Atlas of Robotic Urologic Surgery by Pierre Mozer, Jocelyne Troccaz, Dan Stoianovici (auth.),

By Pierre Mozer, Jocelyne Troccaz, Dan Stoianovici (auth.), Li-Ming Su (eds.)

The Atlas of robot Urologic surgical procedure offers a close, step by step advisor to universal robot urologic techniques for the aim of assisting beginner surgeons of their transition to robot surgical procedure and professional robot surgeons to refine their surgical strategy and extend their repertoire of robot strategies. furthermore, much less mostly played robot tactics reminiscent of these for male infertility, pelvic organ prolapse, urinary tract reconstruction and pediatrics are integrated. each one bankruptcy is written via the concept leaders in robot urologic surgical procedure with descriptive step by step textual content, complimented via figures and intraoperative photos detailing the nuances of every approach. Emphasis is put on operative setup, tool and kit wishes and surgical innovations for either the first physician in addition to the operative assistant. using ancillary apparatus and robot software and endoscope exchanges are highlighted in the course of the procedural textual content via tables designed to assist surgeons and their groups in enhancing potency. This quantity will supply detailed insights into robot urologic surgical procedure and decrease the training curve of attaining those more and more well known procedures.

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Preparing the da Vinci® for Surgery Preparing the operating room for robotic assisted procedures begins well before the patient enters the room. Once the equipment is positioned, the surgical team can prepare the system [8]. Fig. 20 Photograph of EndoWrist® needle drivers. On the left is a 5 mm needle driver with the “snake joint” compared to the 8 mm needle driver with an “angled joint” 1. Connect system cables, optical channels, focus control, power cables and turn the system on. The system will then perform a self-test.

Engage the motor drive by holding the throttle-enable switch on the left and turning the throttle forward or backwards with the right hand. To move the cart without the motor drive assist turn the shift switches to neutral. There is no mechanical brake like the standard system and once an instrument arm is connected to a trocar, the motor drive brakes automatically to keep the cart from moving. The camera arm is the first one connected to the patient by locking the camera trocar mount to the camera trocar.

The pedals on the side of the panel are used to switch control between the two surgeons in dual console mode. In addition the footswitch panel on the right can be used to change the coagulation pedal to bipolar mode. This feature prevents inadvertent electrosurgical activation of the wrong instrument arm. On all of the systems, the back of the surgeon console houses the AC power connection, color-coded cable connections, bipolar and monopolar electrocautery inputs, and additional audio and visual connections.

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