Fig. 11.1 Full thickness rectal prolapse Patients often present with complaints of rectal prolapse or disordered gastrointestinal elimination, either constipation or fecal incontinence. They may describe protrusion of anorectal tissue…
Fig. 21.1 da Vinci Xi patient cart Fig. 21.2 da Vinci Xi robotic arms As a complement to the Xi platform, Intuitive will soon release the SP patient cart (pending…
Fig. 4.1 Room setup Fig. 4.2 (a) Table position. (b) Si picture robot docked. (c) Xi picture robot docked Some authors prefer 10–15° of Trendelenburg so that the terminal ileum…
Fig. 12.1 Initial port set up. Patient’s head oriented toward the bottom of the photo, patient’s left to the left of photo Fig. 12.2 Robot docked in the left lower…
Fig. 10.1 Morbidly obese patient Obesity is associated with increased conversion rate, operating time, and postoperative morbidity of laparoscopic colorectal surgery but does not affect surgical safety or oncological security….
Fig. 19.1 Z-shaped transumbilical skin incision . In order to decrease stretching at the skin level with the single-incision access device, a 3–4 cm. Z-shaped transumbilical incision was made instead…
Fig. 6.1 Hybrid technique versus totally robotic technique Hybrid Technique Hybrid technique was adopted during the early stages of robotic rectal surgery and has been the most widely used procedure…
Fig. 1.1 Kurt Semm (1927–2003) Fig. 1.2 Kurt Semm’s diagram proposing a laparoscopic approach for an appendectomy Fig. 1.3 Georg Kelling’s apparatus for obtaining abdominal air insufflation Fig. 1.4 Georg…
Fig. 8.1 Parallel docking Only three arms are used in these techniques, one for the camera and two to operate. The fourth arm should be positioned away from the surgical…
Study (year) RALS vs. LAP Procedure Benefit of RALS? Total cost (RALS)≠ Total cost (Lap)≠ Difference Delaney (2003) 6 vs. 6 RH, SC, RP No $3721a $2946a $776a Rawlings (2007)…
