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Robotic-Assisted Laparoscopic Radical Cystoprostatectomy

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Presentation on theme: "Robotic-Assisted Laparoscopic Radical Cystoprostatectomy"— Presentation transcript:

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

2 Fig. 1 Port placement including robotic ports (orange) (a) and assistant ports (green) (b). European Urology  , DOI: ( /j.eururo ) Copyright © 2007 European Association of Urology Terms and Conditions

3 Fig. 2 Port placement before docking.
European Urology  , DOI: ( /j.eururo ) Copyright © 2007 European Association of Urology Terms and Conditions

4 Fig. 3 Diagram (a) and intraoperative image (b) of posterior peritoneal/ureteral incision. European Urology  , DOI: ( /j.eururo ) Copyright © 2007 European Association of Urology Terms and Conditions

5 Fig. 4 Dissection (a) and clipping (b) of ureters.
European Urology  , DOI: ( /j.eururo ) Copyright © 2007 European Association of Urology Terms and Conditions

6 Fig. 5 Diagram (a) and intraoperative image (b) of posterior peritoneal incision behind bladder. European Urology  , DOI: ( /j.eururo ) Copyright © 2007 European Association of Urology Terms and Conditions

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

8 Fig. 7 Diagram (a) and intraoperative image (b) of lateral peritoneal incision alongside bladder. European Urology  , DOI: ( /j.eururo ) Copyright © 2007 European Association of Urology Terms and Conditions

9 Fig. 8 Blunt lateral dissection to level of endopelvic fascia.
European Urology  , DOI: ( /j.eururo ) Copyright © 2007 European Association of Urology Terms and Conditions

10 Fig. 9 Diagram (a) and intraoperative image (b) of location of endovascular stapler. European Urology  , DOI: ( /j.eururo ) Copyright © 2007 European Association of Urology Terms and Conditions

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

12 Fig. 11 Diagram (a) and intraoperative image (b) of anterior peritoneal incision. European Urology  , DOI: ( /j.eururo ) Copyright © 2007 European Association of Urology Terms and Conditions

13 Fig. 12 Anterior peritoneal incision and division of urachus to develop prevesical space. European Urology  , DOI: ( /j.eururo ) Copyright © 2007 European Association of Urology Terms and Conditions

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

15 Fig. 14 Placement of bladder in specimen bag.
European Urology  , DOI: ( /j.eururo ) Copyright © 2007 European Association of Urology Terms and Conditions

16 Fig. 15 Pelvic lymph node dissection along iliac vessels.
European Urology  , DOI: ( /j.eururo ) Copyright © 2007 European Association of Urology Terms and Conditions

17 Fig. 16 Tagging ureters for easy identification.
European Urology  , DOI: ( /j.eururo ) Copyright © 2007 European Association of Urology Terms and Conditions

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


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