Robotic Colon and Rectal Surgery: Principles and Practice

 

Description:

The initial chapters discuss the start of minimally invasive surgery and robotics. Subsequent chapters address starting up a robotics program and incorporating robotics into ones practice. The textbook next centers on specific robotic techniques or robotic management of certain disease processes. These chapters are written by experts in the fields and include multiple tables, illustrations, and videos describing the techniques where applicable.  Each chapter also discusses the current literature. The final chapters focus on the future of robotics, cost of robotics, and include other possible future platforms and as well as the new FDA approved Xi and SP Intuitive surgical platforms. Robotic Colon and Rectal Surgery: Principles and Practice presents the first in-depth, cohesive and comprehensive approach to all aspects of robotic colorectal surgery.

 

Table of Contents:

 

Chapter 1: Introduction: The Evolution of Minimally Invasive Surgery

The Dawn of Endoscopy

The Beginnings of Laparoscopy: The Cholecystectomy

The Laparoscopic Colectomy

The COST and CLASICC Trials

Limitations in Rectal Surgery

Suggested Readings

Chapter 2: The Learning Curve of Robotic Assisted Laparoscopic Colorectal Surgery and How to Star

References

Chapter 3: Training and Credentialing in Robotics

Background

Current Credentialing and Privileges in Robotics

Robotic Training Development and Research

Fundamentals of Robotic Surgery (FRS)

References

Chapter 4: Robotic Right Hemicolectomy

Background

Technique

Si Port Placement

Xi Port Placement

Personal Experience and Outcomes

Discussion

Single-Incision Robotic Colectomy (SIRC)

Conclusion

References

Chapter 5: Robotic Abdominoperineal Resection

Introduction

Indications and Contraindications

Preoperative Workup (Including Images)

Operative Details

Patient Positioning

Port Setup

Details of Procedure

Robotic Mobilization of Sigmoid Colon and Ligation of Vessels

Perineal Resection

Closure

Postoperative Care

Possible Complications

Follow-Up

Tips and Tricks

References

Chapter 6: Robotic Low Anterior Resection of Rectal Cancer

Introduction

Hybrid Technique

Patient Positioning and Preparation

Port Placement

Patient Cart Positioning and Docking

Procedure Steps

Operative Outcome

Totally Robotic Technique

Single Docking Method

Port Placement

Port Usage and Instrument Arm Setup per Procedure Step

Operative Outcome

Dual Docking Method

Port Placement

Patient Cart Positioning and Docking

Operative Outcome

Port Placement for New Robot System

References

Chapter 7: Robotic Total Colectomy

Introduction

Background

Operating Room Setup and Preparation

Trocar Placements

Docking

Operative Steps

Description of Operative Steps

Conclusion

References

Chapter 8: Robotic-Assisted Transanal Microscopic Surgery

Introduction

Background

Eligibility and Indications

Indications for R-TAMIS

Indications for R-TAMIS-TME

The Role of Chemoradiation Therapy

Preoperative Study

Positioning Robotic TAMIS

Ports and Trocars

Operative Steps

TAMIS

Operative Steps TAMIS-TME (Transanal Stage)

Other Procedures

Summary

References

Chapter 9: Surgical Immunofluorescence and Firefly Technology in Colon and Rectal Surgery

Introduction

Immunofluorescence in Surgery

History of Surgical Immunofluorescence

Indocyanine Green (ICG)

NIR Imaging Systems

The da Vinci Firefly Imaging System

Current MIS Colorectal IF Studies

Laparoscopic Studies

Robotic Studies

PILLAR II

Conclusion

References

Chapter 10: Surgery on Obese Patients

Background

Preoperative Assessment

Technical Considerations

Postoperative Management

References

Chapter 11: Robotics and Pelvic Floor

Introduction to Robotics for Repair of Pelvic Floor Disorders

Robot-Assisted Laparoscopic Surgery for Rectal Prolapse

Background

Preoperative Evaluation

Technical Considerations

Patient Positioning, Preparation, and Port Placement with the da Vinci Si System

Patient Positioning, Preparation, and Port Placement with the da Vinci Xi System

Robot-Assisted Laparoscopic Rectopexy with Anterior Mesh Fixation

Robot-Assisted Laparoscopic Rectopexy with Posterior Mesh Fixation

Robot-Assisted Laparoscopic Resection with Rectopexy

Complications

Robot-Assisted Laparoscopic Surgery for Uterine and/or Vaginal Vault Prolapse

Background

Preoperative Evaluation

Technical Considerations

Patient Positioning, Preparation, and Port Placement for the da Vinci Si System

Patient Positioning, Preparation, and Port Placement for the da Vinci Xi System

Robot-Assisted Laparoscopic Hysterectomy, with or Without Bilateral Salpingo-oophorectomy, and S

Complications

Multidisciplinary Robot-Assisted Laparoscopic Surgery for Pelvic Organ Prolapse

Background

Preoperative Evaluation and Management

Technical Considerations

Robot-Assisted Laparoscopic Sacrocolpopexy with Concomitant Rectopexy, with or Without Resection

Complications

Conclusion

References

Chapter 12: Robotic Surgery for the Treatment of Inflammatory Bowel Disease

Ulcerative Colitis

Surgical Technique

Total Proctocolectomy with IPAA: Complete Robotic Approach

Total Proctocolectomy with IPAA: Laparoscopic, Robotic-Assisted Approach

Robotic-Assisted Completion Proctectomy

Crohn’s Disease

Surgical Technique

Robotic-Assisted Single Incision Colectomy

Robotic-Assisted Strictureplasty

References

Chapter 13: Ergonomics in Robotic Colorectal Surgery

Introduction

History of Ergonomics and Surgery

Components of Surgical Ergonomics

Visualization

Posture

Electromyography

Manipulation

Ergonomics of Assisting in Minimally Invasive Surgery

Challenges of Robotics and Ergonomics

Summary and Future Directions of Study

References

Chapter 14: Nerve Preservation in Robotic Rectal Surgery

Introduction

Anatomy and Physiology of Urinary and Sexual Function

Key Points for Nerve-Sparing Surgery and Surgical-Related Lesions

Instrument Use and Surgical Techniques

Conclusions

References

Chapter 15: Completed and Ongoing Trials in Robotic Colorectal Surgery

Introduction

Single Institution Studies for Robotic Colectomy

Retrospective and Comparative Studies for Robotic Colectomy

Studies Evaluating the Robotic Approach for Rectal Resection

Retrospective and Comparative Studies for Rectal Resection

Comparisons Between Robotic and Open Colectomy

Comparisons Between Robotic and Open for Rectal Resection

Meta-analyses and Reviews

Randomized Controlled Trials

Comparing Laparoscopic and Open

Comparing Laparoscopic and Robotic

Summary

Related Issues

Conversions

Learning Curve

Sexual and Urinary Dysfunction

Intracorporeal Anastomosis and Incisional Hernias

Minimally Invasive Single Incision Surgery

Transanal Approach to Rectal Neoplasia

Cost

Future Directions

Conclusion

References

Chapter 16: Robotic Costs

Section 1: Introduction of Robotic-assisted Laparoscopic Surgery

Background

Introduction of Robotic-assisted Laparoscopic Surgery

Benefits of Robotic-assisted Laparoscopic Surgery

The Cost Challenge of RALS

Section 2: Changing the Paradigm

Defining the Optimal Model for RALS: Evaluating Success in Other Fields

Targeting Open Surgery

Creating a Market Niche

Streamlining Instrumentation

Increasing Case Volume

Instituting Quality Control Metrics

Marketplace Competition

Putting It All Together to Maximize Profitability

Section 3: RALS Versus Laparoscopic Surgery: An Institutional Study of Patients and Financial O

Conclusions

References

Chapter 17: The Robotic-Assisted Treatment of Endometriosis: A Colorectal Surgical Perspective

Background

Pathophysiology

Epidemiology

Disease Classification

Symptoms

Diagnosis

Treatment of Endometriosis

Medical Therapy

Surgical Therapy

Preoperative Assessment

Surgical Technique

Gynecologic Approach to Robotic-Assisted Surgical Treatment of Endometriosis

Colorectal Approach to Robotic-Assisted Surgical Treatment of Endometriosis

Postoperative Care

References

Chapter 18: Anesthesia in Robotic Colon and Rectal Surgery

Background

Preoperative Concerns

Patient Selection

Monitoring and Vascular Access

Intraoperative Concerns

Cardiopulmonary Complications

Subcutaneous Emphysema and Potential Sequela

CO2 Embolism

Hypothermia

Positioning Complications

Surgical Injury

Appropriate Surgical Environment

Postoperative Concerns

Multimodal Approach to Pain

Local Anesthetics

Postoperative Nausea and Vomiting

Conclusion

References

Chapter 19: Single-Incision Robotic Colon Resection (SIRC)

Introduction to Robotic Single-Port Approach

Single-Port Devices and Instruments

Preoperative Patient Evaluation and Preparation

Operative Technique

Positioning and Umbilical Access

Trocar Placement and Robot Docking

Right hemicolectomy

Left Hemicolectomy

Closure of Incision and Wound Care

Postoperative Care

Procedure-Specific Complications

Outcomes

Conclusion

References

Chapter 20: Intraoperative Conversions in Robotic Colorectal Surgery

Introduction

Specific Topics

Pneumoperitoneum

Robotic Malfunction

Reoperation and Adhesions

Intraoperative Complications

Robotic Stapling

Conclusion

Key Points

References

Chapter 21: Current and Future Platforms for Robotic Colorectal Surgery

Introduction

Limitations of Current Robotic Surgery Platform

Upcoming Surgical Platforms

Intuitive Surgical, Inc.

TransEnterix

Titan Medical Inc.

SOFAR S.p.A

Telesurgery

Robotic Endoscopy

Soft Colonoscopy Robotic Platform

Endotics

GI View Ltd.

Conclusions

References

Acknowledgements

Index

 

An aparitie	3 Feb. 2017
Autor	Vincent Obias
Dimensiuni	15.93 x 2.29 x 24.31 cm
Editura	Springer
Format	Hardcover
ISBN	9783319432540
Limba	Engleza
Nr pag	322