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Principles and Practice of Robotic Surgery
- 1st Edition - July 4, 2023
- Editor: Tony Costello
- Language: English
- Hardback ISBN:9 7 8 - 0 - 3 2 3 - 7 9 8 2 0 - 4
- eBook ISBN:9 7 8 - 0 - 3 2 3 - 7 9 8 2 1 - 1
Robot-assisted surgery, soon to be incorporated into most surgical disciplines, can reduce postoperative complications by up to 50%, and has been shown to result in reduced blood… Read more
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Request a sales quoteRobot-assisted surgery, soon to be incorporated into most surgical disciplines, can reduce postoperative complications by up to 50%, and has been shown to result in reduced blood loss, earlier hospital discharge, and faster return to normal activity for the patient. Edited by master surgeon Tony Costello, and with contributions from the world’s best and most experienced robotic surgeons worldwide, Principles and Practice of Robotic Surgery is an up-to-date, all-in-one reference that provides step-by-step instruction for practicing surgeons and those who are entering robotic surgery training. This first-of-its-kind text discusses new technologies and their application in each surgical subspecialty, with hundreds of outstanding illustrations and high-quality videos—making this an ideal resource for the entire OR team.
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Covers every aspect of nearly all current adult and pediatric robotic surgeries in all surgical disciplines.
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Includes key topics such as robotic anesthesia, operating room prep and positioning of the equipment, certification for robotic training, and the use of artificial intelligence and virtual reality in the present and potential future use of robotic surgery.
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Discusses the evolution of robotic machines with a focus on new and emerging machines for surgery and education.
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Provides specific docking instructions with tips and tricks for each robotic operation.
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Offers comprehensive coverage in a magnificently illustrated, single-volume book, with contributions from an international Who’s Who of the world’s best robotic surgeons.
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Offers numerous procedural videos, including Robotic Prostatectomy: The Patel Approach; Female Pelvic Organ Sparing (POP) and Male Nerve Sparing (NS) RARC; XiXi Operating Room and Surgical Cart setup for TORS, as well as various TORS procedures; Robotic Surgery in Pediatric Otolaryngology Head and Neck Surgery; and more.
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An eBook version is included with purchase. The eBook allows you to access all of the text, figures and references, with the ability to search, customize your content, make notes and highlights, and have content read aloud.
General Surgeons, trainees, and medical students
- Cover image
- Title page
- Table of Contents
- Copyright
- Contributors
- In memoriam
- Foreword
- Preface
- Video contents
- List of Tables
- List of Illustrations
- PART I. Foundations
- Introduction
- 1. The history of robotic surgery
- Early surgical robotics
- Birth of the contemporary surgical robot
- Adoption of robotic surgery
- Barriers to widespread adoption of robotic surgery
- The future
- References
- 2. Available and emerging robotic systems
- Introduction
- Multiport robotic platforms
- Single port robotic platforms
- Flexible endoscopic robotic platforms
- Microsurgical robotic platforms
- Future directions
- Conclusions
- Acknowledgments
- References
- 3. Robot setup
- Introduction
- Overview of components
- Robot (patient) cart setup
- References
- 4. Fundamentals of operating on the console
- Introduction
- Tissue dissection and handling
- Suturing and needle handling
- Knot tying
- Hemostasis
- Communication at the console
- Conclusion
- References
- 5. Assisting in robotic surgery: Surgical skills for the bedside assistant
- Introduction
- Basic knowledge to assist bedside
- Basic skills to assist bedside
- 6. Principles of anesthesia and physiology
- Introduction
- Preoperative considerations
- Patient preparation
- Intraoperative management
- Postoperative considerations
- Summary
- References
- 7. Achieving surgical proficiency by Harnessing nontechnical skills
- Introduction
- Humans are subject to error
- Nontechnical skills
- Situation awareness
- Mental models
- Three stages of situation awareness
- Decision making
- Communication
- Briefings
- Debriefings
- Conflicts and emergency language
- Teamwork
- Leadership
- Leadership styles
- Factors influencing nontechnical performance
- Simulation and scenarios: How nontechnical behaviors are taught in aviation
- Summary
- References
- 8. Achieving robotic surgery competency
- Introduction
- The future of robotic surgery training
- Conclusion
- References
- 9. Guidance for the safe implementation of telementoring in robotic surgery
- Introduction
- Future development of telepresence
- Discussion
- Conclusions
- References
- 10. Proficiency performance measures and artificial intelligence in robotic education
- Introduction
- Manual assessment of robotic surgical education
- Computer-generated metrics
- Surgeon biometrics
- How performance assessments are used in combination
- Performance assessments across difference settings
- Artifical intelligence
- Future directions in proficiency measures and ai in robotic surgery education
- Summary
- References
- 11. The future of robotic surgery
- Introduction
- Image guided robotic surgery
- 3D printing in robotic surgery
- Telecommunications and advanced robotic tools
- Artificial intelligence in robotic surgery
- Autonomous surgery
- The future of robotic simulation and training
- Conclusion
- References
- PART II. Urologic Robotic Surgery
- Introduction
- SECTION 1. Prostate
- 12. Radical prostatectomy: Standard approach, retzius sparing, and single port
- Standard approach
- Introduction
- Standard approach
- Common perioperative complications
- Postoperative care
- Conclusion
- Transperitoneal retzius-sparing robot-assisted radical prostatectomy
- Introduction
- Anatomic considerations for retzius-sparing robot-assisted laparoscopic radical prostatectomy
- Surgical techniques
- Landmark outcomes
- Future directions
- Single-port radical prostatectomy
- Introduction
- Preoperative assessment
- Operating room and port setup
- Stages of the procedure
- Multiport versus single-port robotic radical prostatectomy
- Summary
- References
- 13. Robotic prostatectomy: The patel approach
- Introduction
- Robotic console and CO2 insufflation
- Patient positioning and trocar placement
- Dropping the bladder and retzius space access
- Anterior bladder neck
- Posterior bladder neck and seminal vesicles dissection
- Nerve sparing
- Modified apical dissection
- Dorsal vein complex control and urethra division
- Bladder neck reconstruction and rocco’s stitch
- Anastomosis
- Lymphadenectomy
- Considerations for the SP approach to robotic-assisted radical prostatectomy
- Robotic-assisted radical prostatectomy technique summary
- References
- 14. Tips and tricks for continence preservation following robot-assisted radical prostatectomy
- Introduction
- Principles and techniques
- Conclusion
- References
- 15. Nerve sparing in robot-assisted radical prostatectomy: Tips and tricks
- Introduction
- Tips and tricks to perform a nerve-sparing procedure
- Conclusion
- References
- 16. Pelvic lymph node dissection for prostate cancer
- Introduction
- Guidelines and pelvic lymph node dissection
- Extent of pelvic lymph node dissection
- Is pelvic lymph node dissection therapeutic?
- Anatomical extent of pelvic lymph node dissection
- Points of technique
- Steps of pelvic lymph node dissection
- Complicating factors
- Intraoperative complications of pelvic lymph node dissection
- Postoperative complications of pelvic lymph node dissection
- Summary and future directions
- References
- 17. Robotic simple prostatectomy
- Introduction
- Indications
- Evolution of our surgical technique
- RASP variations
- RASP outcomes
- Conclusions
- References
- SECTION 2. Upper Urinary Tract
- 18. Robotic renal surgery: Radical nephrectomy (including inferior vena cava thrombectomy)
- Introduction
- Indications/patient selection
- Preoperative preparation
- Robotic platform
- Patient positioning, ports, and docking
- Robotic instruments
- Operative steps
- Postoperative care
- Special considerations
- Complications
- References
- 19. Partial nephrectomy
- Introduction
- Theater and port setup
- Summary
- References
- 20. Retroperitoneal partial nephrectomy
- Introduction
- Surgical approach
- Conclusions
- References
- 21. Nephroureterectomy
- Introduction
- Indications/contraindications
- Preoperative assessment
- Stages of procedure
- References
- 22. Pyeloplasty, upper tract stone surgery, and renal surgery for congenital anomalies
- Introduction
- Robotic pyeloplasty
- Robotic renal stone surgery
- Stages of the procedure
- Outcomes
- Renal anomalies
- Summary
- References
- 23. Adrenalectomy
- Introduction
- Preoperative assessment and indications to robotic adrenalectomy
- Surgical technique: Transperitoneal robotic adrenalectomy
- Alternative techniques
- Comparative outcomes: Robotic versus laparoscopic adrenalectomy
- Conclusions
- References
- 24. Robot-assisted kidney transplantation
- Introduction
- Robot-assisted kidney transplantation: Living donor
- Results
- Complex surgical scenarios
- Limitations
- Future perspectives
- Summary
- References
- SECTION 3. Bladder
- 25. Robotic-assisted radical cystectomy for men and women
- Background
- Patient preparation
- Positioning, port placement, and instrumentation
- Principles of RARC
- Male cystectomy
- Female cystectomy
- Evidence acquisition
- RARC outcomes
- Male NS RARC
- Female POP RARC
- Enhanced recovery after surgery protocols
- Learning curves
- Economics
- Single-port RARC, palliative RARC, salvage RARC, and RARC in elderly men and women
- Conclusions and future progress
- References
- 26. Urinary diversion
- Introduction
- Preoperative preparation
- Surgical technique
- Summary
- References
- 27. Extended lymphadenectomy in robot-assisted radical cystectomy
- Bladder lymphatic drainage
- Lymphadenectomy template in RARC and evidence
- Patient preparation
- Surgical technique
- Timing
- Complications
- References
- 28. Partial cystectomy
- Introduction
- Indications and contraindications for robotic-assisted partial cystectomy (RAPC)
- Preoperative assessment
- Theatre and port set up
- Postoperative care
- Complications
- Summary
- References
- SECTION 4. Retroperitoneum
- 29. Retroperitoneal lymph node dissection for metastatic testicular cancer
- Introduction
- Indications and contraindications for robot-assisted retroperitoneal lymph node dissection
- Preoperative assessment
- Theater and port setup
- Postoperative instructions
- Complications
- Summary
- References
- SECTION 5. Reconstruction
- 30. Complex bladder neck reconstruction and posterior urethroplasty
- Robotic reconstruction
- Overview of advantages of robotic reconstruction
- Bladder neck contracture
- Y-V plasty
- Posterior urethroplasty
- Tanagho flap
- Buccal mucosa bladder neck reconstruction
- Conclusion
- References
- 31. Robotic gender-affirming surgery
- Introduction
- Robotic peritoneal flap penile inversion vaginoplasty
- Robotic-assisted vaginectomy
- References
- 32. Fistulae of the urinary tract: Vesicovaginal, ureterovaginal, and rectourethral
- Fistulae of the urinary tract: Vesicovaginal, ureterovaginal, and rectourethral
- Vesicovaginal fistula
- Ureterovaginal fistula
- Rectourethral fistula
- Conclusion
- References
- 33. Ureteric reconstruction: Ureterolysis, reimplant, strictures
- Introduction
- Ureterolysis
- Ureteroneocystostomy (ureteral reimplantation)
- Psoas hitch
- Boari flap
- Nontransecting side-to-side ureteral reimplantation
- Buccal mucosal ureteroplasty
- Onlay buccal mucosal graft ureteroplasty
- Appendiceal ureteroplasty
- Summary of techniques
- References
- 34. Augmentation ileocystoplasty
- Introduction
- Indications and contraindications for augmentation cystoplasty
- Preoperative assessment
- Stages of the procedure
- Postoperative care
- Complications
- Summary
- References
- SECTION 6. Other Topics in Urologic Robotic Surgery
- 35. Robotic urologic microsurgery
- Introduction
- Anatomy
- Preoperative assessment
- Anesthesia
- Patient/robot positioning and settings
- Robot-assisted microsurgical varicocele repair
- Robot-assisted microsurgical vasectomy reversal
- Robot-assisted microsurgical vasovasostomy
- Robot-assisted microsurgical vasoepididymostomy
- Conclusion
- References
- PART III. Gynecology
- Introduction
- 36. History of minimally invasive surgery in gynecology: Transition to robotic surgery
- References
- 37. Robotics for benign gynecology
- Introduction
- Setting up for success
- Robotic-assisted hysterectomy for benign disease
- Robotic-assisted myomectomy
- Robotics for endometriosis
- Summary
- References
- 38. Robotic-assisted laparoscopic sacrocolpopexy
- Introduction
- Indications for robotic sacrocolpopexy
- Summary
- References
- 39. Ro botic-assisted laparoscopic approach to early-stage cervical cancer
- Introduction
- Hysterectomy types
- Indications
- Preoperative assessments
- Robotic setup
- Simple hysterectomy
- Radical trachelectomy
- Radical hysterectomy
- Pelvic lymphadenectomy
- Oophoropexy
- Conclusions and personal views
- Summary
- Conflict of interest
- References
- 40. Robotic surgery for radical procedures: Ovarian cancer, upper abdominal debulking, and pelvic exenteration
- Introduction
- Robotic-assisted surgery in ovarian cancer and upper abdominal debulking
- Robotic-assisted pelvic exenteration
- References
- 41. Robotic surgery for endometrial cancer and sentinel lymph node mapping
- Introduction
- History
- Surgical technique and the surgical algorithm
- The evolution of SLN detection methods
- Pathological assessment of sentinel lymph node
- Significance of micro-metastasis and isolated tumor cells
- Sentinel lymph node mapping in endometrial cancer: Reliability
- Sentinel lymph node mapping in preinvasive disease: Reliability
- Sentinel lymph node mapping in endometrial cancer: Clinical outcomes
- Cost-effectiveness and quality of life
- Conclusions and personal views
- Summary
- Conflict of interest
- References
- PART IV. Ear, Nose, and Throat
- Introduction
- 42. Introduction to transoral robotic surgery
- Introduction
- General principles
- Preoperative assessment
- Operating room setup
- Endowrist instruments
- Microlaryngoscopy instruments
- Retractors for transoral access
- Surgical anatomy and compartmental resection
- Reconstruction
- Postoperative care
- Complications
- Summary
- References
- 43. Transoral robotic surgery for lateral oropharyngectomy, tongue base resection, and laryngeal tumor resect ion
- Introduction
- Anatomy
- Lateral oropharyngeal wall including tonsillar fossa
- Base of tongue
- Preoperative assessment
- Patient considerations
- Tumor considerations
- Anesthesia considerations
- Intraoperative planning
- Operative technique
- Base of tongue (Video 43.2)
- Supraglottic
- Complications
- Postoperative hemorrhage
- Dysphagia
- Nerve injury
- Soft tissue injury
- Fistula formation
- Neck abscess
- Velopharyngeal insufficiency
- Laryngeal complications
- Mortality
- Functional and oncological outcomes
- Summary
- References
- 44. Transoral robotic surgery for hypopharyngeal and supraglottic tumor resection
- Introduction
- Anatomy of the supraglottic larynx and hypopharynx
- Pathology
- Stages of supraglottic laryngeal cancer
- Stages of hypopharyngeal cancer
- Preoperative assessment
- Operating room setup
- Endowrist instruments
- Microlaryngoscopy instruments
- Retractors for transoral access
- Surgical anatomy and tors resection
- Reconstruction
- Postoperative care
- Complications
- Summary
- References
- 45. Transoral robotic surgery for obstructive sleep apnea surgery
- Introduction
- Preoperative assessment
- Theater and instrument setup
- Lingual tonsillectomy
- Tongue base resection
- Managing the epiglottis
- Epiglottopexy
- Epiglottoplasty
- Postoperative care
- Complications
- Summary
- References
- 46. Transoral robotic surgery for parapharyngeal space tumors
- Introduction
- Anatomy of the parapharyngeal space
- Preoperative assessment
- Indications and contraindications for tors resection of parapharyngeal space tumors
- Instruments and patient positioning
- Tors technique
- Postoperative care
- Complications and outcomes
- Conclusion
- References
- 47. Transoral robotic surgery for recurrent cancer and reconstruction
- Introduction
- Preoperative workup
- Mitigation of perioperative risks
- Transoral robotic tumor ablation
- Reconstruction after salvage tors
- Postoperative care
- Complications
- Summary
- References
- 48. Robot-assisted thyroidectomy
- Introduction
- Indications and contraindications
- Preoperative assessment
- Robot-assisted thyroidectomy
- Outcomes of robot-assisted thyroidectomy
- Summary
- References
- PART V. Colorectal Robotic Surgery
- Introduction
- 49. Right hemicolectomy and transverse colectomy
- Introduction
- Operative steps
- Summary
- References
- 50. Splenic flexure mobilization
- Introduction
- XI port placement
- Splenic flexure mobilization for total mesorectal excision
- Medial to lateral dissection of mesentery from retroperitoneum
- Identify, ligate, and divide the inferior mesenteric artery
- Entry into lesser space
- Division of lateral attachments
- Splenic flexure mobilization for splenic flexure neoplasia
- Conclusion
- Acknowledgments
- References
- 51. Robotic sigmoid colectomy for diverticular disease
- Introduction
- Theater and port setup
- Considerations in complex diverticular resections
- Strategies for robotic tissue handling in diverticulitis
- Postoperative care
- Complications
- Technical evolution
- Summary
- References
- 52. Low anterior resection for rectal cancer
- Introduction
- Preoperative considerations
- Operating room setup and operative steps
- Postoperative care
- Summary
- References
- 53. New platforms for low rectal cancer
- Introduction
- New developments in transanal excision of low rectal cancers
- New robotic transanal platforms for low rectal cancer
- New transabdominal platforms for low rectal cancer
- Conclusion
- References
- PART VI. Robotic General Surgery
- Introduction
- SECTION 1. Esophageal Surgery
- 54. Robot foregut surgery
- Introduction
- Patient selection and preparation
- Paraesophageal hernia repair
- Antireflux procedures
- Achalasia
- Long-term outcomes
- References
- SECTION 2. Bariatric Surgery Techniques
- 55. Robot bariatric surgery
- Introduction
- Patient selection and preparation
- Robot-assisted sleeve gastrectomy
- Roux-en-Y gastric bypass
- Biliopancreatic diversion with duodenal switch and single anastomosis duodenal switch
- Intraoperative techniques to prevent complications
- Postoperative complications
- Outcomes
- References
- SECTION 3. Hernia Surgery
- 56. Inguinal, ventral, and parastomal hernias
- Inguinal hernia
- Introduction
- Theater and port setup
- Summary
- Ventral hernia
- Introduction
- Theater and port setup
- Summary
- Parastomal hernia
- Introduction
- Theater and port setup
- Summary
- References
- SECTION 4. Hepatobiliary Surgery
- 57. Hepatectomy, cholecystectomy, and biliary reconstruction
- Introduction
- Operating room and port setup
- Summary
- References
- SECTION 5. Pancreatic Surgery
- 58. Whipple’s operation and distal pancreatectomy
- Introduction
- Preoperative assessment
- Systemic assessment
- Operative preparation
- Robotic pancreaticoduodenectomy
- Enhanced recovery after surgery (ERAS) protocol
- Robotic distal pancreatectomy with splenectomy
- References
- PART VII. Pediatric Robotic Surgery
- Introduction
- SECTION 1. General Surgery
- 59. Robotic abdominal and thoracic surgery in children
- Introduction
- History
- Benefits
- Limitations
- Tips for success
- Current uses and recent advancements
- Conclusions
- References
- SECTION 2. Ear, Nose, and Throat
- 60. Robotic surgery in pediatric otolaryngology—head and neck surgery
- Introduction
- Transoral robotic surgery indications and contraindications
- Anesthesia considerations
- Patient positioning
- Robotic docking
- Surgical instrumentation
- Surgical procedures
- Postoperative care
- Postoperative complications
- Future directions/novel applications
- References
- SECTION 3. Urologic Upper Tract
- 61. Robot-assisted laparoscopic urologic upper urinary tract reconstruction
- Introduction
- Robot-assisted laparoscopic pyeloplasty
- Robot-assisted laparoscopic ureteroureterostomy
- Robot-assisted laparoscopic heminephrectomy
- Robot-assisted calyceal diverticulum excision
- Future directions
- References
- SECTION 4. Urologic Lower Tract
- 62. Ureteral reimplantation, bladder diverticulectomy, prostatic utricular resection, bladder augmentation, continent catheterizable channel
- Ureteral reimplantation (ureteroneocystostomy)
- Introduction
- Indications and contraindications
- Preoperative assessment
- Operating room and port setup
- Patient preparation and positioning
- Procedure steps
- Postoperative care
- Complications
- Summary
- Bladder diverticulectomy
- Introduction
- Indications and contraindications
- Preoperative assessment
- Operating room and port setup
- Patient preparation and positioning
- Procedure steps
- Postoperative care
- Complications
- Summary
- Robotic resection of prostatic utricles
- Introduction
- Indications, contraindications, and preoperative assessment
- Operating room, port setup, and positioning
- Procedure steps
- Postoperative care
- Robotic resection of urachal pathology
- Augmentation cystoplasty and continent catheterizable channel
- Introduction
- Indications and contraindications
- Preoperative assessment
- Operating room and port setup
- Continent catheterizable channel
- Patient preparation and positioning
- Procedure steps
- Postoperative care
- Complications
- Summary
- Acknowledgments
- References
- PART VIII. Cardiothoracic Surgery
- Introduction
- 63. Robotic cardiac surgery
- Introduction
- Robotic mitral valve surgery
- Robotic coronary artery bypass surgery
- Conclusion
- References
- 64. Robotic thoracic surgery
- Introduction
- Preoperative assessment
- Equipment
- Patient and robotic positioning
- Intraoperative techniques
- Postoperative care
- Salvage techniques
- References
- Index
- No. of pages: 800
- Language: English
- Edition: 1
- Published: July 4, 2023
- Imprint: Elsevier
- Hardback ISBN: 9780323798204
- eBook ISBN: 9780323798211
TC
Tony Costello
Affiliations and expertise
Professorial Fellow & Head, Department of Urology, The Royal Melbourne Hospital; Department of Surgery, University of Melbourne, Melbourne, Australia