Robotic Surgery for the General Surgeon ( Surgery - Procedures, Complications, and Results )

Publication series :Surgery - Procedures, Complications, and Results

Author: Dmitry Oleynikov and Nathan D. Bills (Nebraska Medical Center   Omaha   NE   USA)  

Publisher: Nova Science Publishers, Inc.‎

Publication year: 2014

E-ISBN: 9781629489575

P-ISBN(Hardback):  9781629489551

Subject: R6 Surgery

Keyword: Surgery

Language: ENG

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Robotic Surgery for the General Surgeon

Chapter

Chapter 4: Robotic-Assisted Heller Myotomy

Abstract

Introduction

Clinical Features

Treatment Options

Role of Fundoplication

Evaluation

Upper Endoscopy

Barium Swallow

Esophageal Manometry

pH Monitoring

Robotic System

Surgical Technique

Post Operative Care

Peri-Operative Complications

Perforation

Bleeding

Pneumothorax

Dysphagia

Conclusion

References

Chapter 5: Robotic-Assisted Transhiatal Esophagectomy

Abstract

Introduction

Clinical Findings

Diagnosis and Preoperative Evaluation

Barium Esophagram

Upper Endoscopy

Endoscopic Ultrasonography

Computed Tomography

Positron Emission Tomography Scan

Bronchoscopy

Indication for Surgery

Surgical Approach

Surgical Technique

Perioperative Considerations and Patient Positioning

Trocar Placement

Exposure of the Crura and Mobilization of the Stomach

Mediastinal Esophageal Dissection

Cervical Dissection

Gastric Tube Formation and Cervical Anastomosis

Postoperative Care

Outcome Evaluation

Operative Outcomes

Oncological Outcomes

Summary

Conclusion

References

Chapter 6: Paraesophageal Hernias and Nissen Fundoplication

Abstract

Synopsis

Introduction

Robotic Procedure

Technical Points

Conclusion

References

Bariatric

Chapter 7: Robotic-Assisted Gastric Bypass

Overview

Indications for Robotic-Assisted Gastric Bypass

Technique of Robotic-Assisted Gastric Bypass

Patient Positioning

Trocar Port Placement

Procedure Overview

Step 1: Creation of the Gastric Pouch

Step 2: Creation of the Gastrojejunal Anastomosis

Step 3: Creation of the Jejunojajunostomy

Advantages and Limitations

Advantages to Robotic-assisted Roux-in-Y Gastric Bypass (RARYGB)

Limitations to Robotic Roux-en-Y Gastric Bypass

Conclusion

References

Chapter 8: Revisional Robotic Bariatric Surgery

Abstract

Robotic Conversion of Restrictive Bariatric Procedures to BPD-DS

Sleeve Stricturoplasty

Revisions of Roux en Y Gastric Bypass

Revisions of Failed Fundoplications and Recurrent Paraesophageal Hernias

Emergent Robotic Revisional Procedures

Limitations of the Robot

Discussion

References

Chapter 9: Sleeve Gastrectomy

1. Abstract

2. Introduction

3. Preoperative Evaluation

4. Surgical Technique

Conclusion

References

Organ Specific

Chapter 10: Gastric Surgery

Introduction

Anti-Reflux Surgery and Hiatal Hernia Repair

Surgical Technique

Outcomes

Bariatric Surgery

Roux-en-Y Gastric Bypass

Gastrectomy for Cancer

Background

Operative Technique

Distal Gastrectomy

Total Gastrectomy

Complications

Postoperative Care

Follow-Up

Comparative Analysis and Outcomes

Costs

Summary

Palliative Procedures for Pancreatic Cancer

Conclusion

References

Chapter 11: Pancreatic Body and Tail Resection

Synopsis

Introduction

Procedure

Distal Pancreatectomy

Central Pancreatectomy

Enucleation

Conclusion

References

Chapter 12: Robotic Liver Resection

Abstract

Introduction

Anatomy/Nomenclature

Robotic Liver Resection

Indications/Differential Diagnosis

Preoperative Workup

Surgical Technique

Right Hepatectomy

Left Hepatectomy

Left Lateral Sectionectomy

Right Posterior Section Resections

Other Procedures

Postoperative Care

Outcomes

Pearls and Pitfalls

References

Chapter 13: Robotic-Assisted Rectal Prolapse Repair

Abstract

Introduction

Surgical Repair of Rectal Prolapse

Signs and Complaints of Rectal Prolapse

Medical History and Physical Examination

Proctoscopy

Anorectal Endosonography

Anal Manometry

Radiologic Investigation

Indications for Surgery

Surgical Technique of Robotic-Assisted Ventral Rectopexy (RVR) Preparation

Positioning of the Trocars

Coupling of the Robot

Robot-Assisted Ventral Rectopexy

Why Use Robotic Technology?

References

Chapter 14: Robotic Adrenalectomy and Splenectomy

Abstract

Introduction

Section 1: Robotic Adrenalectomy

Technical Details

Robotic Posterior Retroperitoneal Adrenalectomy

Robotic Transperitoneal Lateral Adrenalectomy

Discussion and Review of the Literature

Conclusion

Section 2: Robotic Splenectomy

Technical Details

Robotic Total Splenectomy

Robotic Partial Splenectomy

Discussion and Review of the Literature

References

Chapter 15: Robotic Colectomy

Abstract

Introduction

Indication

Technique

Procedure: Right Hemicolectomy

Procedure: Sigmoid Colectomy

Intracorporeal Anastomosis

Laparoscopic Comparison

Clinical Outcomes

Operative Time

Economic Consideration

Future Directions

References

Chapter 16: Rectal Surgery

Department of Surgery - University of California,

Irvine School of Medicine, Irvine, California, US

Abstract

I. Introduction

II. Anatomical Considerations

III. Pathophysiology

Rectal Cancer

Rectal Prolapse

IV. Risk Factors

Rectal Cancer

Rectal Prolapse

V. Epidemiology

Rectal Cancer

Rectal Prolapse

VI. Clinical Presentation

Rectal Cancer

Rectal Prolapse

VII. Preoperative Evaluation

Rectal Cancer

Rectal Prolapse

VIII. Management

Rectal Cancer

Rectal Prolapse

IX. Indications and Contraindications

for Robotic-Assisted Rectal Surgery

Indications

Contraindications

X. The Advantages and Disadvantages

of Robotic Rectal Surgery

Advantages

Disadvantages

XI. Operative Details

Overview

Operating Room Setup

Patient Preparation and Positioning

Port Placement

Laparoscopic Medial to Lateral Mobilization of the Left Colon and Splenic Flexure

Robotic Total Mesorectal Excision and Anterior Resection

Intersphincteric Resection (ISR)

Abdominoperineal Resection (APR)

Resection Rectopexy

XII. Postoperative Care

XIII. Results of Robotic-Assisted Rectal Resection

Overview

Conversion Rates

Length of Stay

Postoperative Pain

Bowel Function

Overall Morbidity

Anastomotic Leak

Genitourinary Outcomes and Continence

Wound Infection

Blood Loss

Mortality

Oncologic Outcomes

Recurrence and Functional Outcomes (Robotic Rectopexy)

XIV. Follow-Up

Conclusion

References

Other Categories

Chapter 17: Single Site Robotic Surgery Applied to the Digestive System

IRCAD-IHU; General, Digestive and Endocrine Surgery, Strasbourg, France

Abstract

Introduction

Challenges of the LESS Approach

1. Lost Triangulation and Conflicts between Instruments

2. In-Line View

3. Retraction and Exposure

Incision and Port Type

Current Clinical Experiences with Robotic

LESS Applied to the Digestive System

Virtual Reality and Augmented Reality to

Improve Safety in LESS Robotic Procedures

Fluorescence-Guided Surgery

Perspectives for LESS: Lightweight Miniature

Robots and Surgical Endoscopic-Like Platforms

Conclusion

References

Chapter 18: Pediatric Robotic Surgery

Abstract

The Challenge of Size

Positioning

Trocar Location

Trocar Cannula Depth

Scope

Instruments

The 4th Arm

Specific Pediatric Procedures

Fundoplication

Ladd’s Procedure

Kasai Portoenterostomy

Choledochal Cyst

Duodenal Atresia

Mediastinal Mass

Congenital Diaphragmatic Hernia - Bochdalek Hernia

Congenital Diaphragmatic Hernia - Morgagni Hernia

Thymectomy

Esophageal Atresia with Tracheoesophageal Fistula

The Future

References

Chapter 19: Concomitant Groin Hernia Repair during Robotically-Assisted Prostatectomy

Southwestern Center for Minimally Invasive Surgery, University of Texas Southwestern Medical Center, Dallas, TX, US

Abstract

Introduction

Patient Selection

Patient Preparation

Or Set-Up

Instrumentation

Steps of Operation

Port Placement

Robotic Prostatectomy

Identification of Anatomic Landmarks

Creation of Peritoneal Flap

Identification of Anatomy

Mesh Preparation and Placement

Mesh Fixation

Closure of the Peritoneum

Specimen Removal and Closure

Perioperative Management

Complications

Recurrence

Related to Positioning

Bowel/Vascular

Incisional Hernia

Mesh Complications

Urinary Complications

Testicular Complications

Postoperative Groin and Thigh Pain

Conclusion

References

Chapter 20: Robotic Surgery: Simulation and Training

Abstract

History of Robotic Surgery Simulation

How Simulators Impact Robotic Surgery

Simulation Training for Robotic Surgery

Examples of Simulation Research for Robotic Surgery

Conclusion

References

Index

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