By Geoffrey N. Box M.D., Michael K. Louie M.D. (auth.), Ronney Abaza (eds.)
Robotic Renal surgical procedure: Benign and melanoma surgical procedure for the Kidneys and Ureters presents a finished assessment of the position of and technical issues concerning robot surgical procedure for stipulations of the kidney and linked stipulations of the higher urinary tract. as well as serving as a reference concerning symptoms, preoperative and postoperative administration, problems, and evidence-based results, this article additionally serves as a pragmatic consultant for surgeons in the way to practice the total array of robot kidney and top tract surgical procedure. integrated are specific descriptions of positioning, instrumentation, and surgical steps for the medical professional newly adopting robot surgical procedure or for these refining their concepts. All chapters are written through famous and released specialists within the a number of concepts, growing an authoritative textual content at the topic. Robotic Renal surgical procedure: Benign and melanoma surgical procedure for the Kidneys and Ureters might be of significant price to urologists, robot surgeons, fellows in urologic oncology or endourology in addition to urology citizens in education and surgical nurses and different surgical procedure crew participants excited by those methods.
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Extra info for Robotic Renal Surgery: Benign and Cancer Surgery for the Kidneys and Ureters
It remains the definitive therapy for T2 or larger renal tumors . The open approach to nephrectomy has its own set of benefits and risks. An open approach gives the surgeon the freedom to deal with complex masses that may involve structures surrounding the kidney. It also allows for easier access and control of the renal hilum. However, the open approach has a much higher incidence of postoperative pain and other morbidities. It also is associated with lower patient satisfaction in regard to recuperative time and cosmesis.
Temporary dialysis may be needed. Involvement of nephrology or orthopedic surgery may be appropriate in early treatment and intervention in these patients. Factors known to contribute to pressurerelated positioning injuries during surgery include position, operative time, and obesity [4–8]. In the lateral decubitus position, the total body mass is focused down toward a much smaller surface area, increasing pressure-related complications. Such effects are amplified in the obese patient. In a series by Stevens et al.
For patients with comorbidities or 27 age-indicated indications, a baseline chest X-ray and EKG should also be obtained. Older patients or patients with comorbidities may need clearance by a cardiologist or pulmonologist. While some surgeons endorse having the patient perform a mechanical bowel preparation the night prior, in our experience, just a clear liquid diet for the day prior to surgery is sufficient. It is optimal to hold NSAIDS and all antiplatelet medications for at least 1 week prior to surgery.
Robotic Renal Surgery: Benign and Cancer Surgery for the Kidneys and Ureters by Geoffrey N. Box M.D., Michael K. Louie M.D. (auth.), Ronney Abaza (eds.)