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Dedication; Preface; Contents; Contributors; Part I: Getting Started in Robotic Surgery; 1: Establishing a Robotics Team and Practice; Market Analysis; The Surgeon(s); Robot Coordinator; Staffing; Anesthesia; Performance Improvement; Stationary vs. Mobile Setup; Storage Management; OR Room Setup; Hospital Support: Troubleshooting; Establishing a Robotic Practice: Important Considerations; References; 2: Robotics Training and Simulation; Introduction; Rise of Robotic Surgery; Surgical Training and Credentialing; Learning Curve; Surgical Simulation; Robotic Simulators.
Surgical Skills Training Novel Avenues of Surgical Grading; Conclusion; References; 3: Robotic Instrumentation, Personnel, and Operating Room Setup; Introduction; Surgical Team; Operating Room Setup; Patient Positioning; Abdominal Access; The da Vinci® Surgical System; Surgeon Console; Patient Cart; Vision Cart; EndoWrist® Instruments; Preparing the da Vinci® for Surgery; Patient Cart Docking; System Shutdown; Conclusions; References; 4: Anesthetic Considerations with Robotic Surgery; Introduction; Pneumoperitoneum; Insufflation Techniques; Insufflation Pressures.
Complications of the Pneumoperitoneum Subcutaneous Emphysema; Capnothorax, Capnomediastinum, and Capnopericardium; Postoperative Pneumoperitoneum; Choice of Anesthesia; General Anesthesia; Regional Anesthesia; IV Fluid Management; Monitoring; CO2/EtCO2; Temperature; Invasive Monitoring; Positioning; Practical Concerns Regarding Positioning; Specific Positioning Concerns; Lithotomy; Steep Trendelenburg; Lateral Decubitus; Specific Position-Related Injuries; Ocular Injury; Laryngeal Edema; Position Effects on Physiology; Cardiac; Pulmonary; Neurologic; Pain Management.
Opioid Analgesics Nonopioid Analgesics; Postoperative Nauseas and Vomiting; Metoclopramide; Dexamethasone; Transdermal Scopolamine; Ondansetron; Acupressure; References; Part II: Robotic Surgery of the Upper Urinary Tract; 5: Robot-Assisted Total and Partial Adrenalectomy; Robot-Assisted Total Adrenalectomy; Patient Selection; Preoperative Evaluation and Preparation; Operative Setup; Patient Positioning; Trocar Configuration; Surgical Anatomy; Step-by-Step Technique (Video 5.1); Transperitoneal Left Robot-Assisted Adrenalectomy; Step 1: Trocar Placement.
Step 2: Mobilization of Colon and SpleenStep 3: Exposure and Ligation of Left Adrenal Vein; Step 4: Dissection of Pancreas Away from Gerota's Fascia; Step 5: Dissection of Upper Pole Renal Attachments; Step 6: Dissection of Medial, Lateral, and Superior Attachments; Step 7: Entrapment and Extraction of Specimen; Transperitoneal Right Robot-Assisted Adrenalectomy; Step 1: Trocar Placement; Step 2: Mobilization of Liver, Colon, and Duodenum; Step 3: Exposure and Ligation of Right Adrenal Vein; Step 4: Dissection of Inferior, Posterior, and Superior Attachments.
Surgical Skills Training Novel Avenues of Surgical Grading; Conclusion; References; 3: Robotic Instrumentation, Personnel, and Operating Room Setup; Introduction; Surgical Team; Operating Room Setup; Patient Positioning; Abdominal Access; The da Vinci® Surgical System; Surgeon Console; Patient Cart; Vision Cart; EndoWrist® Instruments; Preparing the da Vinci® for Surgery; Patient Cart Docking; System Shutdown; Conclusions; References; 4: Anesthetic Considerations with Robotic Surgery; Introduction; Pneumoperitoneum; Insufflation Techniques; Insufflation Pressures.
Complications of the Pneumoperitoneum Subcutaneous Emphysema; Capnothorax, Capnomediastinum, and Capnopericardium; Postoperative Pneumoperitoneum; Choice of Anesthesia; General Anesthesia; Regional Anesthesia; IV Fluid Management; Monitoring; CO2/EtCO2; Temperature; Invasive Monitoring; Positioning; Practical Concerns Regarding Positioning; Specific Positioning Concerns; Lithotomy; Steep Trendelenburg; Lateral Decubitus; Specific Position-Related Injuries; Ocular Injury; Laryngeal Edema; Position Effects on Physiology; Cardiac; Pulmonary; Neurologic; Pain Management.
Opioid Analgesics Nonopioid Analgesics; Postoperative Nauseas and Vomiting; Metoclopramide; Dexamethasone; Transdermal Scopolamine; Ondansetron; Acupressure; References; Part II: Robotic Surgery of the Upper Urinary Tract; 5: Robot-Assisted Total and Partial Adrenalectomy; Robot-Assisted Total Adrenalectomy; Patient Selection; Preoperative Evaluation and Preparation; Operative Setup; Patient Positioning; Trocar Configuration; Surgical Anatomy; Step-by-Step Technique (Video 5.1); Transperitoneal Left Robot-Assisted Adrenalectomy; Step 1: Trocar Placement.
Step 2: Mobilization of Colon and SpleenStep 3: Exposure and Ligation of Left Adrenal Vein; Step 4: Dissection of Pancreas Away from Gerota's Fascia; Step 5: Dissection of Upper Pole Renal Attachments; Step 6: Dissection of Medial, Lateral, and Superior Attachments; Step 7: Entrapment and Extraction of Specimen; Transperitoneal Right Robot-Assisted Adrenalectomy; Step 1: Trocar Placement; Step 2: Mobilization of Liver, Colon, and Duodenum; Step 3: Exposure and Ligation of Right Adrenal Vein; Step 4: Dissection of Inferior, Posterior, and Superior Attachments.