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 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.
Covers every aspect of nearly all current adult and pediatric robotic surgeries in all surgical disciplines.
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.
Discusses the evolution of robotic machines with a focus on new and emerging machines for surgery and education.
Provides specific docking instructions with tips and tricks for each robotic operation.
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.
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.
1. Introduction - p. 1 2. 1. The history of robotic surgery - p. 3 3. 2. Available and emerging robotic systems - p. 9 4. 3. Robot setup - p. 27 5. 4. Fundamentals of operating on the console - p. 33 6. 5. Assisting in robotic surgery: Surgical skills for the bedside assistant - p. 39 7. 6. Principles of anesthesia and physiology - p. 47 8. 7. Achieving surgical proficiency by Harnessing nontechnical skills - p. 55 9. 8. Achieving robotic surgery competency - p. 63 10. 9. Guidance for the safe implementation of telementoring in robotic surgery - p. 69 11. 10. Proficiency performance measures and artificial intelligence in robotic education - p. 77 12. 11. The future of robotic surgery - p. 87 13. PART II. Urologic Robotic Surgery - p. 92 14. Introduction - p. 93 15. SECTION 1. Prostate - p. 94 16. 12. Radical prostatectomy: Standard approach, retzius sparing, and single port - p. 95 17. 13. Robotic prostatectomy: The patel approach - p. 119 18. 14. Tips and tricks for continence preservation following robot-assisted radical prostatectomy - p. 125 19. 15. Nerve sparing in robot-assisted radical prostatectomy: Tips and tricks - p. 129 20. 16. Pelvic lymph node dissection for prostate cancer - p. 133 21. 17. Robotic simple prostatectomy - p. 143 22. SECTION 2. Upper Urinary Tract - p. 156 23. 18. Robotic renal surgery: Radical nephrectomy (including inferior vena cava thrombectomy) - p. 157 24. 19. Partial nephrectomy - p. 165 25. 20. Retroperitoneal partial nephrectomy - p. 173 26. 21. Nephroureterectomy - p. 179 27. 22. Pyeloplasty, upper tract stone surgery, and renal surgery for congenital anomalies - p. 185 28. 23. Adrenalectomy - p. 193 29. 24. Robot-assisted kidney transplantation - p. 199 30. SECTION 3. Bladder - p. 206 31. 25. Robotic-assisted radical cystectomy for men and women - p. 207 32. Background - p. 207 33. Patient preparation - p. 207 34. Positioning, port placement, and instrumentation - p. 207 35. Principles of RARC - p. 208 36. Male cystectomy - p. 215 37. Female cystectomy - p. 216 38. Evidence acquisition - p. 217 39. RARC outcomes - p. 218 40. Male NS RARC - p. 233 41. Female POP RARC - p. 235 42. Enhanced recovery after surgery protocols - p. 240 43. Learning curves - p. 243 44. Economics - p. 251 45. Single-port RARC, palliative RARC, salvage RARC, and RARC in elderly men and women - p. 252 46. Conclusions and future progress - p. 252 47. References - p. 253 48. 26. Urinary diversion - p. 257 49. 27. Extended lymphadenectomy in robot-assisted radical cystectomy - p. 265 50. 28. Partial cystectomy - p. 271 51. SECTION 4. Retroperitoneum - p. 278 52. 29. Retroperitoneal lymph node dissection for metastatic testicular cancer - p. 279 53. SECTION 5. Reconstruction - p. 288 54. 30. Complex bladder neck reconstruction and posterior urethroplasty - p. 289 55. 31. Robotic gender-affirming surgery - p. 295 56. 32. Fistulae of the urinary tract: Vesicovaginal, ureterovaginal, and rectourethral - p. 305 57. 33. Ureteric reconstruction: Ureterolysis, reimplant, strictures - p. 313 58. 34. Augmentation ileocystoplasty - p. 323 59. SECTION 6. Other Topics in Urologic Robotic Surgery - p. 328 60. 35. Robotic urologic microsurgery - p. 329 61. PART III. Gynecology - p. 338 62. Introduction - p. 339 63. 36. History of minimally invasive surgery in gynecology: Transition to robotic surgery - p. 341 64. 37. Robotics for benign gynecology - p. 347 65. 38. Robotic-assisted laparoscopic sacrocolpopexy - p. 357 66. 39. Ro botic-assisted laparoscopic approach to early-stage cervical cancer - p. 363 67. 40. Robotic surgery for radical procedures: Ovarian cancer, upper abdominal debulking, and pelvic exenteration - p. 371 68. 41. Robotic surgery for endometrial cancer and sentinel lymph node mapping - p. 385 69. PART IV. Ear, Nose, and Throat - p. 394 70. Introduction - p. 395 71. 42. Introduction to transoral robotic surgery - p. 397 72. 43. Transoral robotic surgery for lateral oropharyngectomy, tongue base resection, and laryngeal tumor resect ion - p. 403 73. 44. Transoral robotic surgery for hypopharyngeal and supraglottic tumor resection - p. 423 74. 45. Transoral robotic surgery for obstructive sleep apnea surgery - p. 435 75. 46. Transoral robotic surgery for parapharyngeal space tumors - p. 443 76. 47. Transoral robotic surgery for recurrent cancer and reconstruction - p. 451 77. 48. Robot-assisted thyroidectomy - p. 457 78. PART V. Colorectal Robotic Surgery - p. 462 79. Introduction - p. 463 80. 49. Right hemicolectomy and transverse colectomy - p. 465 81. 50. Splenic flexure mobilization - p. 469 82. 51. Robotic sigmoid colectomy for diverticular disease - p. 477 83. 52. Low anterior resection for rectal cancer - p. 485 84. 53. New platforms for low rectal cancer - p. 493 85. PART VI. Robotic General Surgery - p. 498 86. Introduction - p. 499 87. SECTION 1. Esophageal Surgery - p. 500 88. 54. Robot foregut surgery - p. 501 89. SECTION 2. Bariatric Surgery Techniques - p. 508 90. 55. Robot bariatric surgery - p. 509 91. SECTION 3. Hernia Surgery - p. 518 92. 56. Inguinal, ventral, and parastomal hernias - p. 519 93. SECTION 4. Hepatobiliary Surgery - p. 528 94. 57. Hepatectomy, cholecystectomy, and biliary reconstruction - p. 529 95. SECTION 5. Pancreatic Surgery - p. 542 96. 58. Whipple’s operation and distal pancreatectomy - p. 543 97. PART VII. Pediatric Robotic Surgery - p. 558 98. Introduction - p. 559 99. SECTION 1. General Surgery - p. 560 100. 59. Robotic abdominal and thoracic surgery in children - p. 561 101. SECTION 2. Ear, Nose, and Throat - p. 566 102. 60. Robotic surgery in pediatric otolaryngology—head and neck surgery - p. 567 103. SECTION 3. Urologic Upper Tract - p. 574 104. 61. Robot-assisted laparoscopic urologic upper urinary tract reconstruction - p. 575 105. SECTION 4. Urologic Lower Tract - p. 588 106. 62. Ureteral reimplantation, bladder diverticulectomy, prostatic utricular resection, bladder augmentation, continent catheterizable channel - p. 589 107. PART VIII. Cardiothoracic Surgery - p. 606 108. Introduction - p. 607 109. 63. Robotic cardiac surgery - p. 609 110. 64. Robotic thoracic surgery - p. 617 111. Index - p. 635
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 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.
Covers every aspect of nearly all current adult and pediatric robotic surgeries in all surgical disciplines.
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.
Discusses the evolution of robotic machines with a focus on new and emerging machines for surgery and education.
Provides specific docking instructions with tips and tricks for each robotic operation.
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.
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.
1. Introduction - p. 1 2. 1. The history of robotic surgery - p. 3 3. 2. Available and emerging robotic systems - p. 9 4. 3. Robot setup - p. 27 5. 4. Fundamentals of operating on the console - p. 33 6. 5. Assisting in robotic surgery: Surgical skills for the bedside assistant - p. 39 7. 6. Principles of anesthesia and physiology - p. 47 8. 7. Achieving surgical proficiency by Harnessing nontechnical skills - p. 55 9. 8. Achieving robotic surgery competency - p. 63 10. 9. Guidance for the safe implementation of telementoring in robotic surgery - p. 69 11. 10. Proficiency performance measures and artificial intelligence in robotic education - p. 77 12. 11. The future of robotic surgery - p. 87 13. PART II. Urologic Robotic Surgery - p. 92 14. Introduction - p. 93 15. SECTION 1. Prostate - p. 94 16. 12. Radical prostatectomy: Standard approach, retzius sparing, and single port - p. 95 17. 13. Robotic prostatectomy: The patel approach - p. 119 18. 14. Tips and tricks for continence preservation following robot-assisted radical prostatectomy - p. 125 19. 15. Nerve sparing in robot-assisted radical prostatectomy: Tips and tricks - p. 129 20. 16. Pelvic lymph node dissection for prostate cancer - p. 133 21. 17. Robotic simple prostatectomy - p. 143 22. SECTION 2. Upper Urinary Tract - p. 156 23. 18. Robotic renal surgery: Radical nephrectomy (including inferior vena cava thrombectomy) - p. 157 24. 19. Partial nephrectomy - p. 165 25. 20. Retroperitoneal partial nephrectomy - p. 173 26. 21. Nephroureterectomy - p. 179 27. 22. Pyeloplasty, upper tract stone surgery, and renal surgery for congenital anomalies - p. 185 28. 23. Adrenalectomy - p. 193 29. 24. Robot-assisted kidney transplantation - p. 199 30. SECTION 3. Bladder - p. 206 31. 25. Robotic-assisted radical cystectomy for men and women - p. 207 32. Background - p. 207 33. Patient preparation - p. 207 34. Positioning, port placement, and instrumentation - p. 207 35. Principles of RARC - p. 208 36. Male cystectomy - p. 215 37. Female cystectomy - p. 216 38. Evidence acquisition - p. 217 39. RARC outcomes - p. 218 40. Male NS RARC - p. 233 41. Female POP RARC - p. 235 42. Enhanced recovery after surgery protocols - p. 240 43. Learning curves - p. 243 44. Economics - p. 251 45. Single-port RARC, palliative RARC, salvage RARC, and RARC in elderly men and women - p. 252 46. Conclusions and future progress - p. 252 47. References - p. 253 48. 26. Urinary diversion - p. 257 49. 27. Extended lymphadenectomy in robot-assisted radical cystectomy - p. 265 50. 28. Partial cystectomy - p. 271 51. SECTION 4. Retroperitoneum - p. 278 52. 29. Retroperitoneal lymph node dissection for metastatic testicular cancer - p. 279 53. SECTION 5. Reconstruction - p. 288 54. 30. Complex bladder neck reconstruction and posterior urethroplasty - p. 289 55. 31. Robotic gender-affirming surgery - p. 295 56. 32. Fistulae of the urinary tract: Vesicovaginal, ureterovaginal, and rectourethral - p. 305 57. 33. Ureteric reconstruction: Ureterolysis, reimplant, strictures - p. 313 58. 34. Augmentation ileocystoplasty - p. 323 59. SECTION 6. Other Topics in Urologic Robotic Surgery - p. 328 60. 35. Robotic urologic microsurgery - p. 329 61. PART III. Gynecology - p. 338 62. Introduction - p. 339 63. 36. History of minimally invasive surgery in gynecology: Transition to robotic surgery - p. 341 64. 37. Robotics for benign gynecology - p. 347 65. 38. Robotic-assisted laparoscopic sacrocolpopexy - p. 357 66. 39. Ro botic-assisted laparoscopic approach to early-stage cervical cancer - p. 363 67. 40. Robotic surgery for radical procedures: Ovarian cancer, upper abdominal debulking, and pelvic exenteration - p. 371 68. 41. Robotic surgery for endometrial cancer and sentinel lymph node mapping - p. 385 69. PART IV. Ear, Nose, and Throat - p. 394 70. Introduction - p. 395 71. 42. Introduction to transoral robotic surgery - p. 397 72. 43. Transoral robotic surgery for lateral oropharyngectomy, tongue base resection, and laryngeal tumor resect ion - p. 403 73. 44. Transoral robotic surgery for hypopharyngeal and supraglottic tumor resection - p. 423 74. 45. Transoral robotic surgery for obstructive sleep apnea surgery - p. 435 75. 46. Transoral robotic surgery for parapharyngeal space tumors - p. 443 76. 47. Transoral robotic surgery for recurrent cancer and reconstruction - p. 451 77. 48. Robot-assisted thyroidectomy - p. 457 78. PART V. Colorectal Robotic Surgery - p. 462 79. Introduction - p. 463 80. 49. Right hemicolectomy and transverse colectomy - p. 465 81. 50. Splenic flexure mobilization - p. 469 82. 51. Robotic sigmoid colectomy for diverticular disease - p. 477 83. 52. Low anterior resection for rectal cancer - p. 485 84. 53. New platforms for low rectal cancer - p. 493 85. PART VI. Robotic General Surgery - p. 498 86. Introduction - p. 499 87. SECTION 1. Esophageal Surgery - p. 500 88. 54. Robot foregut surgery - p. 501 89. SECTION 2. Bariatric Surgery Techniques - p. 508 90. 55. Robot bariatric surgery - p. 509 91. SECTION 3. Hernia Surgery - p. 518 92. 56. Inguinal, ventral, and parastomal hernias - p. 519 93. SECTION 4. Hepatobiliary Surgery - p. 528 94. 57. Hepatectomy, cholecystectomy, and biliary reconstruction - p. 529 95. SECTION 5. Pancreatic Surgery - p. 542 96. 58. Whipple’s operation and distal pancreatectomy - p. 543 97. PART VII. Pediatric Robotic Surgery - p. 558 98. Introduction - p. 559 99. SECTION 1. General Surgery - p. 560 100. 59. Robotic abdominal and thoracic surgery in children - p. 561 101. SECTION 2. Ear, Nose, and Throat - p. 566 102. 60. Robotic surgery in pediatric otolaryngology—head and neck surgery - p. 567 103. SECTION 3. Urologic Upper Tract - p. 574 104. 61. Robot-assisted laparoscopic urologic upper urinary tract reconstruction - p. 575 105. SECTION 4. Urologic Lower Tract - p. 588 106. 62. Ureteral reimplantation, bladder diverticulectomy, prostatic utricular resection, bladder augmentation, continent catheterizable channel - p. 589 107. PART VIII. Cardiothoracic Surgery - p. 606 108. Introduction - p. 607 109. 63. Robotic cardiac surgery - p. 609 110. 64. Robotic thoracic surgery - p. 617 111. Index - p. 635
