Where is the robot positioned during a prostatectomy?

Where is the robot positioned during a prostatectomy?

Men are then positioned in the Trendelenburg position, allowing gravity to gently pull the abdominal contents out of the pelvis, facilitating access to the bladder and prostate, and reducing the risk of injury to abdominal organs. The legs are separated to facilitate docking of the daVinci robot.

Is the urethra cut during robotic prostatectomy?

During this operation, the surgeon removes the inner part of the prostate gland that surrounds the urethra (the tube through which urine leaves the bladder). The skin is not cut with this surgery.

How many ports are needed for robotic prostate surgery?

Thus most patients will have 5 port sites. The procedure is performed under general anesthesia so the patient feels no pain during surgery and lasts an average of 3.5 hours.

Who has done the most robotic prostatectomies?

The World’s Most Experienced Robotic Surgeon Vipul Patel serves as the Medical Director of the Global Robotics Institute. He has personally performed the most robotic prostatectomies in the world and has currently performed over 15,000 procedures.

What is steep Trendelenburg position?

In steep Trendelenburg position, the patient is angled at 30 – 40 degrees in the head-down position. This version of Trendelenburg is most often used for robotic pelvic procedures.

What is low lithotomy position?

It involves lying on your back with your legs flexed 90 degrees at your hips. Your knees will be bent at 70 to 90 degrees, and padded foot rests attached to the table will support your legs. The position is named for its connection with lithotomy, a procedure to remove bladder stones.

Are lymph nodes removed during robotic prostatectomy?

In addition to removing the prostate gland, we may remove the lymph nodes draining the prostate. Called pelvic lymph node dissection, this would be done to determine whether the cancer has spread to the lymph nodes.

Is robotic prostatectomy nerve-sparing?

Of the surgical options available, the fastest growing and most technologically advanced approach is robotic-assisted laparoscopic radical prostatectomy, also called a “da Vinci prostatectomy with nerve sparing.”

Where do you put a robotic port?

All ports are placed in the midline, with the 12-mm camera port by the umbilicus, and the robotic working ports spaced 3 to 4 cm superiorly and inferiorly (Fig. 8). When the ports are placed correctly, they should dangle off the abdominal wall, allowing maximal movement.

How many lymph nodes are removed during prostatectomy?

It has been shown that the estimated number of lymph nodes necessary for optimal staging accuracy ranges between 20 and 28. [27] Abdollah and colleagues determined that the removal of 20 nodes resulted in accurate staging in 90% of their patients.