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El. knyga: Robotic Surgery: Practical Examples in Gynecology [De Gruyter E-books]

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  • Formatas: 428 pages, 122 Illustrations, color
  • Išleidimo metai: 19-Dec-2013
  • Leidėjas: De Gruyter
  • ISBN-13: 9783110306576
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  • De Gruyter E-books
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Robotic Surgery: Practical Examples in GynecologyDidesnis paveikslėlis
  • Formatas: 428 pages, 122 Illustrations, color
  • Išleidimo metai: 19-Dec-2013
  • Leidėjas: De Gruyter
  • ISBN-13: 9783110306576
Kitos knygos pagal šią temą:
Wiley OnlineMore info about De Gruyter e-books
Partnerių interneto svetainė: http://dx.doi.org/10.1515/9783110306576

The advent of robotic surgery brought a rise in the proportion of minimally invasive surgery in gynecology. This book provides a practical guide to this innovative field. First it introduces the basics of robotic surgery and then focuses on specific gynecology-related surgeries. Gynecologists currently practicing robotic surgery as well as those who would like to include robotic surgery in their practice will benefit greatly from this book.

Preface v
Acknowledgements vii
Index of authors ix
Part I Basics
1(86)
1 Robotic gynecologic surgery -- introduction
3(10)
M. Faruk Kose
1.1 History
3(1)
1.2 Robotics systems
4(3)
1.3 Endoscopic surgery in gynecology
7(2)
1.4 The advantages of robotic surgery
9(1)
1.5 Limitations of robotic surgery
9(1)
1.6 Telemedicine and robotic surgery: future aspects
9(1)
1.7 Final suggestions
10(3)
References
10(3)
2 Launching a successful robotic program
13(10)
Mostafa A. Borahay
Sami G. Kilic
2.1 Introduction
13(1)
2.2 Phases of a successful robotic gynecologic program
13(7)
2.2.1 Planning phase
13(5)
2.2.2 Implementation phase (learning curve or initial robotic program)
18(1)
2.2.3 Evolving program
18(2)
2.3 Academic activities
20(1)
2.3.1 Education
20(1)
2.3.2 Research
21(1)
2.4 Financial analysis
21(1)
2.5 Conclusion
22(1)
References
22(1)
3 Financial analysis of robotic surgery in gynecology
23(8)
Eralp Baser
Mujdegul Zayifoglu Karaca
Eric Lambaudie
Murat Gultekin
3.1 Introduction
23(1)
3.2 Cost of robotic surgery
23(1)
3.3 Cost effectiveness of robotic surgery vs. laparoscopic and open approaches
24(3)
3.4 Coverage of robotic surgery by health systems
27(1)
3.5 How to use robotics more cost efficiently?
28(1)
3.6 Conclusion
28(3)
References
28(3)
4 Training and credentialing in robotic gynecologic surgery and legal issues
31(6)
John Y. Phelps
Yu Lee
Sami G. Kilic
4.1 Introduction
31(1)
4.2 Training and credentialing
31(2)
4.2.1 Training
31(1)
4.2.2 Credentialing
32(1)
4.3 Legal issues
33(2)
4.3.1 Components of medical malpractice
33(1)
4.3.2 Insufficient training and credentialing legal issues
33(1)
4.3.3 Robotic proctors and legal issues
34(1)
4.4 Conclusion
35(2)
References
35(2)
5 Patient positioning, trocar placement, and docking for robotic gynecologic procedures
37(12)
Mostafa A. Borahay
5.1 Introduction
37(1)
5.2 Importance of proper patient positioning and trocar placement
37(1)
5.3 Patient positioning
38(3)
5.3.1 Principles of patient positioning
38(3)
5.4 Trocar placement
41(4)
5.4.1 Peritoneal access
41(1)
5.4.2 Trocar placement
41(4)
5.5 Initial survey
45(1)
5.6 Docking
45(1)
5.6.1 Docking types
46(1)
5.7 Conclusion
46(3)
References
47(2)
6 Role of the robotic surgical assistant
49(18)
Alexander di Liberto
Kubilay Ertan
6.1 The surgeon in the area of conflict between autonomy and dependency
49(1)
6.2 Tasks of the robotic surgical assistant
50(5)
6.2.1 Tasks of the robotic surgical assistant previous to the beginning of the surgical intervention
50(2)
6.2.2 Tasks of the robotic surgical assistant between beginning of the surgery and start of the console phase
52(1)
6.2.3 Tasks of the robotic surgical assistant during the console phase
52(3)
6.2.4 Tasks of the robotic surgical assistant after termination of the console phase until the skin closure
55(1)
6.3 Selection criteria of the robotic surgical assistant
55(1)
6.4 Training/education of the robotic surgical assistant
56(3)
6.4.1 Practical and virtual simulation/simulator systems
57(1)
6.4.2 Training programs - request and reality
58(1)
6.5 Aspects of spatial arrangement and structures of communication
59(3)
6.6 Available data relating to the role of the robotic surgical assistant/existing evidence
62(1)
6.7 Conclusions
63(4)
References
64(3)
7 Strategies for avoiding complications from robotic gynecologic surgery
67(20)
Georgia A. Mccann
Jeffrey M. Fowler
7.1 Introduction
67(1)
7.2 Patient positioning - prevention of neurologic injuries
68(2)
7.3 Complications of pneumoperitoneum and steep Trendelenburg
70(1)
7.4 Robotic equipment
71(2)
7.4.1 Electrosurgical principles
71(1)
7.4.2 Monopolar electrosurgery
71(2)
7.4.3 Bipolar electrosurgery
73(1)
7.5 Avoiding surgical complications
73(3)
7.5.1 Avoiding port complications
74(1)
7.5.2 Gastrointestinal complications
75(1)
7.6 Genitourinary complications
76(2)
7.6.1 Bladder
76(1)
7.6.2 Ureter
77(1)
7.7 Complications of pelvic and para-aortic lymph node dissection
78(1)
7.8 Incisional hernia
79(1)
7.9 Vascular injuries
80(1)
7.10 Vaginal cuff dehiscence
81(1)
7.11 Summary
81(6)
References
82(5)
Part II General gynecology
87(108)
8 Robotically-assisted simple hysterectomy
89(22)
Sami Gokhan Kilic
Omer L. Tapisiz
Ibrahim Alanbay
8.1 Introduction
89(6)
8.1.1 Background
89(2)
8.1.2 Robotic hysterectomy vs. laparoscopy: surgical outcomes
91(4)
8.1.3 Cost analysis
95(1)
8.2 Robot-assisted simple hysterectomy procedure
95(12)
8.2.1 Positioning the patient
95(1)
8.2.2 Trocar placement
96(1)
8.2.3 Docking
97(2)
8.2.4 Instrument selection
99(1)
8.2.5 Step-by-step approach to simple hysterectomy
99(7)
8.2.6 New innovative techniques for robotic hysterectomy: robotic surgery to laparoendoscopic single-site surgery (R-LESS)
106(1)
8.3 Comment
107(4)
References
107(4)
9 Approach to the big uterus for hysterectomy
111(6)
Gregory L. Eads
Thomas N. Payne
9.1 Introduction
111(1)
9.2 How large is possible?
111(1)
9.3 Technique
112(1)
9.4 Creating the bladder flap
112(1)
9.5 Approach to vessels
113(1)
9.6 Making the colpotomy
113(1)
9.7 Tissue removal
114(3)
References
115(2)
10 The difficult robotic hysterectomy
117(14)
Sai Daayana
Ahmed Sekotory M. Ahmed
10.1 Introduction
117(1)
10.2 The scenarios of difficult and complex hysterectomy
117(1)
10.3 Patients selection for robotic hysterectomy
118(1)
10.4 Pre-operative preparation for a difficult hysterectomy
119(1)
10.5 Technical operative factors and considerations
119(7)
10.5.1 Anesthesia considerations
119(1)
10.5.2 Following induction of anesthesia
120(1)
10.5.3 Patient positioning
120(1)
10.5.4 Entry
121(1)
10.5.5 Uterine manipulation
122(1)
10.5.6 Trocar placement
122(2)
10.5.7 Docking
124(1)
10.5.8 Steps of robotic hysterectomy
124(2)
10.6 General considerations
126(5)
10.6.1 Choice of instruments
127(1)
10.6.2 How to avoid trocar site hernia?
127(1)
10.6.3 How to avoid losing pneumo peritoneum?
128(1)
10.6.4 How to avoid vaginal cuff infection/dehiscence?
128(1)
10.6.5 Data collection
129(1)
10.6.6 Learning curve
129(1)
10.6.7 Continuing professional development
129(1)
References
129(2)
11 Robot-assisted laparoscopic myomectomy (RALM)
131(30)
Kubilay Ertan
Alexander di Liberto
11.1 Principles of surgical therapy of uterine myomas
131(3)
11.2 Patient selection for robot-assisted laparoscopic myomectomy (RALM)
134(1)
11.3 Technical and logistic aspects of robot-assisted myomectomies
134(8)
11.3.1 Patient positioning
134(1)
11.3.2 Equipment
135(1)
11.3.3 Selection of robotic instruments (EndoWrist™ instruments)
136(1)
11.3.4 Uterine manipulation
137(1)
11.3.5 Trocar placement
138(1)
11.3.6 Operation schedule for RALM
138(2)
11.3.7 Camera work (0° vs. 30° endoscope)
140(1)
11.3.8 Features and characteristics of robot-assisted myomectomy
140(1)
11.3.9 Suturing techniques and suture material
141(1)
11.3.10 Adhesion prophylaxis
141(1)
11.3.11 Intraabdominal asservation/storage of removed myomas
142(1)
11.4 Advantages of robotic assistance concerning myomectomies
142(1)
11.5 Disadvantages and deficiencies of robotic assistance concerning myomectomy
143(1)
11.6 Preoperative preparations/perioperative management
143(6)
11.6.1 Indications for robot-assisted myomectomy
143(3)
11.6.2 Organ-specific diagnostics
146(1)
11.6.3 Medicamentous pretreatment
146(2)
11.6.4 Preparation of the surgery
148(1)
11.6.5 Patient information and informed consent
149(1)
11.7 Recommendations for further diagnostics and treatment/time interval to pregnancy/mode of delivery
149(1)
11.8 Case studies
150(2)
11.9 Authors data of robot-assisted myomectomy
152(3)
11.10 Available data from robot-assisted myomectomies/existing evidence
155(2)
11.11 Summary and conclusion
157(4)
References
158(3)
12 Endometriosis: robotic-assisted laparoscopic surgical approaches
161(14)
Chandhana Paka
Camran Nezhat
12.1 Introduction
161(1)
12.2 Application to endometriosis
161(1)
12.3 Surgical approach
162(1)
12.4 Lysis of adhesions
163(1)
12.5 Peritoneal and tubo-ovarian endometriosis
163(1)
12.6 Intestinal endometriosis
164(2)
12.7 Genitourinary endometriosis
166(2)
12.8 Diaphragmatic and thoracic endometriosis
168(1)
12.9 Hepatic endometriosis
169(1)
12.10 Conclusion
169(6)
References
170(5)
13 Robotic-assisted tubal reanastomosis
175(6)
Ahmet Gocmen
Fatih Sanlikan
13.1 Introduction
175(1)
13.2 Surgical technique
176(2)
13.2.1 Positioning of the robotic surgical system
176(1)
13.2.2 Robotic-assisted tubal reversal procedure
177(1)
13.3 The surgical outcomes of robotic-assisted tubal reversal
178(3)
References
180(1)
14 Robotic-assisted abdominal cerclage
181(6)
Ahmet Gocmen
Fatih Sanlikan
Sami Gokhan Kilic
14.1 Introduction
181(1)
14.2 Operative technique
181(2)
14.3 Outcomes
183(4)
References
184(3)
15 Single-port robotic surgery
187(8)
Mete Gungor
15.1 Introduction
187(2)
15.2 Surgical technique
189(2)
15.3 Discussion
191(2)
15.4 Conclusion
193(2)
References
193(2)
Part III Gynecologic onocology
195(124)
16 Update on robotic surgery in the management of cervical cancer
197(12)
Silvia Agramunt
Pedro T. Ramirez
16.1 Introduction
197(1)
16.2 Early-stage disease
197(6)
16.2.1 Radical hysterectomy
197(4)
16.2.2 Radical trachelectomy
201(2)
16.3 Locally advanced disease
203(1)
16.4 Incidental invasive cervical cancer: robotic-radical parametrectomy
204(1)
16.5 Conclusions
205(4)
References
206(3)
17 Robotic-infrarenal aortic lymphadenectomy: A step-by-step approach
209(12)
Kristina A. Butler
Javier Magrina
17.1 Introduction
209(1)
17.2 Patient selection
209(2)
17.3 Advantages
211(1)
17.4 Approaches
211(1)
17.5 Transperitoneal techniques
212(4)
17.5.1 Midline approach, pelvic trocars, no table rotation
212(1)
17.5.2 Midline approach, pelvic trocars, 180° table rotation
212(2)
17.5.3 Midline approach, subcostal trocars
214(2)
17.5.4 Left lateral approach
216(1)
17.6 Extraperitoneal technique
216(1)
17.7 Conclusion
217(4)
References
217(4)
18 Robotic-pelvic and aortic lymphadenectomy for gynecologic malignancies - one approach
221(16)
James E. Kendrick
Sarfraz Ahmad
Robert W. Holloway
18.1 Introduction
221(1)
18.2 The rationale for lymphadenectomy
221(1)
18.3 The minimally-invasive shift
222(1)
18.4 Operating room set-up and patient preparation
223(3)
18.5 Surgical technique for center-docked robotic-assisted aortic lymphadenectomy
226(2)
18.6 Surgical technique for robotic-assisted pelvic lymphadenectomy
228(2)
18.7 Comparative studies
230(1)
18.8 Managing obese patients with endometrial cancer
230(2)
18.9 Future directions
232(1)
18.10 Conclusions
233(4)
References
233(4)
19 Robotic-extraperitoneal lymphadenectomy: A step-by-step approach
237(12)
Murat Dede
Mufit Cemal Yenen
Cihangir Mutlu Ercan
19.1 Introduction
237(2)
19.2 Robotic-assisted retroperitoneal laparoscopic para-aortic lymphadenectomy: Technique
239(4)
19.2.1 Informed consent
239(1)
19.2.2 Examination under anesthesia and cystoscopy
239(1)
19.2.3 Position of patient
240(1)
19.2.4 Diagnostic laparoscopy
240(1)
19.2.5 Entering the extraperitoneal space with intraperitoneal laparoscopic guidance
241(1)
19.2.6 Placement of balloon trocar and the formation of the retroperitoneal space
241(1)
19.2.7 Placement of surgical trocars into the retroperitoneal space
241(1)
19.2.8 Formation of the surgical plan at the retroperitoneal space
242(1)
19.2.9 Left aortic and paracaval nodal dissection
242(1)
19.2.10 Marsupialization of the retroperitoneal space
243(1)
19.3 Conclusion
243(6)
References
245(4)
20 Robotic surgery for ovarian cancer
249(10)
Lyuba Levine
Gwyn Richardson
20.1 Introduction
249(1)
20.2 Benefits of minimally-invasive surgery
250(1)
20.3 Low-malignant potential or borderline ovarian tumors
250(2)
20.4 Early-stage invasive ovarian cancer
252(2)
20.5 Advanced stage invasive ovarian cancer
254(1)
20.6 Considerations
254(5)
References
256(3)
21 Risk-reducing bilateral salpingo-oopherectomy in BRCA mutations career
259(14)
Ibraham Alanbay
Banu Arun
Fatih Sendag
21.1 BRCA1/2 mutations
259(1)
21.2 Risk reducing strategies
259(1)
21.3 Risk reducing salpingo-oopherectomy (RRSO)
260(2)
21.4 Time of RRSO
262(1)
21.5 Primary peritoneal carcinoma after RRSO
262(1)
21.6 Occult cancer at the time of RRSO
263(1)
21.7 Health proplems after RRSO
264(1)
21.8 Technique of RRSO
264(1)
21.9 RRSO with/without hysterectomy
264(1)
21.10 Radical fimbriectomy: As a new temporary risk reducing surgery
265(1)
21.10.1 Laparoendoscopic single port surgery (LEES) for RRSO
265(1)
21.11 Pathologic examination of tuba
266(1)
21.12 Complication of RRSO
267(1)
21.13 Surveilance
267(1)
21.14 Cost analysis
268(5)
References
268(5)
22 Robotic surgery for uterine cancer
273(14)
Dan-Arin Silasi
Masoud Azodi
22.1 Epidemiology
273(1)
22.2 Presentation
273(1)
22.3 Surgical treatment
273(1)
22.4 Preoperative evaluation
274(1)
22.5 Surgical staging
274(1)
22.6 Patient positioning
275(1)
22.7 Pneumoperitoneum, port placement, and instruments
275(1)
22.8 Anesthesia concerns
276(1)
22.9 Pelvic lymphadenectomy
277(2)
22.10 Para-aortic lymphadenectomy
279(3)
22.11 Omentectomy
282(2)
22.12 Extrafascial hysterectomy
284(1)
22.13 Closure of the vaginal apex
285(2)
References
285(2)
23 Compartment-based radical surgery: The TMMR, FMMR and PMMR family in uterine cancer
287(32)
Rainer Kimmig
Bahriye Aktas
Martin Heubner
23.1 Introduction
287(1)
23.2 Therapeutic pelvic and periaortic lymphadenectomy (rtLNE)
288(9)
23.3 Total mesometrial resection (rTMMR)
297(8)
23.4 Fertility preserving mesometrial resection (rFMMR)
305(2)
23.5 Peritoneal mesometrial resection (rPMMR)
307(12)
Acknowledgements
316(1)
References
316(3)
Part IV Urogynecology
319(40)
24 Robotic surgery for urogynecologic diseases
321(6)
Omer Burak Argun
Can Obek
Ali Riza Kural
24.1 Introduction
321(1)
24.2 Robotic-vesicovaginal fistula repair
321(1)
24.3 Robotic ureteral reconstructive surgery
322(1)
24.4 Robot-assisted laparoscopic sacrocolpopexy (RALS)
323(4)
References
325(2)
25 Robotic sacrocolpopexy for the management of uterine and vaginal vault prolapse
327(22)
Sami Gokhan Kilic
Ibrahim Alanbay
Fikret Fatih Onol
25.1 Introduction
327(1)
25.2 Evaluation and surgical indications
328(1)
25.3 Technique and concomitant procedure
329(13)
25.3.1 Preoperative preparation
329(1)
25.3.2 Patient positioning and initial preparation
329(1)
25.3.3 Access and port placement
330(2)
25.3.4 Surgical technique
332(1)
25.3.5 Sacral dissection
333(2)
25.3.6 Anterior dissection
335(1)
25.3.7 Posterior dissection
336(1)
25.3.8 Mesh preparation
337(4)
25.3.9 Follow-up
341(1)
25.4 Outcomes and complications
342(4)
25.4.1 Anatomical and functional outcomes of RASC
342(3)
25.4.2 Complications
345(1)
25.4.3 Disadvantages
345(1)
25.5 Conclusion
346(3)
References
346(3)
26 Robotic-retropubic urethropexy
349(10)
Sami Gokhan Kilic
Pooja R. Patel
Mostafa A. Borahay
26.1 Introduction
349(1)
26.2 Midurethral sling versus robotic retropubic urethropexy
349(1)
26.3 Evolution of the robotic Burch colposuspension
350(1)
26.4 Step-by-step description of the robotic-assisted Burch colposuspension
351(8)
26.4.1 Preoperative planning
351(1)
26.4.2 Positioning the patient and Foley insertion
351(1)
26.4.3 Docking
351(1)
26.4.4 Trocar insertion
352(1)
26.4.5 Concomitant procedures
352(1)
26.4.6 Repositioning the patient
352(1)
26.4.7 Retrograde filling of the bladder
352(1)
26.4.8 Dissection to create the retropubic space of Retzius
353(1)
26.4.9 Identification of urethro-vesicular junction (UVI) using hand in the vagina
353(1)
26.4.10 Suturing
353(1)
26.4.11 Cystoscopy
354(2)
References
356(3)
Part V Specialties
359(32)
27 Pediatric gynecology for robotic surgery
361(10)
Gustavo N. C. Inoue
Hiep T. Nguyen
27.1 Introduction
361(1)
27.2 Sling procedure for bladder outlet incompetence
361(4)
27.2.1 Surgical technique
362(3)
27.3 Vaginoplasty
365(1)
27.3.1 Surgical technique
365(1)
27.4 Hysterectomy
366(1)
27.4.1 Surgical technique
367(1)
27.5 Surgical management of endometriosis
367(1)
27.5.1 Surgical technique
368(1)
27.6 Conclusion
368(3)
References
368(3)
28 Robotic-assisted surgery advances benefit patients
371(2)
Courtney M. Townsend, Jr.
29 Gynecology-related general surgery
373(6)
Ilknur Erguner
Ismail Hakki Hamzaoglu
29.1 How do gastrointestinal injuries occur?
373(1)
29.2 Management of the gastrointestinal injuries
373(4)
29.2.1 Bowel injuries
373(1)
29.2.2 Small bowel injuries
374(1)
29.2.3 Large bowel injuries
375(1)
29.2.4 Rectal injury
376(1)
29.2.5 Stomach Injury
376(1)
29.3 Prevention of gastrointestinal injury
377(2)
References
377(2)
30 Ophthalmology and steep Trendelenburg
379(6)
Giovanni Taibbi
Gianmarco Vizzeri
30.1 Introduction
379(1)
30.2 Posture-induced ocular changes
379(1)
30.3 Post-operative ophthalmological complications
380(1)
30.4 Ophthalmological patient management
381(2)
30.4.1 Preoperative evaluation
381(1)
30.4.2 Intraoperative period
382(1)
30.4.3 Postoperative assessment
382(1)
30.5 Conclusions
383(1)
30.6 Acknowledgements
383(2)
References
383(2)
31 The future of telesurgery and new technology
385(6)
Emilio Ruiz Morales
Stefano Gidaro
Michael Stark
31.1 Introduction
385(2)
31.2 Technical description
387(2)
31.3 First preclinical studies
389(2)
References
389(2)
Index 391
Sami Kilic, University of Texas, USA; Kubilay Ertan, Klinikum Leverkusen, Germany; M. Faruk Kose, Senaturk, Turkey.
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