Robotic Laparoendoscopic Single Site: Pyeloplasty and Nephrectomy Chapter

Journal of Endourology
Igor Sorokin, Jeffrey A Cadeddu

Abstract

Robotic laparoendoscopic single site (RLESS) for upper tract procedures is safe and feasible in the correctly selected patient. An ideal candidate is young, has a low body mass index, and is undergoing surgery for benign indications. For RLESS procedures, we utilize a GelPOINT® access platform for "single-port" placement and ports are configured in a diamond shape. Five millimeter EndoWrist® robotic instruments are placed under direct vision. Range of motion is increased by utilizing the chopstick technique. The surgeon must always be aware of the orientation of each instrument to prevent counter-springing associated with their crossing at the level of the abdominal wall. The robotic camera lens and instruments must be moved synchronously, given their coaxial orientation relative to each other. In this chapter, we describe our technique for two of the most common RLESS upper tract procedures: pyeloplasty and nephrectomy.

References

Sep 10, 2008·BJU International·Jihad H KaoukRobert J Stein
Apr 14, 2009·European Urology·Robert J SteinJihad H Kaouk
Apr 19, 2011·The Journal of Urology·Mohamed EtafyRalph Clayman
Jul 23, 2013·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Scott TobisGuan Wu
May 24, 2016·Urology·Daniel RamirezJihad H Kaouk

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Citations

Jul 12, 2019·Investigative and Clinical Urology·Ji Eun HeoWon Sik Jang

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Methods Mentioned

BETA
RLESS
dissection

Software Mentioned

RLESS

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