ロボット手術の原理と実践 Principles and Practice of Robotic Surgery

Costello, Tony (EDT)

Elsevier - Health Sciences Division（2023/09発売）

• 製本 Hardcover:ハードカバー版／ページ数 688 p.
• 言語 ENG
• 商品コード 9780323798204
• DDC分類 617.9178

Full Description

Robot-assisted surgery, soon to be incorporated into most surgical disciplines, can reduce postoperative complications by up to 50%, and has been shown to result in reduced blood loss, earlier hospital discharge, and faster return to normal activity for the patient. Edited by master surgeon Tony Costello, and with contributions from the world's best and most experienced robotic surgeons worldwide, Principles and Practice of Robotic Surgery is an up-to-date, all-in-one reference that provides step-by-step instruction for practicing surgeons and those who are entering robotic surgery training. This first-of-its-kind text discusses new technologies and their application in each surgical subspecialty, with hundreds of outstanding illustrations and high-quality videos-making this an ideal resource for the entire OR team.

Covers every aspect of nearly all current adult and pediatric robotic surgeries in all surgical disciplines
Includes key topics such as robotic anesthesia, operating room prep and positioning of the equipment, certification for robotic training, and the use of artificial intelligence and virtual reality in the present and potential future use of robotic surgery
Discusses the evolution of robotic machines with a focus on new and emerging machines for surgery and education
Provides specific docking instructions with tips and tricks for each robotic operation
Offers comprehensive coverage in a magnificently illustrated, single-volume book, with contributions from an international Who's Who of the world's best robotic surgeons
Offers numerous procedural videos, including Robotic Prostatectomy: The Patel Approach; Female Pelvic Organ Sparing (POP) and Male Nerve Sparing (NS) RARC; XiXi Operating Room and Surgical Cart setup for TORS, as well as various TORS procedures; Robotic Surgery in Pediatric Otolaryngology Head and Neck Surgery; and more
An eBook version is included with purchase. The eBook allows you to access all of the text, figures and references, with the ability to search, customize your content, make notes and highlights, and have content read aloud

Contents

?General principles



Anesthesia for robotic surgery



Physiology of pneumoperitoneum
Complications





Air embolism
Arrest. etc




Preoperative assessment and patient selection
Patient positioning and prevention of injury

Bedside - including port placement and docking



Draping robot





(basic understanding in order to be able to deal with trouble shooting)
Need all 4 arms to be draped even if not using




Port placement





Establishing pneumoperitoneum






Hasson
Veress
Optical
Insufflation pressure






Complications and trouble shooting
Eg. Adhesions, Obesity, Narrow pelvis, Prior surgery or radiotherapy, Existing stoma




Docking the robot





Modelled on Device teaching






Targeting
Ensuring adequate space between arms
Burping




Safety





e.g. height limitation
Locking instruments to avoid drift
Emergency undocking
Trouble shooting errors and faults




Instruments





Familiarity with commonly used laparoscopic instruments for the bedside assistant
Inserting and exchanging instruments




Diathermy settings
Console

How does it all work?





Basic rundown of buttons etc
Controlling the camera






Use of different lenses and changing view
Understanding when/why to use different lens






Swapping between instruments
Fourth arm control
Clutching
Customising your setup
Ergonomics
Scaling ratio movement






Adjusts movement speed to surgeon preference
Default 3:1, 2:1, 1.5:1






Available instruments
Diathermy settings