Atlas of Laparoscopic and Robotic Urologic Surgery

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Concise, thorough, and superbly illustrated, Atlas of Laparoscopic and Robotic Urologic Surgery, 4th Edition, is an ideal resource for learning new techniques or briefly reviewing before a case. Written and edited by renowned experts in the field of laparoscopic and robotic surgery, this practical text covers today’s best minimally invasive approaches using the surgical systems, equipment, and robotic devices in use today. More than three hours of video instruction, an increased focus on robotics and new urologic procedures, and step-by-step illustrations help you sharpen your skills in this high-demand area.

Table of Contents

• Cover image
• Title page
• Table of Contents
• Copyright
• Contributors
• Preface
• Video Contents
•     List of Tables
•     List of Illustrations
• Section I. Basic Instrumentation and Techniques
• 1.  Patient preparation and positioning for laparoscopic and robotic urologic surgery
•     Introduction
•     Conclusion
• 2.  Laparoscopic/robotic camera and lens systems
•     Introduction
•     References
• 3.  Basic instrumentation
•     Dissectors and graspers
•     Scissors
•     Needle drivers and suturing instruments
•     Vascular clamps
•     Biopsy forceps
•     Retractors
•     Energy instruments
•     Robotic bipolar devices
•     Laser instruments
•     Suction-irrigation devices
•     Hydrodissector
•     Extractors
•     Intracorporeal ultrasound
•     Reference
• 4.  Stapling and reconstruction
•     Clips
•     Linear staplers
•     Laparoscopic suturing
•     Adjunct hemostatic agents
•     References
• 5.  Robotic surgical systems
•     Introduction
•     Basic features of RASDs
•     Brief history of robot-assisted surgery
•     da Vinci X/Xi surgical system
•     da Vinci SP
•     Senhance
•     Versius
•     Revo-i
•     Other RASDs in development
•     References
• 6.  Considerations for the assistant
• 7.  Anesthetic considerations for laparoscopic and robotic-assisted surgery
•     Introduction
•     Physiologic changes
•     Anesthetic management
•     Postoperative management
•     Complications
•     References
• 8.  Perioperative management: Pain and other considerations for enhanced recovery after surgery (ERAS)
•     Preoperative
•     Prophylactic antibiotics
•     Intraoperative
•     Postoperative management
•     Summary
•     References
• 9.  Insufflators and the pneumoperitoneum
•     Indications and contraindications
•     Patient preoperative evaluation and preparation
•     Operating room setup
•     Components of the insufflation system
•     Complications
•     Conclusion
•     References
• 10.  Ports and establishing access into the peritoneal cavity
•     Establishing access to the peritoneal cavity
•     Laparoscopic trocars
•     References
• 11.  Retroperitoneal access
•     Indications and contraindications
•     Preoperative evaluation and planning
•     Intraoperative patient positioning
•     Establishment of pneumoretroperitoneum (see Video 11.1)
•     Trocar placement
•     Trocar placement for the robotic-assisted retroperitoneoscopic approach
•     Single-port surgery
•     Closure
•     Postoperative management
•     Complications
• 12.  Exiting the abdomen and closure techniques
•     Introduction
•     Port closure
•     Methods of port closure
•     Final survey
•     Desufflation and port removal
•     Skin closure
•     Summary
•     References
• 13.  Complications of laparoscopic and robotic-assisted surgery
•     Positioning injury
•     Insufflation injury
•     Dissection injury
•     Thermal injury
•     Vascular injury
•     Gastrointestinal injury
•     Urinary tract injury
•     Pleural and diaphragmatic injury
•     Herniation
•     Robotic-associated injury
•     Summary
•     References
• Section II. Upper Urinary Tract
• 14.  Laparoscopic and robotic-assisted retroperitoneal lymph node dissection
•     Introduction
•     Preoperative preparation
•     RPLND templates
•     Positioning of the patient
•     Port placement
•     Surgical technique (Video 14.1)
•     Postoperative management
•     Complications
•     Acknowledgment
•     References
• 15.  Nephrectomy
•     Introduction
•     Simple nephrectomy (Video 15-1)
•     Radical nephrectomy (Videos 15.2 and 15.3)
•     Transperitoneal nephrectomy
•     Hand-assisted approaches
•     Retroperitoneoscopic approaches
•     Postoperative management
•     Complications
•     Summary
•     References
•     Suggested readings
• 16.  Nephroureterectomy
•     Indications and contraindications
•     Patient preoperative evaluation and preparation
•     Operating room configuration and patient positioning
•     Trocar placement
•     Procedure (see Video 16.1)
•     Postoperative management
•     Complications
•     Acknowledgments
•     Suggested readings
• 17.  Partial nephrectomy
•     Introduction
•     Indications and contraindications
•     Transperitoneal partial nephrectomy
•     Retroperitoneal approach
•     Postoperative care
•     Complications
•     Summary
•     References
•     Suggested readings
• 18.  Laparoscopic live donor nephrectomy
•     Indications and contraindications
•     Patient preoperative evaluation and preparation
•     Operating room configuration and patient positioning
•     Trocar placement
•     Transperitoneal left laparoscopic donor nephrectomy (Videos 18.1, 18.2, and 18.3 for hypothermic technique)
•     Transperitoneal right laparoscopic donor nephrectomy
•     Retroperitoneal laparoscopic donor nephrectomy
•     Hand-assisted laparoscopic donor nephrectomy
•     Postoperative management
•     Complications
• 19.  Laparoscopic renal cyst decortication
•     Indications and contraindications
•     Patient preoperative evaluation and preparation
•     Operating room configuration and patient positioning
•     Trocar placement
•     Procedure (Video 19.1)
•     Postoperative management
•     Complications
• 20.  Renal biopsy
•     Indications and contraindications
•     Patient preoperative evaluation and preparation
•     Operating room configuration and patient positioning
•     Trocar placement
•     Procedure (see Video 20.1)
•     Postoperative management
•     Complications
•     Summary
•     Suggested readings
• 21.  Delivery of renal ablative technology
•     Introduction
•     Indications and contraindications
•     Preoperative evaluation and preparation
•     Operating room configuration and patient positioning
•     Trocar placement
•     Procedure
•     Postoperative management
•     Complications and perioperative outcomes
•     Renal cryoablation: Oncological outcomes
•     Summary
•     References
• 22.  Robotic adrenalectomy
•     Anatomy
•     Indications and contraindications
•     Preoperative considerations
•     Patient positioning and port strategy
•     Surgical steps
•     Postoperative management
•     Complications
• 23.  Laparoscopic and robot-assisted pyeloplasty
•     Introduction
•     Transperitoneal approach
•     Complications
•     References
• 24.  Ureterolysis
•     Introduction
•     Indications and contraindications
•     Preoperative evaluation and preparation
•     Operating room configuration and patient positioning
•     Trocar placement
•     Procedure (Video 24.1)
•     Postoperative management
•     Complications
•     References
• 25.  Laparoscopic and robotic-assisted ureteral reimplantation
•     Indications and contraindications
•     Preoperative evaluation and preparation
•     Operating room configuration and patient positioning
•     Trocar placement
•     Procedure (see Videos 25.1 and 25.2)
•     Postoperative management
•     Complications
• 26.  Laparoscopic and robotic boari flap ureteral reimplantation
•     Indications and contraindications
•     Patient preoperative evaluation and preparation
•     Operating room configuration and patient positioning
•     Trocar placement
•     Operative procedure (Video 26.1)
•     Regional lymphadenectomy
•     Single-port reconstructive surgery
•     Single-port placement
•     Postoperative management
•     Complications
•     References
•     Suggested readings
• 27.  Laparoscopic appendiceal onlay flap and bowel reconfiguration for complex ureteral stricture reconstruction
•     Introduction
•     Indications and contraindications
•     Patient preoperative evaluation and preparation
•     Operating room configuration and patient positioning for the appendiceal onlay procedure
•     Ureteral stent placement
•     Trocar placement
•     Procedure (see Video 27.1 for buccal onlay and Video 27-2 for appendiceal onlay)
•     Postoperative management
•     Complications
•     References
• 28.  Pyelolithotomy, ureterolithotomy, and anatrophic nephrolithotomy
•     Indications
•     Patient preoperative evaluation and preparation
•     Trocar placement
• Section III. Lower Urinary Tract
• 29.  Laparoscopic and robotic-assisted laparoscopic pelvic lymph node dissection
•     Indications and contraindications
•     Patient preoperative evaluation and preparation
•     Operating room configuration and patient positioning
•     Trocar placement
•     Procedure (Video 29.1)
•     Postoperative management
•     Complications
•     Summary
• 30.  Simple prostatectomy
•     Introduction
•     Indications and contraindications
•     Patient preoperative evaluation and preparation
•     Operating room configuration and patient positioning
•     Trocar placement
•     Procedures (Video 30.1)
•     Postoperative management
•     Complications
•     Results
•     Summary
•     References
• 31.  Transperitoneal radical prostatectomy
•     Indications and contraindications
•     Patient preoperative evaluation and preparation
•     Operating room configuration and patient positioning
•     Trocar placement
•     Procedure (Video 31.1)
•     Postoperative management
•     Complications
•     Acknowledgements
• 32.  Perineal robotic radical prostatectomy and pelvic lymph node dissection
•     Introduction
•     References
• 33.  Extraperitoneal robotic-assisted radical prostatectomy
•     Introduction
•     Extraperitoneal RARP (see Video 33.1)
•     Special circumstances: Favorable indications
•     Special circumstances: Limitations and relative contraindications
•     Pros and cons of the extraperitoneal technique
•     Conclusion
•     References
• 34.  Robotic-assisted radical cystectomy
•     Indications and contraindications
•     Patient preoperative evaluation and preparation
•     Operating room configuration and patient positioning
•     Trocar placement
•     Procedure (Video 34.1)
•     Postoperative management
•     Complications
•     References
• 35.  Laparoscopic and robotic urinary diversion
•     Introduction
•     References
• 36.  Robotic-assisted laparoscopic partial cystectomy and bladder diverticulectomy
•     Introduction
•     Indications and contraindications
•     Patient preoperative evaluation and preparation
•     Operating room configuration and patient positioning
•     Trocar placement
•     Partial cystectomy procedure (Video 36.1)
•     Bladder diverticulectomy procedure (Video 36.2)
•     Postoperative management
•     Complications
• 37.  Robotic-assisted laparoscopic continent catheterizable channels and augmentation enterocystoplasty
•     Introduction
•     Indications and contraindications
•     Patient preoperative evaluation and preparation
•     Operating room configuration and positioning
•     Trocar placement
•     Procedure: Augmentation ileocystoplasty and mitrofanoff appendicovesicostomy (Video 37.1)
•     Procedure: Double Yang-Monti (modified technique)
•     Postoperative management
•     Complications
•     References
• 38.  Sacrocolpopexy
•     Introduction
•     Indications and contraindications
•     Patient preoperative evaluation and preparation
•     Operating room configuration and patient positioning
•     Trocar placement
•     Procedure
•     Postoperative management
•     Complications
• Section IV. Genitalia
• 39.  Laparoscopic orchiopexy
•     Indications and contraindications
•     Patient preoperative evaluation and preparation
•     Operating room configuration and patient positioning
•     Trocar placement
•     Procedure (Video 39.1)
•     Postoperative management
•     Surgical results
•     Complications
• 40.  Laparoscopic orchiectomy
•     Indications and contraindications
•     Patient preoperative evaluation and preparation
•     Operating room configuration and patient positioning
•     Trocar placement
•     Procedure
•     Postoperative management
•     Complications
• 41.  Surgery of the spermatic cord
•     Surgical anatomy of the spermatic cord
•     Laparoscopic varicocelectomy
•     Laparoscopic denervation for chronic testicular pain
• 42.  Robotic applications for infertility surgeries
•     Introduction
•     Anatomy
•     Preoperative assessment
•     Anesthesia
•     Patient/robot positioning and settings
•     Robotic-assisted microsurgical vasectomy reversal
•     Robotic-assisted microsurgical vasovasostomy
•     Robotic-assisted microsurgical vasoepididymostomy
•     Robotic-assisted microsurgical varicocele repair
•     Conclusion
•     References
• 43.  Endoscopic subcutaneous modified inguinal lymph node dissection for squamous cell carcinoma of the penis
•     Indications and contraindications
•     Patient preoperative evaluation and preparation
•     Operating room configuration and patient positioning
•     Trocar placement
•     Procedure (Video 43.1)
•     Postoperative management
•     Complications