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Contemporary Surgery WEBSURG VIDEO TIPSRobotic-assisted laparoscopic radical prostatectomy: Patient preparation and trocar placementFilippo
Annino,
MD;
Thierry
Piéchaud,
MD;
Bordeaux, France Daniel
Mark Burke,
MDLiverpool, UK 361Robotic-assisted laparoscopic radical prostatectomy vd01en2164http://www.websurg.com/ref/contemporary-vd01en2164.htm
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F Annino (France) / DM Burke (United kingdom) / T Piéchaud (France)English15'2007-09-14
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This video demonstrates robotic radical prostatectomy performed by a highly experienced surgeon. The additional advantages conferred by the dexterity of the multiple robotic instruments in performing this complex surgery is apparent. This video is recommended for urologists with an interest in prostate surgery.
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Patient preparation and trocar placementPre-peritoneal space dissectionUrethral dissectionDivision of bladder neckPosterior dissection of prostateDissection of vas deferens and seminal vesiclesLateral dissectionAnterior dissectionSpecimen excisionAnastomosisUrology > Prostate > CancerThe authors prep and drape the patient in the supine position with the legs abducted. They place a 12-mm optical port in the supraumbilical position, and move onto other ports once pneumoperitoneum is established: two on the patient’s left, the first three finger’s breadths from the iliac crest in the anterior axillary line, and the second just cranial to the camera port and lateral to the rectus sheath. On the right side, the authors place the final robotic port in the midpoint between the umbilicus and the anterior superior iliac spine, and then place two 5-mm assistant ports on either side of the robotic port. With the ports in place, the operators place the patient in a maximal Trendelenburg position and bring the da Vinci Surgical System (Intuitive Surgical, Sunnyvale, CA) into position.
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