Radical Prostatectomy
Fig. 5.1 Incising peritoneal fold to enter the retropubic space. (From Patel et al. [8], with permission) Fig. 5.2 Entry into the retropubic space of Retzius showing the boundary of…
and Robot-Assisted Adrenalectomy
Indications Aldosterone-producing adenoma Cortisol-producing adenoma Bilateral adrenal hyperplasia Pheochromocytoma Nonfunctioning adenoma >4 cm Symptomatic cyst Symptomatic myelolipoma Solitary adrenal metastasis Contraindications Large tumor >10 cm (relative) Morbid obesity (relative) Uncorrected…
for Stone Disease
Fig. 11.1 Example of video tower components including light source, processor, and recording devices Historically, video systems were analogue and interfaced with fiber-optic or rod-lens endoscopes. The camera head would…
Abdominal Sacrocolpopexy
Fig. 9.1 Port placement placement for robotic abdominal sacrocolpopexy (using the 4-arm Da Vinci) Fig. 9.2 Port in place after insufflation. In this view from the head looking toward the…
Radical Cystectomy
Fig. 7.1 Representation of the regions and boundaries of the recommended lymphadenectomy Many authors have proposed that lymph node yield may indeed be a surrogate of surgical quality since it…
and Robotic Reconstruction of the Upper Genitourinary Tract
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…
Laser Enucleation of the Prostate (HoLEP)
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…
Partial Nephrectomy
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…
and Robot-Assisted Laparoendoscopic Single-Site Urologic Surgery
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…
