ATLAS OF ROBOTIC, CONVENTIONAL, AND SINGLE-PORT LAPAROSCOPY a practical.

Description

Preface to the First Edition Preface to the Second Edition Contents Contributors Part I: Conventional and Reduced-Port Laparoscopy 1: Basic Principles and Anatomy for the Laparoscopic Surgeon Surface Landmarks Anterior Abdominal Wall Subcutaneous Tissue Muscles and Fascia Nerves Blood Vessels Peritoneal Landmarks Upper Abdomen Posterior Abdominal Wall and Pelvic Side Walls Blood Vessels Ureters Muscles Nerves Pelvic Fasciae and Ligaments Peritoneal Folds and Gubernacular Ligaments Fascial Ligaments Pelvic Spaces Pelvic Viscera The Rectum Vagina Uterus Uterine Tubes Ovaries Muscles of the Pelvic Floor Pelvic Diaphragm Deep and Superficial Perineal Pouches and the Perineal Membrane References 2: Laparoscopic Myomectomy Introduction Preoperative Considerations Patient Selection Role of Preoperative Imaging and Endometrial Sampling Use of GnRH Analogues Other Preoperative Considerations Laparoscopic Myomectomy Surgical Techniques Patient Positioning and Laparoscopic Port Placement Intraoperative Interventions to Minimize Blood Loss Fibroid Enucleation and Uterine Closure Tissue Extraction Adhesion Prevention Mini-Laparotomy Myomectomy Patient Selection Mini-Laparotomy Myomectomy Technique Postoperative Management and Complications Immediate Postoperative Period Complications and Outcomes Postoperative Pregnancy Planning Conclusions References 3: Laparoscopic Adnexal Surgery Placement of the Patient Placement of the Surgeons Placement of the Trocars Placement of Laparoscopic Instruments Preoperative Work-Up Laboratory Testing and Imaging in Gynecological Adnexal Disease Adnexal Surgery and Informed Consent Surgical Technique Fallopian Tube Surgery Anatomy Laparoscopic Salpingectomy Indications Surgical Procedure Laparoscopic Salpingostomy Indications Surgical Procedure Ovarian Surgery Anatomy Laparoscopic Adnexectomy Indications Surgical Procedure Laparoscopic Cystectomy Indications Surgical Procedure Ovarian Transposition Indications Surgical Technique Conclusions References 4: Laparoscopic Total and Supracervical Hysterectomy Preoperative Preparation Informed Consent Laboratory Testing Instrumentation Surgical Preparation Surgical Technique Uterine Manipulator Placement Port Placement Round Ligament Adnexa Salpingectomy Oophorectomy Broad Ligament Bladder Reflection Uterine Vessel Division Hysterectomy Total Laparoscopic Hysterectomy Colpotomy Vaginal Cuff Closure Cystoscopy Laparoscopic Supracervical Hysterectomy Cervical Amputation Contained Tissue Extraction Postoperative Care References 5: Laparoscopic Excision of Endometriosis Introduction Clinical Aspects Pathogenesis Diagnosis Treatment Surgical Management of Endometriosis Indications Laparoscopic Techniques Treatment of Superficial Endometriosis Treatment of Ovarian Endometrioma Excision of Deeply Infiltrating Endometriosis Resection of Bowel Endometriosis Bowel Shaving Discoid Excision Bowel Resection Resection of Bladder Endometriosis Thoracic Endometriosis Conclusion References 6: Techniques in Gynecologic Oncology Introduction Total Laparoscopic Radical Hysterectomy General Considerations Procedure Pelvic and Para-aortic Lymphadenectomy General Considerations Procedures Pelvic Lymphadenectomy Pelvic Sentinel Lymph Node Mapping and Biopsies Para-aortic Lymphadenectomy Infracolic Omentectomy General Considerations Procedure References 7: Laparoscopic Hysterectomy for Oncologic Patients Uterine Cancer Indications for Laparoscopic Surgery for Uterine Cancer Laparoscopic Versus Robotic Minimally Invasive Surgery in Endometrial Cancer Total Laparoscopic Hysterectomy Technique for Endometrial Cancer Preparation Procedure Lymphadenectomy Technique for Endometrial Cancer Sentinel Lymph Node Technique Pelvic Lymphadenectomy Para-aortic Lymphadenectomy Cervical Cancer Indications for Laparoscopic Surgery in Cervical Cancer Ovarian Cancer Indications for Laparoscopic Surgery in Ovarian Cancer References 8: Techniques in Urogynecology and Pelvic Reconstructive Surgery Introduction Perioperative Considerations Vaginal Apex Prolapse Procedures Uterine-Preserving Laparoscopic Procedures Laparoscopic Sacrohysteropexy Laparoscopic Enterocele Repair Incontinence Procedures Laparoscopic Burch Colposuspension Laparoscopic Paravaginal Defect Repair Complications Conclusions References 9: Techniques in Reproductive Surgery Introduction Laparoscopic Tubal Surgery for Fertility Indications Laparoscopic Tubal Repair and Reanastomosis and Removal of Previously Placed Tubal Occlusion Devices Proximal Tubal Occlusion Distal Tubal Occlusion Reversal of Prior Tubal Ligation Removal of Previously Placed Hysteroscopic Sterilization Device Laparoscopic Ovarian Surgery for Fertility Indications Ovarian Transposition and Oophoropexy Plication of the Utero-Ovarian Ligament Conclusion References 10: Surgical Repair of the Symptomatic Isthmocele Diagnosis Risk Factors Symptoms Surgical Repair Isthmocele Repair “Chicago Style” Management of Isthmocele References 11: Laparoscopic Trachelectomy Introduction Risk Factors for Trachelectomy Indications for Radical Trachelectomy Pelvic Anatomy Anterior Abdominal Wall Landmarks: Port Placement Peritoneal and Retroperitoneal Anatomy Surgical Considerations Endometriotic Approach (Medial Approach) Oncologic Approach (Lateral Approach) Cervical Stenosis, Uterine Cannula, and Cerclage Preserving Fertility Uterine Artery Preservation Complications Oncologic Outcome Conclusion References 12: Single-Port Laparoscopic Adnexal Surgery Patient Selection and Indications Potential Benefits and Risks Procedure Single-Port Laparoscopic Adnexal Surgery in Gynecology Tubal Sterilization Management of Ectopic Pregnancy and Tubal Pathology Risk-Reducing Salpingo-Oophorectomy Management of the Adnexal Mass Complications Conclusions References 13: Single-Port Laparoscopic Hysterectomy Introduction Instrumentation Camera Options Technical Principles Ports and Gaining Access Technique Step 1: Initial Port Placement and Orientation Step 2: Insert the Assistant Instrument/Grasper Step 3: Insert the Operating Electrosurgical Instrument Step 4: Perform the Left Side of the Hysterectomy Step 5: Create the Bladder Flap Step 6: Perform the Right Side of the Hysterectomy Step 7 (Supracervical Hysterectomy): Amputate the Fundus Step 7 (Total Laparoscopic Hysterectomy): Perform the Colpotomy Step 8 (Total Laparoscopic Hysterectomy): Vaginal Cuff Closure Risks Specific to LESS References Part II: Robotic Surgery 14: Robotic-Assisted Total Laparoscopic Hysterectomy Introduction Candidacy and Comparison to Alternative Approaches Robotic Hysterectomy for Benign Indications Large Fibroid Uterus Adhesive Disease and Endometriosis Identification of the Ureter Robotic Hysterectomy for Malignant Indications Robotic Hysterectomy for Uterine Cancer Robotic Hysterectomy for Other Gynecologic Malignancies Conclusion References 15: Principles of Robotic Myomectomy Platform-Agnostic Principles of Robotic Myomectomy Special Scenarios Robotic Myomectomy for Very Large Myomas (>10 cm in Diameter) Robotic Myomectomy for Small Myomas Cervical and Retroperitoneal Myomas References 16: Robotic-Assisted Surgical Management of Endometriosis Background Robotic Approach for Endometriosis Surgery Patient Positioning and Room Setup Patient Positioning Port Placement Docking and Room Setup Technique General Approach Endometriomas Bowel Endometriosis Extrapelvic Disease Specimen Extraction Postoperative Care Summary References 17: Techniques for Robotic Urogynecology and Pelvic Reconstructive Surgery Perioperative Considerations Operating Room Setup and Patient Positioning Prolapse Procedures Sacrocolpopexy Robotic Sacrocolpopexy Outcomes and Complications Sacral Colpoperineopexy Ventral Rectopexy Ventral Rectopexy: Clinical Results and Complications Other Robotic Prolapse Procedures Incontinence Procedures Burch Colposuspension and Paravaginal Defect Repair Burch Colposuspension: Clinical Results and Complications Conclusions References 18: Techniques for Robotic Tubal Reanastamosis Introduction Preoperative Considerations Setup and Positioning Docking of the Robot Robotic Instrumentation Surgical Procedure Preparation of Proximal and Distal Segments Reapproximation of Mesosalpinx Tubal Reanastomosis Serosal Repair Postoperative Care Discussion References 19: Techniques for Robotic Adnexal Surgery Introduction Incidence Preoperative Management Functional or Neoplastic Benign or Malignant Minimally Invasive Surgery (Laparoscopy, Robotics) Versus Laparotomy Laparoscopy Versus Robotics Indications Robotics Laparoscopy Results Robotic Technique Da Vinci Robotic System: Si Versus Xi Trocar Placement Instruments Surgical Technique Uni- or Bilateral Salpingo-Oophorectomy (SO) Ovarian Cystectomy Risk-Reducing Salpingo-Oophorectomy (RRSO) Ovarian Remnant Prevention Excision Results The Retroperitoneal Ovarian Cyst or Ovary Malignant Ovarian Cyst What to Do in Case of Intraoperative Rupture Consequences of Intraoperative Rupture Intraoperative Rupture Changes the Stage from IA to IC1 Is Chemotherapy Necessary with an Intraoperative Rupture? Why Perform a Surgical Staging If There Is No Visible Metastatic Disease? Delaying Surgical Stage References 20: Management of Complications Introduction Entry-Related Complications Vascular Complications Major Vascular Injuries Minor Vascular Injuries Urinary Tract Injuries Bladder Injuries Ureteral Injuries Gastrointestinal Tract Injuries Injury and Prevention Diagnosis and Management Treatment Trocar Site Hernias Urinary Tract Fistulas Nerve Injuries Colpotomy Dehiscence Mortality Related to Laparoscopy Conclusion References 21: Novel Technology in Robotic Surgery Introduction SP Platform Setup Instruments and Toolbox Access Port and Floating Dock Technique Why SP? Preclinical Experience Clinical Experience SP Radical Prostatectomy Transperitoneal Approach Extraperitoneal Approach Transvesical Approach Retzius-Sparing Approach Transperineal Approach Upper Tract Urological Procedures SP Retroperitoneal Robotic Partial Nephrectomy SP Pyeloplasty Using a Pfannenstiel Abdominal Incision SP Robotic-Assisted Kidney Transplantation and Autotransplantation Applications in Other Fields and Specialties Urology Otolaryngology Plastic and Reconstructive Surgery General and Colorectal Surgery Gynecologic Surgery Thoracic and Cardiovascular Surgery Conclusion References Index