Principles and Practice of Robotic Surgery

• ?General principles Anesthesia for robotic surgery Physiology of pneumoperitoneumComplications Air embolismArrest. etc Preoperative assessment and patient selectionPatient positioning and prevention of injury Bedside - including port placement and docking 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 Port placement Establishing pneumoperitoneum HassonVeressOpticalInsufflation pressure Complications and trouble shootingEg. Adhesions, Obesity, Narrow pelvis, Prior surgery or radiotherapy, Existing stoma Docking the robot Modelled on Device teaching Targeting Ensuring adequate space between armsBurping Safety e.g. height limitationLocking instruments to avoid driftEmergency undockingTrouble shooting errors and faults Instruments Familiarity with commonly used laparoscopic instruments for the bedside assistantInserting and exchanging instruments Diathermy settingsConsole How does it all work? Basic rundown of buttons etcControlling the camera Use of different lenses and changing viewUnderstanding when/why to use different lens Swapping between instrumentsFourth arm controlClutchingCustomising your setupErgonomicsScaling ratio movement Adjusts movement speed to surgeon preferenceDefault 3:1, 2:1, 1.5:1 Available instrumentsDiathermy settings

"This is a comprehensive textbook that endeavors to cover the current field of robotic surgery. Purchase of the book enables access to an ebook with the usual search functions and portability; it also allows the reader to view 17 high-quality videos of operative procedures spanning the gamut of urologic, ENT, and general surgery. Because urology was an early adopter of robotic technology, it is appropriate that a large portion of the text is devoted to urologic applications. Other fields of surgery have not been neglected." -©Doody’s Review Service, 2024, Carol Scott-Conner, MD, PhD, MBA, MFA (University of Iowa Hospitals and Clinics) Doody’s Score: 90 - 4 Stars!