Robotic-Assisted Laparoscopic Radical Cystoprostatectomy

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Robotic-Assisted Laparoscopic Radical Cystoprostatectomy Raj S. Pruthi, Eric M. Wallen  European Urology  Volume 53, Issue 2, Pages 310-322 (February 2008) DOI: 10.1016/j.eururo.2007.03.067 Copyright © 2007 European Association of Urology Terms and Conditions

Fig. 1 Port placement including robotic ports (orange) (a) and assistant ports (green) (b). European Urology 2008 53, 310-322DOI: (10.1016/j.eururo.2007.03.067) Copyright © 2007 European Association of Urology Terms and Conditions

Fig. 2 Port placement before docking. European Urology 2008 53, 310-322DOI: (10.1016/j.eururo.2007.03.067) Copyright © 2007 European Association of Urology Terms and Conditions

Fig. 3 Diagram (a) and intraoperative image (b) of posterior peritoneal/ureteral incision. European Urology 2008 53, 310-322DOI: (10.1016/j.eururo.2007.03.067) Copyright © 2007 European Association of Urology Terms and Conditions

Fig. 4 Dissection (a) and clipping (b) of ureters. European Urology 2008 53, 310-322DOI: (10.1016/j.eururo.2007.03.067) Copyright © 2007 European Association of Urology Terms and Conditions

Fig. 5 Diagram (a) and intraoperative image (b) of posterior peritoneal incision behind bladder. European Urology 2008 53, 310-322DOI: (10.1016/j.eururo.2007.03.067) Copyright © 2007 European Association of Urology Terms and Conditions

Fig. 6 Blunt dissection between bladder and rectum (a) to develop pre-rectal space (b). European Urology 2008 53, 310-322DOI: (10.1016/j.eururo.2007.03.067) Copyright © 2007 European Association of Urology Terms and Conditions

Fig. 7 Diagram (a) and intraoperative image (b) of lateral peritoneal incision alongside bladder. European Urology 2008 53, 310-322DOI: (10.1016/j.eururo.2007.03.067) Copyright © 2007 European Association of Urology Terms and Conditions

Fig. 8 Blunt lateral dissection to level of endopelvic fascia. European Urology 2008 53, 310-322DOI: (10.1016/j.eururo.2007.03.067) Copyright © 2007 European Association of Urology Terms and Conditions

Fig. 9 Diagram (a) and intraoperative image (b) of location of endovascular stapler. European Urology 2008 53, 310-322DOI: (10.1016/j.eururo.2007.03.067) Copyright © 2007 European Association of Urology Terms and Conditions

Fig. 10 Identification of bladder vascular pedicles (a) and placement of endovascular stapler (b) to divide pedicles. European Urology 2008 53, 310-322DOI: (10.1016/j.eururo.2007.03.067) Copyright © 2007 European Association of Urology Terms and Conditions

Fig. 11 Diagram (a) and intraoperative image (b) of anterior peritoneal incision. European Urology 2008 53, 310-322DOI: (10.1016/j.eururo.2007.03.067) Copyright © 2007 European Association of Urology Terms and Conditions

Fig. 12 Anterior peritoneal incision and division of urachus to develop prevesical space. European Urology 2008 53, 310-322DOI: (10.1016/j.eururo.2007.03.067) Copyright © 2007 European Association of Urology Terms and Conditions

Fig. 13 Nerve-sparing procedure with cold scissors. European Urology 2008 53, 310-322DOI: (10.1016/j.eururo.2007.03.067) Copyright © 2007 European Association of Urology Terms and Conditions

Fig. 14 Placement of bladder in specimen bag. European Urology 2008 53, 310-322DOI: (10.1016/j.eururo.2007.03.067) Copyright © 2007 European Association of Urology Terms and Conditions

Fig. 15 Pelvic lymph node dissection along iliac vessels. European Urology 2008 53, 310-322DOI: (10.1016/j.eururo.2007.03.067) Copyright © 2007 European Association of Urology Terms and Conditions

Fig. 16 Tagging ureters for easy identification. European Urology 2008 53, 310-322DOI: (10.1016/j.eururo.2007.03.067) Copyright © 2007 European Association of Urology Terms and Conditions

Fig. 17 Post-operative image of port sites and incisions. European Urology 2008 53, 310-322DOI: (10.1016/j.eururo.2007.03.067) Copyright © 2007 European Association of Urology Terms and Conditions