Minimally Invasive Urology : An Essential Clinical Guide to Endourology, Laparoscopy, LESS and Robotics

This volume is an essential and comprehensive review of all aspects of minimally invasive urology. Specifically, the book evaluates minimally invasive approaches to all aspects of clinical urology. Unlike prior texts that focus on a specific technology or a specific disease, this unique reference provides a broad-based view of minimally invasive urology. As such, laparoscopic surgery, robotic surgery, endoscopic surgery, and single-site surgery are all reviewed within the context of renal cancer, renal reconstruction, bladder cancer, prostate cancer, female urology, transplant donor nephrectomy, stone disease, stricture disease, and benign prostatic hyperplasia. The text concludes with chapters on informed consent and cost, which are also quite relevant to the practicing urologist. Authored by a wide array of leaders in the field known for both their clinical prowess and commitment to education, __Minimally Invasive Urology: An Essential Clinical Guide to Endourology, Laparoscopy, LESS and Robotics__ provides a critical resource for clinicians, surgeons, operating room technicians, operating room managers and hospital administration. Front Matter....Pages i-xiii Laparoscopic and Robotic Access....Pages 1-10 Laparoscopic Renal Extirpative Surgery....Pages 11-19 Laparoscopic and Robotic Reconstruction of the Upper Genitourinary Tract....Pages 21-32 Laparoscopic and Robot-Assisted Adrenalectomy....Pages 33-48 Robot-Assisted Radical Prostatectomy....Pages 49-77 Robot-Assisted Partial Nephrectomy....Pages 79-88 Robotically Assisted Radical Cystectomy....Pages 89-104 Robotic Pyeloplasty....Pages 105-115 Robotic Abdominal Sacrocolpopexy....Pages 117-129 Standard Laparoendoscopic Single-Site Surgery....Pages 131-143 Robotic LESS Approaches....Pages 145-156 Ureteroscopy for Treatment of Calculi....Pages 157-167 Percutaneous Management of Large Renal Calculi (Percutaneous Nephrolithotomy)....Pages 169-176 Endoscopic Incisions....Pages 177-194 Non-laser Transurethral Resection of the Prostate....Pages 195-203 Photoselective Vaporization of the Prostate....Pages 205-219 Holmium Laser Enucleation of the Prostate (HoLEP)....Pages 221-230 Informed Consent in Minimally Invasive Urology....Pages 231-238 Cost-Effectiveness in Minimally Invasive Urologic Surgery....Pages 239-250 Back Matter....Pages 251-257 Step 4: Anterior Bladder Neck DissectionStep 5: Posterior Bladder Neck; Step 6: Seminal Vesicle Dissection; Step 7: Denonvilliers' Fascia and Posterior Dissection; Step 8: Nerve Sparing; Step 9: Apical Dissection; Step 10: Bladder Neck Reconstruction; Step 11: Reconstruction of the Posterior Musculofascial Plate; Step 12: Urethrovesical Anastomosis; Robot-Assisted Lymph Node Dissection; Tips and Tricks and Challenging Cases; Dissection of the Bladder Neck; The Role of the Prostatic Vasculature as a Landmark for Nerve Sparing During Robot-Assisted Radical Prostatectomy; Salvage RARP Work-Up of Distal Ureteral Strictures Ureteroneocystostomy; Psoas Hitch; Boari Flap; Mid- and Proximal Ureteral Stricture; Retrocaval Ureter; Surgical Intervention for RCU; Nephropexy; Surgical Intervention for Symptomatic Nephroptosis; References; 4: Laparoscopic and Robot-Assisted Adrenalectomy; Introduction; Indications and Contraindications; Preoperative Evaluation; Relevant Anatomy; Patient Preparation, Operating Room Setup, and Patient Positioning; Equipment; Surgical Technique; Left Transperitoneal Laparoscopic Adrenalectomy; Right Transperitoneal Laparoscopic Adrenalectomy Preface; Contents; Contributors; 1: Laparoscopic and Robotic Access; Complications of Laparoscopic Access; Types of Trocars; Port-Site Hernias; Fascial Closure; Exiting the Abdomen; Summary; References; 2: Laparoscopic Renal Extirpative Surgery; Equipment List; Transperitoneal Approach; Patient Positioning; Trocar Positioning; Simple/Radical Nephrectomy; Partial Nephrectomy; Retroperitoneal Approach; Patient Positioning; Trocar Positioning; Partial Nephrectomy; References; 3: Laparoscopic and Robotic Reconstruction of the Upper Genitourinary Tract; Introduction; Distal Ureter Right Retroperitoneal Laparoscopic AdrenalectomyLeft Retroperitoneal Laparoscopic Adrenalectomy; Robot-Assisted Laparoscopic Adrenalectomy; Laparoscopic and Robot-Assisted Laparoscopic Partial Adrenalectomy; Complications of Laparoscopic Adrenalectomy; Conclusions; References; 5: Robot-Assisted Radical Prostatectomy; Introduction; Surgical Technique; Step 1: Incision of the Peritoneum and Entry into the Retropubic Space of Retzius; Step 2: Incision of the Endopelvic Fascia (EPF) and Identification of the Dorsal Venous Complex (DVC); Step 3: Ligation of the DVC Clinical PracticeComparison Between RRP, LRP, and RARP; Best Practice Recommendations for RARP: The Pasadena Consensus Panel; Current Clinical Practice; Outcomes or RARP; Perioperative Outcomes and Complications; Oncologic Outcomes; Continence Outcomes; Potency Outcomes; The Concept of "Trifecta"; Beyond the Trifecta: The "Pentafecta"; References; 6: Robot-Assisted Partial Nephrectomy; Introduction; Equipment (Transperitoneal and Retroperitoneal Approaches); Robot-Assisted Partial Nephrectomy, Transperitoneal Approach; Introduction; Step by Step