Atlas of Robotic Upper Gastrointestinal Surgery

Description

Deep knowledge of anatomy and surgical technique will continue to remain the foundation of surgery despite advancement in surgical technology. Robotic surgery usage has increased drastically in the last decade. More than ever before, surgical community in great need for an updated atlas in the various upper GI surgical procedures and techniques available.  This atlas demonstrates how to perform the most common Upper GI robotic procedure via a set of high-quality state-of-the-art annotated images showing step-by-step guidance providing pertinent and concise procedure descriptions spanning benign and malignant upper GI problems. Robotic upper GI procedures are considered technically demanding with attention to details thus are considered great teaching procedures especially with dual robotic consoles, simulation, and teleproctoring.  Preoperative, intraoperative, and postoperative figures are integrated to highlight the importance of these step-by-step procedures, enhance skill and efficiency, and avoid surgical pitfalls. Detailed descriptive figures accompany step-by-step instructions and include specific anatomical annotations that describe the anatomy during upper GI procedures.  Atlas of Robotic Upper Gastrointestinal Surgery will provide a comprehensive, insightful and state-of-art review of this field, and will serve as a valuable visual resource for surgeons, surgeons in training, and students with an interest in robotic upper GI surgery.  All chapters are written by an international group of experts in their field, to provide a comprehensive atlas for specialists and trainees, this illustrated book will give a current and concise summary of all key topics and recent developments in upper GI surgery. Preface Acknowledgments Contents Contributors 1: Robotic Median Arcuate Ligament Release Introduction Procedure: Illustrated Steps References 2: Robotic Esophageal Diverticulectomy Introduction References 3: Robotic Esophagus Leiomyomectomy Introduction Procedure: Illustrated Steps References 4: Robotic Heller Myotomy with Dor Fundoplication Introduction Procedure: Illustrated Steps References 5: Robotic Gastric Neurostimulator Placement Introduction References 6: Robotic Paraconduit Hernia Introduction Procedures: Illustrated Steps References 7: Robotic Partial Fundoplication and Hiatal Hernia Repair Introduction Procedure: Illustrated Steps References 8: Robotic Toupet Fundoplication Procedure: Illustrated Steps References 9: Robotic Giant Paraesophageal Hernia Repair Introduction Procedure: Illustrated Steps References 10: Robotic Truncal Vagotomy and Antrectomy Introduction Procedure: Illustrated Steps References 11: Robotic Pyloroplasty Introduction Procedure: Illustrated Steps References 12: Robotic Duodenectomy Introduction Procedure: Illustrated Steps References 13: Robotic Esophagectomy: Ivor Lewis Introduction References 14: Robotic McKeown Esophagectomy Introduction Procedure: Illustrated Steps References 15: Robotic Transcervical and Transhiatal Esophagectomy (RACE Procedure) Introduction References 16: Robotic-Assisted Proximal Gastrectomy with Double Tract Reconstruction Introduction References 17: Robot-Assisted Total Gastrectomy and Roux-en-Y Reconstruction Introduction Robot-Assisted Total Gastrectomy Preparation (Figs. 17.1 and 17.2) Omentectomy (Figs. 17.3, 17.4, and 17.5) Left Gastroepiploic Vessels (Figs. 17.6 and 17.7) Infrapyloric Area (Figs. 17.8, 17.9, 17.10, 17.11, 17.12, and 17.13) Common Hepatic Artery (Figs. 17.14, 17.15, and 17.16) Right Gastric Artery and Hepatoduodenal Ligament (Figs. 17.17, 17.18, 17.19, 17.20, 17.21, and 17.22) Distal Transection (Figs. 17.23 and 17.24) Celiac Trunk (Figs. 17.25, 17.26, 17.27, 17.28, 17.29, and 17.30) Splenic Vessels (Figs. 17.31, 17.32, 17.33, and 17.34) Fundus (Figs. 17.35 and 17.36) Esophagus (Fig. 17.37) Anvil and Proximal Transection (Figs. 17.38, 17.39, 17.40, 17.41, 17.42, 17.43, 17.44, 17.45, and 17.46) Reconstruction (Figs. 17.47, 17.48, 17.49, and 17.50) References 18: Robot-Assisted Gastrectomy Introduction Procedure Positioning of Trocars and Diagnostic Laparoscopy (Fig. 18.1) Dissection of the Lesser Omentum, Hiatus, and Gastrophrenic Ligament (Figs. 18.2, 18.3, 18.4, 18.5, 18.6, 18.7, 18.8, and 18.9) Dissection of the Gastrocolic Ligament (Lymph Node Station 4d) (Figs. 18.10, 18.11, 18.12, 18.13, and 18.14) Lymphadenectomy Along the Splenic Artery (Lymph Node Station 10/11) (Figs. 18.15, 18.16, 18.17, and 18.18) Complete Dissection of the Greater Omentum and Mobilization of the Hepatic Flexure (Figs. 18.19, 18.20, and 18.21) Lymphadenectomy of the Right Gastroepiploic Arcade (Lymph Node Station 6) (Figs. 18.22, 18.23, and 18.24) Lymphadenectomy Along the Right Gastric Artery and of the Hepatoduodenal Ligament and Transection of the Duodenum (Lymph Node Stations 5 and 12) (Figs. 18.25, 18.26, 18.27, 18.28, 18.29, and 18.30) Lymphadenectomy Along the Common Hepatic Artery and Coeliac Axis (Lymph Node Station 8 and 9), Transsection of the Esophagus (Figs. 18.31, 18.32, 18.33, 18.34, 18.35, and 18.36) Retrieval of the Stomach (Figs.  18.37 and 18.38) Esophagojejunostomy with Roux-En-Y Reconstruction (Figs. 18.39, 18.40, 18.41, 18.42, 18.43, 18.44, 18.45, 18.46, 18.47, and 18.48) Suggested Reading 19: Robot-Assisted Distal Gastrectomy Introduction References 20: Robotic Partial Gastrectomy for GIST Tumors Introduction Case Presentation Operating Room Setup, Patient Positioning, and Instruments Used Gastric Mobilization and Identification of the Tumor References 21: Robotic Vertical Sleeve Gastrectomy Introduction Procedure: Illustrated Steps References 22: Robotic Gastric Bypass Introduction Procedure: Illustrated Steps References 23: Robotic Duodenal Switch (rDS) and Robotic Single Anastomosis Duodenal-Ileal Bypass with Sleeve Gastrectomy (rSADI-S) Suggested Reading 24: Robotic Revisional Bariatric Surgery Introduction Preoperative Assessment (Fig. 24.2) Defining Anatomy Defining Function Patient Education Operating Room Setup Patient Positioning Access/Port Placement Adhesiolysis Hiatal Hernia Repair Identification of the Surgical Anatomy (Upper Endoscopy/TilePro) Anatomy Takedown/Reconstruction/Use of Firefly NAGB LAGB Sleeve Gastrectomy Conversion to Gastric Bypass VBG RYGB Hand-Sewn Gastrojejunostomy Anastomosis Anterior Layer of GJA Leak Test References Index