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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