BOOK
Advances in Robotic-Assisted Urologic Surgery, An Issue of Urologic Clinics, E-Book
(2014)
Additional Information
Book Details
Abstract
Robotic-assisted laparoscopic urologic surgery is a major evolution in the field and has now become a major subspecialty. This issue of Urologic Clinics of North America aims to provide comprehensive, state-of-the-art information about the recent developments in the areas of Uro-Oncology, Reconstructive Urology, and Female Urology. Topics such as issue of training, evidence-based practice, the economics of robotic surgery, and the impact on public and global health are also covered.The contributors are truly pioneers and the best experts in the field.
Table of Contents
| Section Title | Page | Action | Price |
|---|---|---|---|
| Front Cover | Cover | ||
| Advances in Robotic-Assisted Urologic Surgery | i | ||
| Copyright\r | ii | ||
| Contributors | v | ||
| Contents | ix | ||
| Urologic clinics of north america | xiii | ||
| Foreword | xv | ||
| Preface | xvii | ||
| Robot-Assisted Radical Prostatectomy | 473 | ||
| Key points | 473 | ||
| Introduction | 473 | ||
| Historical perspective | 474 | ||
| Indications and contraindications | 474 | ||
| Technical advancements in cancer control | 474 | ||
| Apical Dissection | 475 | ||
| Degree of Nerve Sparing Versus Cancer Control | 475 | ||
| Intraoperative Frozen Section Analysis | 476 | ||
| Technical advancements in urinary continence | 476 | ||
| Bladder Neck Preservation | 476 | ||
| Periurethral Suspension | 476 | ||
| Puboprostatic Ligament Sparing | 477 | ||
| Periurethral Reconstruction Techniques | 477 | ||
| Preservation of Urethral Length | 478 | ||
| Creating a Watertight Anastomosis | 478 | ||
| Locoregional Pelvic Hypothermia | 478 | ||
| Barbed Suture | 478 | ||
| Suprapubic Catheter | 478 | ||
| Technical advancements in potency preservation | 479 | ||
| Hammock Concept and the Veil of Aphrodite | 479 | ||
| Athermal Dissection | 480 | ||
| Traction Free | 480 | ||
| Summary | 480 | ||
| References | 480 | ||
| Robot-Assisted Laparoscopic Simple Anatomic Prostatectomy | 485 | ||
| Key points | 485 | ||
| Introduction | 485 | ||
| Methods and patients | 486 | ||
| Technique I—RALSP Transperitoneal Anatomic Approach | 486 | ||
| Positioning | 486 | ||
| Placement of ports | 487 | ||
| Bladder mobilization | 487 | ||
| Apical dissection | 487 | ||
| Bladder neck dissection and division | 487 | ||
| Dissection of prostate adenoma | 488 | ||
| Dissection and division of the distal prostatic urethra | 488 | ||
| Control of hemostasis | 489 | ||
| Vesico-urethral anastomosis | 489 | ||
| Closure | 489 | ||
| Technique II—RALSP with Extraperitoneal Approach | 489 | ||
| Initial access | 489 | ||
| Port placement | 489 | ||
| Technique III—Robot-Assisted Laparoscopic Simple Retropubic Prostatectomy (Millin Technique) | 490 | ||
| Initial steps | 490 | ||
| Prostate capsule incision | 490 | ||
| Capsular closure | 490 | ||
| Technique IV—Robot-Assisted Laparoscopic Simple Transvesical Prostatectomy (Frayer Technique) | 490 | ||
| Preparation | 490 | ||
| Bladder incision | 490 | ||
| Results | 490 | ||
| Discussion | 491 | ||
| Summary | 492 | ||
| References | 492 | ||
| Best Evidence Regarding the Superiority or Inferiority of Robot-Assisted Radical Prostatectomy | 493 | ||
| Key points | 493 | ||
| Introduction | 493 | ||
| Oncologic outcomes | 494 | ||
| Lymph node dissection | 495 | ||
| Perioperative outcomes | 496 | ||
| Functional outcomes | 497 | ||
| Urinary Continence | 497 | ||
| Potency | 498 | ||
| Summary | 500 | ||
| References | 500 | ||
| Robot-assisted Intracorporeal Urinary Diversion | 503 | ||
| Key points | 503 | ||
| Introduction | 503 | ||
| Operative considerations | 504 | ||
| Intracorporeal Ileal Conduit (ICIC) | 504 | ||
| Intracorporeal Neobladder (ICNB) | 504 | ||
| Perioperative outcomes and complications | 504 | ||
| Intra Corporeal Ileal Conduit | 504 | ||
| Intracorporeal Neobladder | 505 | ||
| Functional outcomes | 506 | ||
| Health-related QoL | 506 | ||
| Continence and Sexual Outcomes | 506 | ||
| Learning curve | 508 | ||
| Future directions | 508 | ||
| Summary | 508 | ||
| References | 508 | ||
| Emerging Technologies to Improve Techniques and Outcomes of Robotic Partial Nephrectomy | 511 | ||
| Key points | 511 | ||
| Patient selection and immediate perioperative management for prevention of complications | 512 | ||
| Minimizing warm ischemia time | 513 | ||
| Indocyanine green dye and near-infrared fluorescence for identification of renal vasculature, minimizing ischemia, and decr ... | 514 | ||
| Single port and laproendoscopic single site surgery (LESS) RPN | 514 | ||
| Intraoperative ultrasound and Tile-Pro | 515 | ||
| Reconstruction of renal defect | 515 | ||
| Expanding the indications for RPN | 516 | ||
| Augmented reality in RPN | 517 | ||
| New robotic system | 517 | ||
| Summary | 517 | ||
| References | 517 | ||
| Robot-Assisted Surgery for the Treatment of Upper Urinary Tract Urothelial Carcinoma | 521 | ||
| Key points | 521 | ||
| Introduction | 521 | ||
| Preoperative preparation | 522 | ||
| Preoperative Workup | 522 | ||
| Preoperative Planning | 522 | ||
| NU | 523 | ||
| Part 1: nephrectomy | 523 | ||
| Positioning | 523 | ||
| Port Placement | 524 | ||
| Exposure and Entry into the Retroperitoneal Space | 524 | ||
| Left side | 524 | ||
| Right side | 525 | ||
| Hilar Dissection | 525 | ||
| Retroperitoneal Lymph Node Dissection | 526 | ||
| Redocking the Robot | 527 | ||
| Part 2: bladder cuff excision | 527 | ||
| DU and ureteral reimplant | 528 | ||
| Robotic Approach | 529 | ||
| Port Placement and Docking | 529 | ||
| Boari Flap | 531 | ||
| Lymphadenectomy | 532 | ||
| Pelvic Lymph Node Dissection with DU | 532 | ||
| LND for Upper Tract TCC | 532 | ||
| Outcomes | 533 | ||
| DU Versus NU | 534 | ||
| DU Follow-up Algorithm | 534 | ||
| Summary | 534 | ||
| References | 535 | ||
| Robot-Assisted Adrenalectomy (Total, Partial, & Metastasectomy) | 539 | ||
| Key points | 539 | ||
| Introduction | 539 | ||
| Evaluation | 539 | ||
| Radiographic Evaluation | 539 | ||
| Endocrine evaluation | 540 | ||
| Hypercortisolism | 540 | ||
| Primary Aldosteronism | 541 | ||
| Pheochromocytoma | 541 | ||
| Surgical indications | 541 | ||
| Surgical technique | 541 | ||
| Positioning, Approach, and Port Placement | 541 | ||
| Surgical steps | 542 | ||
| Outcomes | 543 | ||
| Partial Adrenalectomy | 544 | ||
| Metastasectomy | 544 | ||
| Summary | 546 | ||
| References | 546 | ||
| Robotic-assisted Sacrocolpopexy for Pelvic Organ Prolapse | 549 | ||
| Key points | 549 | ||
| Introduction | 549 | ||
| Patient evaluation and preparation | 550 | ||
| Robotic sacrocolpopexy: technique and nuances | 551 | ||
| Step 1 | 551 | ||
| Step 2 | 551 | ||
| Step 3 | 551 | ||
| Step 4 | 552 | ||
| Step 5 | 552 | ||
| Step 6 | 552 | ||
| Step 7 | 552 | ||
| Step 8 | 553 | ||
| Step 9 | 553 | ||
| Step 10 | 553 | ||
| Step 11 | 554 | ||
| Step 12 | 554 | ||
| Step 13 | 554 | ||
| Cost considerations of robotic sacrocolpopexy | 554 | ||
| Climate of fear: synthetic mesh in the treatment of POP | 556 | ||
| Summary | 556 | ||
| References | 557 | ||
| Robot-Assisted Microsurgery in Male Infertility and Andrology | 559 | ||
| Key points | 559 | ||
| Introduction | 559 | ||
| Robotic-assisted microsurgical vasectomy reversal | 559 | ||
| Recommended Instruments and Materials | 560 | ||
| Technique and Outcomes | 560 | ||
| Robotic-assisted microsurgical subinguinal varicocelectomy | 562 | ||
| Recommended Instruments and Materials | 562 | ||
| Technique and Outcomes | 562 | ||
| Robotic-assisted microsurgical testicular sperm extraction | 563 | ||
| Recommended Instruments and Materials | 563 | ||
| Technique and Outcomes | 563 | ||
| Robotic-assisted microsurgical targeted denervation of the spermatic cord | 563 | ||
| Recommended Instruments and Materials | 564 | ||
| Technique and Outcomes | 564 | ||
| Summary | 565 | ||
| References | 565 | ||
| Image-Guided Surgery and Emerging Molecular Imaging | 567 | ||
| Key points | 567 | ||
| Introduction | 567 | ||
| General principles of IGS | 568 | ||
| Registration | 568 | ||
| Localization and Tracking Techniques | 568 | ||
| Registration Error and Tissue Deformation | 569 | ||
| Intraoperative Imaging | 569 | ||
| Image-guided partial nephrectomy | 569 | ||
| Image-guided minimally invasive radical prostatectomy | 571 | ||
| Molecular imaging for urologic surgery | 574 | ||
| Molecular imaging during prostatectomy | 574 | ||
| Fluorescence during renal surgery | 576 | ||
| Summary | 579 | ||
| References | 579 | ||
| Training in Robotic Surgery | 581 | ||
| Key points | 581 | ||
| Introduction | 581 | ||
| Adverse Events in Robotic Surgery | 581 | ||
| Cognitive resources | 582 | ||
| Surgical simulation | 582 | ||
| Validity | 583 | ||
| Commercially Available Virtual Reality Simulators | 584 | ||
| Validity in Pure Laparoscopy Simulation | 585 | ||
| Warm-Up Exercises | 585 | ||
| Cost | 585 | ||
| Example curricula | 585 | ||
| Fundamentals of Laparoscopic Surgery | 585 | ||
| Robotic Training Curriculum | 586 | ||
| FRS | 586 | ||
| Credentialing | 586 | ||
| Summary | 587 | ||
| References | 587 | ||
| Economics of Robotic Surgery | 591 | ||
| Key points | 591 | ||
| Introduction | 591 | ||
| Consequences of rapid adoption of robotic surgery | 592 | ||
| The costs of robotic surgery | 592 | ||
| Provider factors associated with costs: room to improve | 593 | ||
| Costs: lessons learned from rapid adoption of robotic prostatectomy | 593 | ||
| Summary | 594 | ||
| References | 594 | ||
| Models of Assessment of Comparative Outcomes of Robot-Assisted Surgery | 597 | ||
| Key points | 597 | ||
| Introduction | 597 | ||
| Outcomes definition | 598 | ||
| Short-Term Outcomes | 598 | ||
| Functional Outcomes | 599 | ||
| Oncologic Outcomes | 600 | ||
| Costs and Expenditures | 600 | ||
| Observational studies | 601 | ||
| Retrospective Studies from Tertiary Referral Centers | 601 | ||
| Population-Based Studies | 601 | ||
| Statistical Methodology Applied in Retrospective Studies Comparing the Two Techniques | 602 | ||
| Prospective randomized trials | 602 | ||
| Summary | 603 | ||
| References | 603 | ||
| Index | 607 |