Principles and Practice of Robotic Surgery

ISBN-13: 9780323798204 / Twarda / 2023 / 688 str.

Spis treści

General principles

1. Anesthesia for robotic surgery

• Physiology of pneumoperitoneum
• Complications

• Air embolism
• Arrest. etc

• Preoperative assessment and patient selection
• Patient positioning and prevention of injury

Bedside - including port placement and docking

1. Draping robot

• (basic understanding in order to be able to deal with trouble shooting)
• Need all 4 arms to be draped even if not using

1. Port placement

• Establishing pneumoperitoneum

• Hasson
• Veress
• Optical
• Insufflation pressure

• Complications and trouble shooting
• Eg. Adhesions, Obesity, Narrow pelvis, Prior surgery or radiotherapy, Existing stoma

1. Docking the robot

• Modelled on Device teaching

• Targeting
• Ensuring adequate space between arms
• Burping

1. Safety

• e.g. height limitation
• Locking instruments to avoid drift
• Emergency undocking
• Trouble shooting errors and faults

1. Instruments

• Familiarity with commonly used laparoscopic instruments for the bedside assistant
• Inserting and exchanging instruments

1. Diathermy settings

Console

2. How does it all work?

• Basic rundown of buttons etc
• Controlling the camera

• Use of different lenses and changing view
• Understanding when/why to use different lens

• Swapping between instruments
• Fourth arm control
• Clutching
• Customising your setup
• Ergonomics
• Scaling ratio movement

• Adjusts movement speed to surgeon preference
• Default 3:1, 2:1, 1.5:1

• Available instruments
• Diathermy settings