Retroperitoneal approach for robot living donor nephrectomy: A step-by-step description of technical nuances
Open, pure or hand-assisted laparoscopic, natural orifice transluminal endoscopic surgical (NOTES) and robotic approaches (Transperitoneal or retroperitoneal) are the described approaches for living donor nephrectomy. We describe the procedural steps of a robotic living donor nephrectomy (RLDN) retr...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2024-01-01
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| Series: | Journal of Minimal Access Surgery |
| Subjects: | |
| Online Access: | http://www.journalofmas.com/article.asp?issn=0972-9941;year=2024;volume=20;issue=1;spage=115;epage=120;aulast= |
| _version_ | 1797222391253827584 |
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| author | Forqan Babu Shaikh Arvind P Ganpule |
| author_facet | Forqan Babu Shaikh Arvind P Ganpule |
| author_sort | Forqan Babu Shaikh |
| collection | DOAJ |
| description | Open, pure or hand-assisted laparoscopic, natural orifice transluminal endoscopic surgical (NOTES) and robotic approaches (Transperitoneal or retroperitoneal) are the described approaches for living donor nephrectomy. We describe the procedural steps of a robotic living donor nephrectomy (RLDN) retroperitoneal (RRLDN) technique using a da Vinci X surgical system and three robotic arms. This is the first reported case with the retroperitoneal robotic approach. The procedure in brief is as follows. First, with the patient placed in full flank position, the camera port is placed at the level of the Petit's triangle apex. Retroperitoneal space is created by turning the index finger in a 180° movement through this port and a gloves balloon. The second 8mm port was inserted, 8 cm far from the first port, The peritoneum is reflected medially and downward off of the transversus abdominis muscle laparoscopically, respectively along the anterior and posterior axillary line; 3-5 cm caudally to the last one, a 12 mm AirSeal® assistant port is placed in the same manner. Only then, the port is placed under direct vision. The robotic ports placement will result in a caudally convex arc. This technique, due to the extensive use of the surgeon index, implies fast access to the retroperitoneum, protects the underlying anatomical structures from damage, and, due to the trocar positioning along an arc, lowers the arm conflict risk.. |
| first_indexed | 2024-03-07T21:35:47Z |
| format | Article |
| id | doaj.art-9589116bc05e41e2a96f5732b1d9bc9a |
| institution | Directory Open Access Journal |
| issn | 0972-9941 1998-3921 |
| language | English |
| last_indexed | 2024-04-24T13:20:35Z |
| publishDate | 2024-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Minimal Access Surgery |
| spelling | doaj.art-9589116bc05e41e2a96f5732b1d9bc9a2024-04-04T16:19:16ZengWolters Kluwer Medknow PublicationsJournal of Minimal Access Surgery0972-99411998-39212024-01-0120111512010.4103/jmas.jmas_29_23Retroperitoneal approach for robot living donor nephrectomy: A step-by-step description of technical nuancesForqan Babu ShaikhArvind P GanpuleOpen, pure or hand-assisted laparoscopic, natural orifice transluminal endoscopic surgical (NOTES) and robotic approaches (Transperitoneal or retroperitoneal) are the described approaches for living donor nephrectomy. We describe the procedural steps of a robotic living donor nephrectomy (RLDN) retroperitoneal (RRLDN) technique using a da Vinci X surgical system and three robotic arms. This is the first reported case with the retroperitoneal robotic approach. The procedure in brief is as follows. First, with the patient placed in full flank position, the camera port is placed at the level of the Petit's triangle apex. Retroperitoneal space is created by turning the index finger in a 180° movement through this port and a gloves balloon. The second 8mm port was inserted, 8 cm far from the first port, The peritoneum is reflected medially and downward off of the transversus abdominis muscle laparoscopically, respectively along the anterior and posterior axillary line; 3-5 cm caudally to the last one, a 12 mm AirSeal® assistant port is placed in the same manner. Only then, the port is placed under direct vision. The robotic ports placement will result in a caudally convex arc. This technique, due to the extensive use of the surgeon index, implies fast access to the retroperitoneum, protects the underlying anatomical structures from damage, and, due to the trocar positioning along an arc, lowers the arm conflict risk..http://www.journalofmas.com/article.asp?issn=0972-9941;year=2024;volume=20;issue=1;spage=115;epage=120;aulast=donor nephrectomyretroperitonealrobotic donor nephrectomy |
| spellingShingle | Forqan Babu Shaikh Arvind P Ganpule Retroperitoneal approach for robot living donor nephrectomy: A step-by-step description of technical nuances Journal of Minimal Access Surgery donor nephrectomy retroperitoneal robotic donor nephrectomy |
| title | Retroperitoneal approach for robot living donor nephrectomy: A step-by-step description of technical nuances |
| title_full | Retroperitoneal approach for robot living donor nephrectomy: A step-by-step description of technical nuances |
| title_fullStr | Retroperitoneal approach for robot living donor nephrectomy: A step-by-step description of technical nuances |
| title_full_unstemmed | Retroperitoneal approach for robot living donor nephrectomy: A step-by-step description of technical nuances |
| title_short | Retroperitoneal approach for robot living donor nephrectomy: A step-by-step description of technical nuances |
| title_sort | retroperitoneal approach for robot living donor nephrectomy a step by step description of technical nuances |
| topic | donor nephrectomy retroperitoneal robotic donor nephrectomy |
| url | http://www.journalofmas.com/article.asp?issn=0972-9941;year=2024;volume=20;issue=1;spage=115;epage=120;aulast= |
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