Pathak Ram A, Patel Manish, Hemal Ashok K
Department of Urology, Wake Forest University Baptist Medical Center , Winston-Salem, North Carolina.
J Endourol. 2017 Dec;31(12):1269-1276. doi: 10.1089/end.2017.0578. Epub 2017 Nov 10.
Port placement for robot-assisted laparoscopic urologic surgery can be critical to effective completion of the minimally invasive procedure. An ideal port template would allow unhampered access to all critical structures during surgery, easy access for the bedside assistant, and minimization of arm collision with the fewest ports necessary to minimize cosmetic impact. We present a comprehensive plan for the placement of ports across different procedures for a variety of upper tract (radical/partial nephrectomy, retroperitoneal radical/partial nephrectomy, and pyeloplasty), lower tract (prostatectomy, and cystectomy), combined upper/lower tract (nephroureterectomy, retroperitoneal lymph node dissection), and female pelvic surgeries. Optimal exploitation of these tips across the different procedures for different generations of robots will help in effective execution of robotic urologic surgery.
机器人辅助腹腔镜泌尿外科手术的端口放置对于有效完成微创手术至关重要。理想的端口模板应能在手术期间不受阻碍地进入所有关键结构，便于床边助手操作，减少手臂碰撞，并使用最少的端口以最小化对美观的影响。我们提出了一个全面的计划，用于在各种不同的上尿路手术（根治性/部分肾切除术、腹膜后根治性/部分肾切除术和肾盂成形术）、下尿路手术（前列腺切除术和膀胱切除术）、上下尿路联合手术（肾输尿管切除术、腹膜后淋巴结清扫术）以及女性盆腔手术中放置端口。在不同代机器人的不同手术中最佳地运用这些技巧将有助于有效实施机器人泌尿外科手术。
