BOOK
Atlas of Laparoscopic and Robotic Urologic Surgery E-Book
Jay T. Bishoff | Louis R. Kavoussi
(2016)
Additional Information
Book Details
Abstract
Written by recognized experts in this fast-changing field, this highly practical text by Drs. Jay T. Bishoff, Louis R. Kavoussi, and David A. Leavitt has been completely revised and greatly expanded to cover what you need to know about today’s laparoscopic and robotic technology and techniques. Atlas of Laparoscopic and Robotic Urologic Surgery is a concise, thorough, superbly illustrated reference, perfect for learning new techniques or briefly reviewing before a case. You’ll be guided through today’s best minimally invasive approaches using new surgical systems and equipment, including third- and fourth-generation robotic devices. Step-by-step illustrations, tips and tricks, and information on complications helps you sharpen your skills in this high-demand area.
- Consult this title on your favorite e-reader , conduct rapid searches, and adjust font sizes for optimal readability.
- Twenty brand-new chapters on camera and lens systems, instrumentation, the da Vinci surgical system, pyelo/ureterolithotomy, robotic-assisted and laparoscopic simple prostatectomy, and more.
- Completely revised and updated chapters on laparoscopic partial nephrectomy and endoscopic inguinal lymph node dissection for penile cancer.
- Cutting-edge topics including matured techniques for nephron sparing surgery, state-of-the-art nerve sparing for radical robotic prostatectomy, innovative approaches to treat ureteral strictures, up-to-date surgical care of malignancies, and novel pediatric surgeries.
Table of Contents
| Section Title | Page | Action | Price |
|---|---|---|---|
| Front Cover | Cover | ||
| IFC | IFC | ||
| Atlas of Laparoscopic and Robotic Urologic Surgery | i | ||
| Atlas of Laparoscopic and Robotic Urologic Surgery | iii | ||
| Copyright | iv | ||
| Dedication | v | ||
| Contributors | vi | ||
| Preface | xi | ||
| Contents | xii | ||
| Video Contents | xiv | ||
| Atlas of Laparoscopic and Robotic Urologic Surgery | xvii | ||
| I - Basic Techniques in Laparoscopic and Robotic Surgery | 1 | ||
| 1 - Patient Preparation and Positioning for Laparoscopic and Robotic Urologic Surgery | 1 | ||
| PATIENT SELECTION | 1 | ||
| PREPARING THE PATIENT | 2 | ||
| PATIENT POSITIONING: BASIC CONSIDERATIONS | 3 | ||
| PATIENT POSITIONING: LAPAROSCOPIC PELVIC SURGERY (SEE VIDEO 10-1) | 3 | ||
| PATIENT POSITIONING: LAPAROSCOPIC UPPER TRACT SURGERY (SEE VIDEO 10-2) | 4 | ||
| CONCLUSION | 5 | ||
| 2 - LAPAROSCOPIC/ROBOTIC CAMERA AND LENS SYSTEMS | 6 | ||
| HISTORY OF THE LAPAROSCOPE | 6 | ||
| SCOPES AND TECHNOLOGY | 6 | ||
| CAMERAS AND TECHNOLOGY | 8 | ||
| THREE-DIMENSIONAL VIDEO SYSTEMS | 11 | ||
| THE DA VINCI SURGICAL SYSTEM | 13 | ||
| HIGH-DEFINITION LAPAROSCOPY | 14 | ||
| TELEMENTORING AND TELESURGERY | 14 | ||
| 3 - Basic Instrumentation | 18 | ||
| DISSECTORS AND GRASPERS | 18 | ||
| SCISSORS | 18 | ||
| NEEDLE DRIVERS AND SUTURING INSTRUMENTS | 18 | ||
| VASCULAR CLAMPS | 18 | ||
| BIOPSY FORCEPS | 18 | ||
| RETRACTORS | 18 | ||
| ENERGY INSTRUMENTS | 21 | ||
| Monopolar Electrocurrent | 21 | ||
| Bipolar Electrocurrent | 21 | ||
| Ultrasonic Energy | 24 | ||
| Vessel Sealing Devices | 24 | ||
| Argon Beam Coagulator | 25 | ||
| Caiman (Aesculap, Tuttlingen, Germany) | 26 | ||
| EnSeal (Ethicon, Somerville, NJ) | 26 | ||
| Harmonic Scalpel (Ethicon, Somerville, N.J.) | 26 | ||
| LigaSure (Valleylab, Boulder, Colo.) | 28 | ||
| Thunderbeat (Olympus, Center Valley, Pa.) | 28 | ||
| SUCTION-IRRIGATION DEVICES | 28 | ||
| HYDRODISSECTOR | 28 | ||
| EXTRACTORS | 28 | ||
| INTRACORPOREAL ULTRASOUND | 30 | ||
| 4 - Stapling and Reconstruction | 31 | ||
| CLIPS | 31 | ||
| II - Lymphadenectomy | 81 | ||
| 13 - Laparoscopic and Robotic-Assisted Laparoscopic Pelvic Lymph Node Dissection | 81 | ||
| INDICATIONS AND CONTRAINDICATIONS | 81 | ||
| PATIENT PREOPERATIVE EVALUATION AND PREPARATION | 81 | ||
| OPERATING ROOM CONFIGURATION AND PATIENT POSITIONING | 81 | ||
| TROCAR PLACEMENT | 82 | ||
| PROCEDURE (SEE VIDEO 13-1) | 83 | ||
| POSTOPERATIVE MANAGEMENT | 87 | ||
| COMPLICATIONS | 87 | ||
| 14 - LAPAROSCOPIC AND ROBOTIC-ASSISTED RETROPERITONEAL LYMPH NODE DISSECTION | 89 | ||
| INDICATIONS AND CONTRAINDICATIONS | 89 | ||
| PATIENT PREOPERATIVE EVALUATION AND PREPARATION | 89 | ||
| OPERATING ROOM CONFIGURATION AND PATIENT POSITIONING | 89 | ||
| Lateral Position | 89 | ||
| TROCAR PLACEMENT | 90 | ||
| Laparoscopic Approach | 90 | ||
| Robotic-Assisted Approach | 91 | ||
| da Vinci Si System | 91 | ||
| da Vinci Xi System | 91 | ||
| PROCEDURE (SEE VIDEO 14-1) | 92 | ||
| Laparoscopic Technique | 92 | ||
| Robotic-Assisted Laparoscopic Retroperitoneal Lymph Node Dissection | 95 | ||
| Robotic-Assisted Retroperitoneal Lymph Node Dissection with da Vinci Si System | 96 | ||
| Robotic-Assisted Retroperitoneal Lymph Node Dissection with da Vinci Xi System | 98 | ||
| Nerve-Sparing Retroperitoneal Lymph Node Dissection | 98 | ||
| POSTOPERATIVE MANAGEMENT | 98 | ||
| COMPLICATIONS | 99 | ||
| 15 - ENDOSCOPIC SUBCUTANEOUS MODIFIED INGUINAL LYMPH NODE DISSECTION FOR SQUAMOUS CELL CARCINOMA OF THE PENIS | 100 | ||
| INDICATIONS AND CONTRAINDICATIONS | 100 | ||
| PATIENT PREOPERATIVE EVALUATION AND PREPARATION | 100 | ||
| OPERATING ROOM CONFIGURATION AND PATIENT POSITIONING | 100 | ||
| TROCAR PLACEMENT | 100 | ||
| PROCEDURE (SEE VIDEO 15-1) | 102 | ||
| POSTOPERATIVE MANAGEMENT | 103 | ||
| COMPLICATIONS | 103 | ||
| III - Renal Surgery | 105 | ||
| 16 - Laparoscopic Simple Nephrectomy | 105 | ||
| INDICATIONS AND CONTRAINDICATIONS | 105 | ||
| PATIENT PREOPERATIVE EVALUATION AND PREPARATION | 105 | ||
| OPERATING ROOM CONFIGURATION AND PATIENT POSITIONING | 105 | ||
| TROCAR PLACEMENT | 106 | ||
| PROCEDURE (SEE VIDEO 16-1) | 106 | ||
| Reflection of the Colon | 106 | ||
| Dissection of the Ureter | 108 | ||
| Dissection of the Hilum | 108 | ||
| Dissection of the Superior Pole | 110 | ||
| Right-Sided Procedures | 110 | ||
| Left-Sided Procedures | 110 | ||
| Incision of Gerota Fascia and Ureteral Ligation | 110 | ||
| Entrapment and Specimen Removal | 110 | ||
| POSTOPERATIVE MANAGEMENT | 111 | ||
| COMPLICATIONS | 111 | ||
| NEWER APPROACHES IN LAPAROSCOPIC NEPHRECTOMY | 111 | ||
| SUMMARY | 111 | ||
| 17 - Laparoscopic Radical Nephrectomy | 112 | ||
| INDICATIONS AND CONTRAINDICATIONS | 112 | ||
| PATIENT PREOPERATIVE EVALUATION AND PREPARATION | 112 | ||
| OPERATING ROOM CONFIGURATION AND PATIENT POSITIONING | 112 | ||
| TROCAR PLACEMENT | 112 | ||
| PROCEDURE (SEE VIDEOS 17-1 AND 17-2) | 113 | ||
| Exposing the Retroperitoneum | 113 | ||
| Identifying the Gonadal Vessels and the Ureter | 114 | ||
| Developing the Posterior Plane | 115 | ||
| Securing the Hilum | 115 | ||
| Completing the Radical Nephrectomy | 115 | ||
| Entrapping the Specimen and Removal | 117 | ||
| POSTOPERATIVE MANAGEMENT | 119 | ||
| COMPLICATIONS | 119 | ||
| 18 - Nephroureterectomy | 120 | ||
| INDICATIONS AND CONTRAINDICATIONS | 120 | ||
| PATIENT PREOPERATIVE EVALUATION AND PREPARATION | 120 | ||
| OPERATING ROOM CONFIGURATION AND PATIENT POSITIONING | 120 | ||
| TROCAR PLACEMENT | 120 | ||
| PROCEDURE (SEE VIDEO 18-1) | 123 | ||
| Nephrectomy with Mobilization of the Ureter | 123 | ||
| Open Distal Ureterectomy with Excision of Bladder Cuff | 123 | ||
| Laparoscopic Distal Ureterectomy | 128 | ||
| Robotic-Assisted Laparoscopic Nephroureterectomy | 129 | ||
| POSTOPERATIVE MANAGEMENT | 131 | ||
| COMPLICATIONS | 131 | ||
| 19 - Laparoscopic Partial Nephrectomy | 132 | ||
| HISTORY OF PROCEDURE | 132 | ||
| INDICATIONS AND CONTRAINDICATIONS | 132 | ||
| PATIENT PREOPERATIVE EVALUATION AND PREPARATION | 132 | ||
| OPERATING ROOM CONFIGURATION | 132 | ||
| TROCAR PLACEMENT | 134 | ||
| PROCEDURE (SEE VIDEO 19-1) | 135 | ||
| Transperitoneal Approach | 135 | ||
| Retroperitoneal Approach | 139 | ||
| Postoperative Management | 139 | ||
| COMPLICATIONS | 140 | ||
| 20 - Laparoscopic Live Donor Nephrectomy | 143 | ||
| INDICATIONS AND CONTRAINDICATIONS | 143 | ||
| PATIENT PREOPERATIVE EVALUATION AND PREPARATION | 143 | ||
| OPERATING ROOM CONFIGURATION AND PATIENT POSITIONING | 143 | ||
| TROCAR PLACEMENT | 145 | ||
| Transperitoneal Approach | 145 | ||
| Retroperitoneal Approach | 145 | ||
| TRANSPERITONEAL LEFT LAPAROSCOPIC DONOR NEPHRECTOMY (SEE VIDEOS 20-1 AND 20-2) | 145 | ||
| Colon Mobilization and Deflection | 145 | ||
| Mobilization of the Spleen and Pancreas | 146 | ||
| Location of the Gonadal and Main Renal Veins | 146 | ||
| Upper Pole Dissection | 146 | ||
| Renal Arterial Dissection | 147 | ||
| Ureteral Dissection | 147 | ||
| Lateral Dissection and Removal of Perinephric Fat | 147 | ||
| Preparation of Extraction Site | 147 | ||
| Ureteral Ligation | 148 | ||
| Hilar Ligation | 148 | ||
| Kidney Extraction | 148 | ||
| Closure | 148 | ||
| TRANSPERITONEAL RIGHT LAPAROSCOPIC DONOR NEPHRECTOMY | 148 | ||
| Medial Exposure | 148 | ||
| Interaortocaval Dissection of the Right Renal Artery | 148 | ||
| Right Renal Hilar Ligation | 149 | ||
| RETROPERITONEAL LAPAROSCOPIC DONOR NEPHRECTOMY | 149 | ||
| Identification and Dissection of the Renal Hilar Vessels | 150 | ||
| Ureteral Dissection | 150 | ||
| Removal of Perinephric Fat | 150 | ||
| Ureteral Ligation | 150 | ||
| Hilar Ligation | 150 | ||
| Specimen Extraction | 150 | ||
| LAPAROENDOSCOPIC SINGLE-SITE DONOR NEPHRECTOMY | 150 | ||
| POSTOPERATIVE MANAGEMENT | 150 | ||
| COMPLICATIONS | 150 | ||
| 21 - Laparoscopic Renal Cyst Decortication | 152 | ||
| INDICATIONS AND CONTRAINDICATIONS | 152 | ||
| PATIENT PREOPERATIVE EVALUATION AND PREPARATION | 152 | ||
| OPERATING ROOM CONFIGURATION AND PATIENT POSITIONING | 152 | ||
| TROCAR PLACEMENT | 154 | ||
| PROCEDURE (SEE VIDEO 21-1) | 154 | ||
| POSTOPERATIVE MANAGEMENT | 156 | ||
| COMPLICATIONS | 156 | ||
| 22 - Laparoscopic Renal Biopsy | 159 | ||
| INDICATIONS AND CONTRAINDICATIONS | 159 | ||
| PATIENT PREOPERATIVE EVALUATION AND PREPARATION | 159 | ||
| OPERATING ROOM CONFIGURATION AND PATIENT POSITIONING | 159 | ||
| TROCAR PLACEMENT | 160 | ||
| Two-Site Approach | 160 | ||
| Single-Site Approach | 162 | ||
| PROCEDURE (SEE VIDEO 22-1) | 162 | ||
| Kidney Exposure and Biopsy | 162 | ||
| Hemostasis and Closure | 162 | ||
| POSTOPERATIVE MANAGEMENT | 165 | ||
| COMPLICATIONS | 165 | ||
| SUMMARY | 165 | ||
| 23 - Laparoscopic and Percutaneous Delivery of Renal Ablative Technology | 167 | ||
| INDICATIONS AND CONTRAINDICATIONS | 167 | ||
| PATIENT PREOPERATIVE EVALUATION AND PREPARATION | 168 | ||
| OPERATING ROOM CONFIGURATION AND PATIENT POSITIONING | 168 | ||
| TROCAR PLACEMENT | 169 | ||
| PROCEDURE | 170 | ||
| Laparoscopic Tumor Exposure | 170 | ||
| Laparoscopic Cryoablation | 170 | ||
| Laparoscopic Radiofrequency Ablation | 170 | ||
| Percutaneous Ablation | 170 | ||
| POSTOPERATIVE MANAGEMENT | 171 | ||
| COMPLICATIONS AND PERIOPERATIVE OUTCOMES | 171 | ||
| 24 - MINIMALLY INVASIVE RENAL RECIPIENT SURGERY | 174 | ||
| INDICATIONS AND CONTRAINDICATIONS | 174 | ||
| Inclusion Criteria | 174 | ||
| Exclusion Criteria | 174 | ||
| Preoperative Evaluation of Recipient | 174 | ||
| Immunosuppression Protocol | 174 | ||
| Operating Room Setup | 174 | ||
| Patient Position | 174 | ||
| INSTRUMENTS | 174 | ||
| Robotic Instruments and Ports | 174 | ||
| Laparoscopic Instruments | 175 | ||
| Disposables | 175 | ||
| Other Equipment | 175 | ||
| GelPoint | 176 | ||
| TROCAR PLACEMENT | 176 | ||
| PROCEDURE (SEE VIDEO 24-1) | 176 | ||
| Preparation of Recipient Vascular Bed and Bladder | 176 | ||
| Preparation of Donor Graft | 176 | ||
| Introduction of the Graft and Cooling | 176 | ||
| Venous Anastomosis | 177 | ||
| Arterial Anastomosis | 178 | ||
| Ureteroneocystostomy | 178 | ||
| Extra: Accessory Vessels | 179 | ||
| Extra: Nonsurgical Considerations | 179 | ||
| Anesthesia | 179 | ||
| Intraoperative Fluid Management | 181 | ||
| POSTOPERATIVE MANAGEMENT | 181 | ||
| Complications | 182 | ||
| Indications to Convert to Open Surgery | 182 | ||
| IV - Ureteral Surgery | 183 | ||
| 25 - LAPAROSCOPIC PYELOPLASTY | 183 | ||
| INDICATIONS AND CONTRAINDICATIONS | 183 | ||
| PATIENT PREOPERATIVE EVALUATION AND PREPARATION | 183 | ||
| OPERATING ROOM CONFIGURATION AND PATIENT POSITIONING | 183 | ||
| TROCAR PLACEMENT | 183 | ||
| PROCEDURE (SEE VIDEO 25-1) | 183 | ||
| Hynes-Anderson Dismembered Pyeloplasty | 185 | ||
| Foley Y-V Pyeloplasty | 185 | ||
| Fenger Nondismembered Pyeloplasty | 187 | ||
| Drain Placement | 187 | ||
| POSTOPERATIVE MANAGEMENT | 189 | ||
| COMPLICATIONS | 190 | ||
| ROBOTIC-ASSISTED LAPAROSCOPIC PYELOPLASTY | 190 | ||
| 26 - Ureterolysis | 192 | ||
| INDICATIONS AND CONTRAINDICATIONS | 192 | ||
| PATIENT PREOPERATIVE EVALUATION AND PREPARATION | 192 | ||
| OPERATING ROOM CONFIGURATION AND PATIENT POSITIONING | 192 | ||
| TROCAR PLACEMENT | 193 | ||
| PROCEDURE | 194 | ||
| Mobilize the Colon | 194 | ||
| Expose the Ureter | 195 | ||
| Ureterolysis | 195 | ||
| Omental Wrapping | 196 | ||
| Closing | 196 | ||
| POSTOPERATIVE MANAGEMENT | 196 | ||
| COMPLICATIONS | 196 | ||
| 27 - LAPAROSCOPIC AND ROBOTIC-ASSISTED URETERAL REIMPLANTATION | 198 | ||
| INDICATIONS AND CONTRAINDICATIONS | 198 | ||
| PATIENT PREOPERATIVE EVALUATION AND PREPARATION | 198 | ||
| OPERATING ROOM CONFIGURATION AND PATIENT POSITIONING | 198 | ||
| TROCAR PLACEMENT | 198 | ||
| PROCEDURE (SEE VIDEO 27-1) | 198 | ||
| POSTOPERATIVE MANAGEMENT | 202 | ||
| COMPLICATIONS | 203 | ||
| 28 - Laparoscopic/Robotic Boari Flap Ureteral Reimplantation | 204 | ||
| INDICATIONS AND CONTRAINDICATIONS | 204 | ||
| PATIENT PREOPERATIVE EVALUATION AND PREPARATION | 204 | ||
| OPERATING ROOM CONFIGURATION AND PATIENT POSITIONING | 204 | ||
| TROCAR PLACEMENT | 206 | ||
| PROCEDURE (SEE VIDEOS 28-1 AND 28-2) | 206 | ||
| Mobilizing the Colon | 207 | ||
| Identifying and Securing the Ureter | 207 | ||
| Mobilization of the Bladder | 208 | ||
| Psoas Hitch | 208 | ||
| Creation of the L-Shaped Bladder Flap | 208 | ||
| Creation of the Submucosal Tunnel | 208 | ||
| Observation for Hemostasis and Injury | 212 | ||
| Closure | 212 | ||
| Laparoendoscopic Single-Site Reconstructive Surgery | 212 | ||
| POSTOPERATIVE MANAGEMENT | 214 | ||
| COMPLICATIONS | 214 | ||
| 29 - Laparoscopic Appendiceal Onlay Flap and Bowel Reconfiguration for Complex Ureteral Stricture Reconstruction | 217 | ||
| INDICATIONS AND CONTRAINDICATIONS | 217 | ||
| PATIENT PREOPERATIVE EVALUATION AND PREPARATION | 217 | ||
| URETERAL STENT PLACEMENT | 218 | ||
| TROCAR PLACEMENT | 218 | ||
| PROCEDURE (SEE VIDEO 29-1) | 218 | ||
| Retroperitoneal Exposure | 218 | ||
| Identification and Preparation of the Ureter | 219 | ||
| Harvesting the Appendix | 220 | ||
| Performing the Onlay Procedure | 220 | ||
| Drain Placement and Closure | 221 | ||
| Small Intestine Transverse Tubular Reconfiguration with Interposition | 222 | ||
| Colonic Transverse Tubular Reconfiguration with Interposition | 222 | ||
| POSTOPERATIVE MANAGEMENT | 223 | ||
| COMPLICATIONS | 223 | ||
| 30 - Buccal Mucosa Graft for Ureteral Strictures | 224 | ||
| INDICATIONS AND CONTRAINDICATIONS | 224 | ||
| PATIENT PREOPERATIVE EVALUATION AND PREPARATION | 224 | ||
| OPERATING ROOM CONFIGURATION AND PATIENT POSITIONING | 224 | ||
| TROCAR PLACEMENT | 225 | ||
| PROCEDURE (SEE VIDEO 30-1) | 226 | ||
| POSTOPERATIVE MANAGEMENT | 228 | ||
| COMPLICATIONS | 228 | ||
| 31 - PYELOLITHOTOMY AND URETEROLITHOTOMY | 229 | ||
| INDICATIONS AND CONTRAINDICATIONS | 229 | ||
| PATIENT PREOPERATIVE EVALUATION AND PREPARATION | 229 | ||
| LAPAROSCOPIC SURGERY (VIDEO 31-1) | 229 | ||
| Operating Room Configuration and Patient Positioning | 229 | ||
| Trocar Placement | 229 | ||
| Transperitoneal Approach | 229 | ||
| Retroperitoneal Approach | 229 | ||
| Procedure | 229 | ||
| ROBOTIC PYELOLITHOTOMY (TRANSPERITONEAL) | 230 | ||
| Operating Room Configuration and Patient Positioning | 230 | ||
| Trocar Placement | 230 | ||
| Procedure | 231 | ||
| POSTOPERATIVE MANAGEMENT | 232 | ||
| COMPLICATIONS | 232 | ||
| V - Prostate Surgery | 234 | ||
| 32 - ROBOTIC-ASSISTED AND LAPAROSCOPIC SIMPLE PROSTATECTOMY | 234 | ||
| INDICATIONS AND CONTRAINDICATIONS | 234 | ||
| PATIENT PREOPERATIVE EVALUATION AND PREPARATION | 234 | ||
| OPERATING ROOM CONFIGURATION AND PATIENT POSITIONING | 234 | ||
| TROCAR PLACEMENT | 235 | ||
| PROCEDURE (SEE VIDEO 32-1) | 236 | ||
| Bladder Mobilization | 236 | ||
| Bladder Neck Dissection | 236 | ||
| Prostatic Adenoma Dissection | 237 | ||
| Distal Prostatic Urethral Dissection | 237 | ||
| Closure of Capsule and Bladder | 237 | ||
| Robotic Simple Prostatectomy: Extraperitoneal Approach | 237 | ||
| Robotic Simple Prostatectomy: Retropubic Approach (Millin Technique) | 239 | ||
| Prostate Capsule Incision | 239 | ||
| Capsular Closure | 240 | ||
| Laparoscopic Simple Prostatectomy | 240 | ||
| Robotic-Assisted Laparoscopic Endoscopic Single-Site Surgery | 241 | ||
| Robotic-Assisted Simple-Port Suprapubic Transvesical Enucleation of the Prostate | 241 | ||
| POSTOPERATIVE MANAGEMENT | 241 | ||
| COMPLICATIONS | 241 | ||
| 33 - TRANSPERITONEAL RADICAL PROSTATECTOMY | 242 | ||
| INDICATIONS AND CONTRAINDICATIONS | 242 | ||
| PATIENT PREOPERATIVE EVALUATION AND PREPARATION | 242 | ||
| OPERATING ROOM CONFIGURATION AND PATIENT POSITIONING | 242 | ||
| TROCAR PLACEMENT | 243 | ||
| PROCEDURE (SEE VIDEO 33-1) | 243 | ||
| Step 1: Abdominal Access and Trocar Placement | 243 | ||
| Step 2: Dissection of the Seminal Vesicles and Vas Deferens | 244 | ||
| Step 3: Posterior Dissection of the Prostate | 244 | ||
| Step 4: Developing the Space of Retzius | 245 | ||
| Step 5: Incision of Endopelvic Fascia and Management of the Deep Dorsal Venous Complex | 245 | ||
| Step 6: Anterior Bladder Neck Transection | 246 | ||
| Step 7: Posterior Bladder Neck Transection | 247 | ||
| Step 8: Lateral Interfascial Dissection of the Neurovascular Bundles | 248 | ||
| Step 9: Ligation of the Prostatic Pedicles | 248 | ||
| Step 10: Division of the Deep Dorsal Venous Complex | 249 | ||
| Step 11: Prostatic Apical Dissection and Division of the Urethra | 249 | ||
| Step 12: Pelvic Lymph Node Dissection | 249 | ||
| Step 13: Vesicoureteral Anastomosis | 249 | ||
| POSTOPERATIVE MANAGEMENT | 250 | ||
| COMPLICATIONS | 250 | ||
| 34 - Preperitoneal Robotic-Assisted Radical Prostatectomy | 252 | ||
| INDICATIONS AND CONTRAINDICATIONS | 252 | ||
| PATIENT PREOPERATIVE EVALUATION AND PREPARATION | 252 | ||
| OPERATING ROOM CONFIGURATION AND PATIENT POSITIONING | 252 | ||
| EXTRAPERITONEAL SPACE CREATION AND TROCAR PLACEMENT | 252 | ||
| PROCEDURE (SEE VIDEO 34-1) | 254 | ||
| Incision of Endopelvic Fascia | 254 | ||
| Securing the Dorsal Venous Complex | 255 | ||
| Anterior Bladder Neck Transection | 255 | ||
| Posterior Bladder Neck Transection | 255 | ||
| Dissection of Vas Deferens and Seminal Vesicles | 255 | ||
| Posterior Prostate Dissection | 256 | ||
| Securing the Prostatic Pedicle and Neurovascular Bundle Preservation | 256 | ||
| Prostatic Apex and Urethral Dissection | 258 | ||
| Posterior Reconstruction | 258 | ||
| Vesicourethral Anastomosis | 259 | ||
| Drain Placement | 259 | ||
| Specimen Extraction and Wound Closure | 259 | ||
| POSTOPERATIVE CARE | 259 | ||
| COMPLICATIONS | 259 | ||
| Intraoperative Complications | 259 | ||
| Bleeding from Inferior Epigastric Vessels during Preperitoneal Space Creation | 259 | ||
| Subcutaneous Emphysema | 260 | ||
| Inadvertent Peritoneal Opening | 260 | ||
| Postoperative Complications | 260 | ||
| Lymphocele Formation | 260 | ||
| VI - Bladder Surgery | 261 | ||
| 35 - Robotic-Assisted Radical Cystectomy | 261 | ||
| INDICATIONS AND CONTRAINDICATIONS | 261 | ||
| PATIENT PREOPERATIVE EVALUATION AND PREPARATION | 261 | ||
| OPERATING ROOM CONFIGURATION AND PATIENT POSITIONING | 261 | ||
| TROCAR PLACEMENT | 262 | ||
| PROCEDURE (SEE VIDEO 35-1) | 263 | ||
| Right Ureteral Dissection | 263 | ||
| Right Pelvic Lymphadenectomy | 264 | ||
| Mobilization of the Sigmoid Colon, Left Ureteral Dissection, Left Pelvic Lymph Node Dissection | 265 | ||
| Transferring the Left Ureter | 266 | ||
| Development of the Prerectal Space and Posterior Bladder Dissection | 266 | ||
| Division of the Vascular Pedicles to the Bladder | 267 | ||
| Anterior Bladder Dissection | 267 | ||
| Dissection and Division of the Urethra | 267 | ||
| Specimen Extraction and Extracorporeal Urinary Diversion | 268 | ||
| POSTOPERATIVE MANAGEMENT | 269 | ||
| COMPLICATIONS | 269 | ||
| 36 - Robotic-Assisted Intracorporeal Ileal Conduit | 271 | ||
| INDICATIONS AND CONTRAINDICATIONS | 271 | ||
| PATIENT PREOPERATIVE EVALUATION AND PREPARATION | 271 | ||
| OPERATING ROOM CONFIGURATION AND PATIENT POSITIONING | 271 | ||
| TROCAR PLACEMENT | 271 | ||
| PROCEDURE (SEE VIDEO 36-1) | 272 | ||
| Selection of Bowel Segment and Placement of Marionette Stitch | 272 | ||
| Isolation of Bowel | 272 | ||
| Ureteroileal Anastomosis | 274 | ||
| Restoration of Bowel | 276 | ||
| Creation of Stoma | 276 | ||
| COMPLICATIONS | 277 | ||
| 37 - CONTINENT URINARY DIVERSION | 278 | ||
| INDICATIONS AND CONTRAINDICATIONS | 278 | ||
| PREOPERATIVE EVALUATION AND PREPARATION | 278 | ||
| OPERATING ROOM CONFIGURATION AND PATIENT POSITIONING | 278 | ||
| TROCAR PLACEMENT | 279 | ||
| da Vinci S and Si Robotic Systems | 279 | ||
| da Vinci Xi Robotic System | 280 | ||
| Laparoscopic Port Placement | 280 | ||
| PROCEDURE (SEE VIDEO 37-1) | 280 | ||
| Completely Intracorporeal Ileal Neobladder | 280 | ||
| Bowel Isolation | 281 | ||
| Restoring Bowel Continuity | 282 | ||
| Detubularizing the Bowel | 282 | ||
| Creation of the Posterior Plate | 283 | ||
| Urethral-Neobladder Anastomosis | 283 | ||
| Bilateral Ureteral Anastomosis | 284 | ||
| Closing the Neobladder | 284 | ||
| Closure of the Abdominal Wall | 284 | ||
| Extracorporeal (Hybrid) Neobladder Technique | 287 | ||
| Preparing for Extracorporeal Neobladder Construction | 287 | ||
| Specimen Retrieval | 287 | ||
| Ureteral-Neobladder Anastomosis | 287 | ||
| Urethral-Neobladder Anastomosis | 288 | ||
| Laparoscopic Considerations | 290 | ||
| Robotic-Assisted Ureterosigmoidostomy | 290 | ||
| POSTOPERATIVE MANAGEMENT | 290 | ||
| COMPLICATIONS | 291 | ||
| 38 - ROBOTIC-ASSISTED LAPAROSCOPIC PARTIAL CYSTECTOMY | 293 | ||
| INDICATIONS AND CONTRAINDICATIONS | 293 | ||
| PATIENT PREOPERATIVE EVALUATION AND PREPARATION | 293 | ||
| OPERATING ROOM CONFIGURATION AND PATIENT POSITIONING | 294 | ||
| TROCAR PLACEMENT | 294 | ||
| PROCEDURE (SEE VIDEO 38-1) | 294 | ||
| POSTOPERATIVE MANAGEMENT | 296 | ||
| COMPLICATIONS | 299 | ||
| 39 - NOTES-ASSISTED LAPAROSCOPIC TRANSVESICAL BLADDER DIVERTICULECTOMY | 300 | ||
| INDICATIONS AND CONTRAINDICATIONS | 300 | ||
| Indications | 300 | ||
| Contraindications | 300 | ||
| PREOPERATIVE EVALUATION AND PREPARATION | 300 | ||
| OPERATING ROOM SETUP AND PATIENT POSITIONING | 300 | ||
| TROCAR PLACEMENT | 300 | ||
| PROCEDURE (SEE VIDEO 39-1) | 300 | ||
| POSTOPERATIVE CONSIDERATIONS | 303 | ||
| VII - Adrenal Surgery | 305 | ||
| 40 - Laparoscopic Adrenalectomy | 305 | ||
| INDICATIONS AND CONTRAINDICATIONS | 305 | ||
| PATIENT PREOPERATIVE EVALUATION AND PREPARATION | 305 | ||
| Transperitoneal Approach | 306 | ||
| Retroperitoneal Approach | 306 | ||
| TROCAR PLACEMENT | 307 | ||
| VIII - Testicular Surgery | 324 | ||
| 42 - Laparoscopic Orchiopexy | 324 | ||
| INDICATIONS AND CONTRAINDICATIONS | 324 | ||
| PATIENT PREOPERATIVE EVALUATION AND PREPARATION | 324 | ||
| Informed Consent | 324 | ||
| OPERATING ROOM CONFIGURATION AND PATIENT POSITIONING | 324 | ||
| TROCAR PLACEMENT | 325 | ||
| Single-Site Port Placement | 325 | ||
| PROCEDURE (SEE VIDEO 42-1) | 325 | ||
| Diagnostic Laparoscopy | 325 | ||
| Intraoperative Decisions | 326 | ||
| Components of Laparoscopic Orchiopexy | 327 | ||
| Dissection of the Testis and Vascular Pedicle | 328 | ||
| Creation of the Dartos Pouch | 330 | ||
| Laparoscopic Prentiss Maneuver | 330 | ||
| Delivery of the Testis with Orchiopexy | 330 | ||
| Two-Stage Fowler-Stephens Laparoscopic Orchiopexy (See Video 42-2) | 330 | ||
| First Stage | 330 | ||
| Second Stage | 330 | ||
| One-Stage Fowler-Stephens Laparoscopic Orchiopexy | 330 | ||
| POSTOPERATIVE MANAGEMENT | 330 | ||
| SURGICAL RESULTS | 330 | ||
| COMPLICATIONS | 333 | ||
| 43 - Laparoscopic Orchiectomy | 334 | ||
| Index | 349 | ||
| A | 349 | ||
| B | 349 | ||
| C | 350 | ||
| D | 350 | ||
| E | 350 | ||
| F | 351 | ||
| G | 351 | ||
| H | 351 | ||
| I | 351 | ||
| J | 351 | ||
| K | 351 | ||
| L | 351 | ||
| M | 352 | ||
| N | 352 | ||
| O | 353 | ||
| P | 353 | ||
| R | 354 | ||
| S | 355 | ||
| T | 355 | ||
| U | 356 | ||
| V | 356 | ||
| W | 356 | ||
| Y | 356 | ||
| Z | 356 | ||
| IBC | IBC |