Principles and Practice of Robotic Surgery

Robot-assisted surgery, soon to be incorporated into most surgical disciplines, can reduce postoperative complications by up to 50%, and has been shown to result in reduced blood loss, earlier hospital discharge, and faster return to normal activity for the patient. Edited by master surgeon Tony Costello, and with contributions from the world’s best and most experienced robotic surgeons worldwide, Principles and Practice of Robotic Surgery is an up-to-date, all-in-one reference that provides step-by-step instruction for practicing surgeons and those who are entering robotic surgery training. This first-of-its-kind text discusses new technologies and their application in each surgical subspecialty, with hundreds of outstanding illustrations and high-quality videos—making this an ideal resource for the entire OR team. 

Key Features

• Covers every aspect of nearly all current adult and pediatric robotic surgeries in all surgical disciplines. 

• Includes key topics such as robotic anesthesia, operating room prep and positioning of the equipment, certification for robotic training, and the use of artificial intelligence and virtual reality in the present and potential future use of robotic surgery. 

• Discusses the evolution of robotic machines with a focus on new and emerging machines for surgery and education. 

• Provides specific docking instructions with tips and tricks for each robotic operation. 

• Offers comprehensive coverage in a magnificently illustrated, single-volume book, with contributions from an international Who’s Who of the world’s best robotic surgeons. 

• Offers numerous procedural videos, including Robotic Prostatectomy: The Patel Approach; Female Pelvic Organ Sparing (POP) and Male Nerve Sparing (NS) RARC; XiXi Operating Room and Surgical Cart setup for TORS, as well as various TORS procedures; Robotic Surgery in Pediatric Otolaryngology Head and Neck Surgery; and more. 

• An eBook version is included with purchase. The eBook allows you to access all of the text, figures and references, with the ability to search, customize your content, make notes and highlights, and have content read aloud. 

General principles

1. Anesthesia for robotic surgery

• Physiology of pneumoperitoneum
• Complications

Bedside ¿ including port placement and docking

•  

   

  • Air embolism
  • Arrest¿ etc

   

   

  • Preoperative assessment and patient selection
  • Patient positioning and prevention of injury

   

  1. Draping robot

  •  

     

    • (basic understanding in order to be able to deal with trouble shooting)
    • Need all 4 arms to be draped even if not using

     

    1. Port placement

    •  

      • Establishing pneumoperitoneum

      •  

         

         

         

        • Hasson
        • Veress
        • Optical
        • Insufflation pressure

        •  

           

          • Complications and trouble shooting
          • Eg. Adhesions, Obesity, Narrow pelvis, Prior surgery or radiotherapy, Existing stoma

           

          1. Docking the robot

          •  

            • Modelled on Device teaching

            •  

               

               

              • Targeting
              • Ensuring adequate space between arms
              • Burping

               

              1. Safety

              •  

                 

                 

                 

                • e. g. height limitation
                • Locking instruments to avoid drift
                • Emergency undocking
                • Trouble shooting errors and faults

                 

                1. Instruments

                •  

                   

                  • Familiarity with commonly used laparoscopic instruments for the bedside assistant
                  • Inserting and exchanging instruments

                   

                  Console

                   

                  1. Diathermy settings
                  2. How does it all work?

                  •  

                     

                    • Basic rundown of buttons etc
                    • Controlling the camera

                    •  

                       

                      • Use of different lenses and changing view
                      • Understanding when/why to use different lens

                      •  

                         

                         

                         

                         

                         

                        • Swapping between instruments
                        • Fourth arm control
                        • Clutching
                        • Customising your setup
                        • Ergonomics
                        • Scaling ratio movement

                        •  

                           

                          • Adjusts movement speed to surgeon preference
                          • Default 3: 1, 2: 1, 1. 5: 1

                          •  

                             

                            • Available instruments
                            • Diathermy settings

Author Information

Edited by Tony Costello, Professorial Fellow & Head, Department of Urology, The Royal Melbourne Hospital and Department of Surgery, University of Melbourne, Melbourne, Australia

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