Anatomic Guide for Port Placement for DaVinci Robotic Radical Prostatectomy

Pick, Donald L.; Lee, David I.; Skarecky, Douglas; Ahlering, Thomas E.

doi:10.1089/end.2004.18.572

Cited by 43 publications

(15 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Patient has the bilateral open inguinal herniography history with recurrence at the left side requiring subsequent laparoscopic hernioplasty. RARP with bilateral pelvic lymphadenectomy was performed by the 6-port trans-peritoneal approach described by Pick et al [71] . The 12-mm periumbilical port site used for the camera was enlarged at the level of specimen retrieval.…”

Section: Tsu Et Almentioning

confidence: 99%

Robotic urologic surgery complications

Koç¹,

Canda²

2018

MIS

View full text Add to dashboard Cite

Robot-assisted surgery is a commonly performed procedure in the recent urological approach. The scientific data that reveal the complication rates also tend to increase by the rising popularity of the robot-assisted surgeries in the treatment of urological cancers. Patient characteristics, nature of the cancer and learning curve of the surgeon are the determinant factors of the complication rates. Nevertheless, robot-assisted surgical techniques are safer with acceptable morbidity and mortality rates as compared to open surgical methods. In urology practice, robotic surgery is most commonly performed in the treatment of prostate cancer. Thus, this review subjected to reveal the commonly seen and the serious complications of robot-assisted radical prostatectomy, and their prevention and management.

show abstract

Section: Tsu Et Almentioning

confidence: 99%

Robotic urologic surgery complications

Koç¹,

Canda²

2018

MIS

View full text Add to dashboard Cite

show abstract

“…The camera port (12 mm), 2 robotic arm ports (8 mm) and 2 additional working ports (12 mm, for retraction, suction, and introduction and cutting of sutures) were carefully planned according to the geometry of the anatomic landmarks as per the group at the University of California at Irvine. 8 We employed the transperitoneal antegrade approach with early division of the bladder neck. For the purpose of documenting our initial experience, the surgical procedure was divided into several segments.…”

Section: Surgical Techniquementioning

confidence: 99%

Initial experience with robotic-assisted laparoscopic radical prostatectomy in the Canadian health care system

Chin

Luke

Pautler

2012

CUAJ

View full text Add to dashboard Cite

Background: Robotic-assisted laparoscopic radical prostatectomy (RALRP) has gained popularity in the United States due to claims of its superior 3-dimensional magnified vision and improved manual dexterity for surgeons that shorten the learning curve and facilitate the transition from standard open radical prostatectomy to laparoscopic prostatectomy as a minimally invasive procedure. The Canadian health care system, however, faces unique challenges when dealing with the introduction of new technologies. We report the initial experience with the use of the da Vinci robot for RALRP at the University of Western Ontario. Methods:We retrospectively reviewed the records of the initial 30 cases of RALRP with a minimum of 6 months follow-up. Data included the surgical times of various operative segments from cases 1-15 and 16-30, perioperative complications, early oncology and early functional results. Results:The lack of dedicated resources initially led to sporadic and infrequent cases. Nevertheless, there was improvement in surgical proficiency with significant difference in operative times between cases 1-15 and 16-30. Perioperative complications, though significant, were commensurate with reported early experiences from other centres worldwide, which reflects the learning curve with RALRP. Conclusion:Initiating a new surgical program that involves significant capital and maintenance costs, such as an RALRP program, within the Canadian health care system poses unique challenges for the surgical team. Nevertheless, our initial experience has encouraged us to proceed with the next phase of evaluation for the urological and oncological application of the technology. L aparoscopic radical prostatectomy, first described in the early 1990s, 1 was popularized by several European groups, 2-4 with the main impetus being to decrease operative morbidity while upholding principles of oncological therapy and theoretically minimizing longterm morbidity, such as incontinence and erectile dysfunction.Surgical robotics have improved laparoscopic surgical proficiency by: • providing superior 3-dimensional "up close" magnification and an unparalleled view of the deep pelvis and retropubic space; • facilitating surgical manipulation with superior dexterity via "wristed motions" and increased degrees of surgical freedom; and • improving precision of dissection by tremor filtration and movement scaling. according to the research protocol. The robotic surgical team members (both "console" and "bedside laparoscopic" surgeons and nursing personnel) underwent formal approved training in the use of the da Vinci robot as well as the RALRP surgical procedure at the University of California at Irvine. The 2 console surgeons have fellowship training in urological oncology; one is primarily an open surgeon with 20 years of experience and a large oncology practice, and the other surgeon has significant laparoscopic experience. We prospectively collected data for the first 30 RALRP cases with a minimum of 6 months follow-up. Patient demograp...

show abstract

“…The first looked at port placement using one assistant and highlighted the importance of using the navel and pubic bone for appropriate anatomic port placement. 12 We introduced the concept that the early robots were limited by instrument length; hence, we suggested that rather than just the navel as the primary skin landmark, surgeons should use both the navel and pubic bone. This allotted a geometric means of safeguarding against placing ports too high on the abdomen, which answered the problem of being too far from the urethra to perform the anastomosis.…”

Section: Concepts and Practicality Of Rarp Circa 2002mentioning

confidence: 99%