Akademik Veri Yönetim Sistemi
WCE 2022 , California, Amerika Birleşik Devletleri, 1 - 04 Ekim 2022, ss.306
Introduction & Objective: In this video, we present some tips
and tricks for succesful and safe results in robotic surgery.
Methods: We present our recommendation as follows: Anatomical structures and landmarks should always be considered.
When dissecting the peritoneum on the ureter, the use of thermal energy should be avoided.In paraaortic lymphadenectomy,
the clip should be placed at the upper limit whenever possible.
Attention should be paid to the mesosigmoid plan in the detection of the left ureter. In the left side lymphadenectomy, the
left ureter should always be considered. IMA is the dissection
limit and care should be taken not to damage it. Dissection of
presacral lymph nodes may facilitate external iliac lymphadenectomy. On the right side, the 4th robotic arm can assist retraction. Robotic arm movements’ parallel to the obturator
nerve should be applied in Fossa Marseille dissection. We
prefer to fix the peritoneal surface of the bladder to the suprapubic anterior abdominal wall to prevent the development of
lymphocele.
Results: Taking care of anatomic structures and using some
simple techniques during robotic surgery may provide more
successful and safer results.
Conclusions: It is possible to perform safer and effective robotic
surgery by paying attention to the above mentioned.