artery
Fig. 45.6
Appendix being divided at the base
Fig. 45.7
Appendix division complete
Fig. 45.8
Closure of caecum with 5-0 PDS in progress
Fig. 45.9
Caecum closed and stump buried
Fig. 45.10
Stay suture in appendix for identification
Fig. 45.11
Distal end of selected bowel segment marked with clips on vicryl suture. The suture length corresponds to the length of segment needed
Fig. 45.12
Length of bowel segment measured with the suture. The proximal end of bowel segment selected is the needle end of the vicryl stay suture
Fig. 45.13
Proximal end of selected bowel segment tacked to the anterior abdominal wall
Fig. 45.14
Bowel segment proximal end division in progress
Fig. 45.15
Mesenteric division in progress
Fig. 45.16
Proximal end bowel segment division completed and stay suture at the distal end of bowel segment
Fig. 45.17
Distal bowel segment end division in progress
Fig. 45.18
Distal end bowel segment division completed
Fig. 45.19
Stay suture for distal end
Fig. 45.20
Bowel anstomosis started with 4-0 PDS
Fig. 45.21
Anterior layer suturing completed
Fig. 45.22
Posterior layer suturing in progress
Fig. 45.23
Bowel anastomosis completed and ileoileal continuity restored
Fig. 45.24
Isolated segment brought beneath the anastomosis
Fig. 45.25
Mesenteric rent closed
Fig. 45.26
Stay suture taken in the bladder
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