By Jens-Uwe Stolzenburg, Ingolf A. Türk, Evangelos N. Liatsikos
Operative urology has developed lately to incorporate laparoscopic and robot-assisted surgeries, that have led to major advancements in caliber of life-related consequence. however, education equipment in urologic laparoscopy and robot-assisted surgical procedure differ significantly, and a dependent education scheme is needed to permit the fashionable urologist to conform to and make optimum use of those thoughts. for that reason, the most aim of this surgical atlas is to lead the urologist rigorously via all of the usual laparoscopic and robot-assisted tactics. every one technique is gifted intimately with a variety of assisting endoscopic photos and diagrams. The reader is thereby familiar with different surgical steps and should collect the information important for trustworthy replica of the recommendations in medical practice.
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Additional resources for Laparoscopic and Robot-Assisted Surgery in Urology: Atlas of Standard Procedures
The ureter guides the surgeon for the further preparation of the kidney. It can be utilised as a reference structure for preparation of the vascular pedicle of the kidney (cranially) or for preparation towards the pelvis. References 1. Wittmoser R (1973) Die Retroperitoneoskopie als neue Methode der lumbalen Sympathektomie. Fortschr Endosk 4:219–233 2. Gauer D (1992) Laparoscopic operative retroperitoneoscopy: Use of a new device. 1 Possible Trocar Positions for Robot-Assisted Kidney Surgery Evangelos Liatsikos, Panagiotis Kallidonis, Ingolf Tuerk, Christopher Anderson, Harry Beerlage, Jens-Uwe Stolzenburg Introduction Robot-assisted surgery of the upper urinary tract includes radical and partial nephrectomy as well as pyeloplasty.
Young thin females are the most common symptomatic patients. Recognition of the condition in the late nineteenth century led to widespread popularisation of nephropexy as a surgical technique. However, the procedure was discredited by the early twentieth century because poor patient selection led to a high rate of unsatisfactory outcomes and complications. More recently, there has been recognition of this disorder as a valid clinical entity . Stricter diagnostic criteria, more robust investigative techniques, and the availability of minimally invasive surgical treatment options have led to a resurgence of nephropexy in carefully selected cases.
Most nephropexy patients are female and thin, as shown in Step 2b. It should also be noted that there is a paucity of intra-abdominal fat in this typical patient. The anatomical landmarks are easy to identify. 38 Chapter 1 Upper Urinary Tract (Kidney, Ureter and Adrenal Gland) Step 3: Exposure of structures for “pexing” a An extra 5-mm port placement to assist was not necessary here. The whole procedure could be performed with two working and one optical trocar. The peritoneum lateral to the kidney is incised to allow exposure of quadratus lumborum, to which the kidney will be “pexed” (Step 3a).