Abdominal Key

Fig. 28.1 CT scan for an anterior mediastinal mass. Red arrows point to the anterior mediastinal mass. (a) Axial, (b) coronal, (c) sagittal. Anterior mediastinal mass does not appear to…

Fig. 16.1 Surgeon console , patient cart , and vision cart Surgeon Console The surgeon console is the control center for the robotic platform. From the surgeon console, the surgeon…

Fig. 6.1 Kidney rest positioning Port Positioning, Docking , and Instrumentation The ports are positioned with the established principles of triangulation similar to conventional laparoscopy (Fig. 6.2). It is important…

Fig. 25.1 Operating room layout and angle of robot approach for left adrenalectomy Port Placement Entry to the abdomen is done in the manner most familiar for the surgeon. Optical…

Fig. 21.1 Trocar positioning for right liver resection Fig. 21.2 Trocar positioning for left liver resection Fig. 21.3 Operating room setup and robotic system docking position Right Hepatic Lobectomy The…

Fig. 26.1 Lighted breast retractor Fig. 26.2 Modified robotic thyroidectomy retractor (Marina Medical, Sunrise, FL, USA) For the robotic dissection portion of the procedure, the da Vinci S, Si, or…

Fig. 8.1 Patient positioning Gaining Access Intraperitoneal access is gained with a 5 mm optical viewing trocar at the tip of the 11th rib along the right costal margin. Once…

Fig. 24.1 Positioning patient in steep reverse Trendelenburg on sliding operating table Robot Positioning When using the Si system, the table will likely need to be positioned at an oblique…

Fig. 20.1 OR setup Operative Approach Peritoneal Access We gain access to the peritoneum with a 5 mm OptiView port in the left upper quadrant under direct vision. This can…

Robotic instruments Laparoscopic instruments Disposable equipment Durable equipment Sutures/supplies 12 mm, 30° down scope 5 mm 0° and 30° scope GIA staplers (3.5 mm, 2.5 mm staple height) Split-leg OR table 2-0…