Robotic Surgery: Technological Developments and the Position in Urological Surgery

Laparoscopy has been a relatively recent development in the treatment of urological pathology. This chapter has been updated from previous editions to include a greater focus on robotic surgery. From a general overview of the history of laparoscopic and robotic surgery, it covers the essential equipment, methods of laparoscopic access, and basic skills before outlining the indications, contraindications, and operative techniques for 13 different operations.

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Laparoscopic And Robotic Surgery Will Replace Open Urological Surgery In Near Future

Apollo Medicine ◽

10.1016/s0976-0016(11)60186-5 ◽

2009 ◽

Vol 6 (2) ◽

pp. 145-151

Author(s):

Ritesh Mongha ◽

Anant Kumar

Keyword(s):

Robotic Surgery ◽

Urological Surgery ◽

Near Future

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Post-Operative Pain Management in Patients Undergoing Robotic Urological Surgery

Current Urology ◽

10.1159/000442843 ◽

2015 ◽

Vol 9 (1) ◽

pp. 5-11 ◽

Cited By ~ 7

Author(s):

Sian E. Batley ◽

Venkat Prasad ◽

Nikhil Vasdev ◽

Gowrie Mohan-S

Keyword(s):

Pain Management ◽

Robotic Surgery ◽

Patient Care ◽

Operative Technique ◽

Current Evidence ◽

Regional Analgesia ◽

Urological Surgery ◽

Pain Pathways ◽

Post Operative Pain ◽

Review Current

Robotic urological surgery is being increasingly performed worldwide. The main focus currently is on the operative technique but post operative patient care is an essential part of the process to make this technique safe and successful. We present a review on multiple analgesic techniques available to prevent and treat pain specifically caused after by urological robotic surgery; this article will explain the mechanism of pain pathways involved in laparoscopic procedures and review current evidence pertaining to systemic and regional analgesia methods.

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Principles of laparoscopic and robotic urological surgery

10.1093/med/9780199659579.003.0033 ◽

2017 ◽

Author(s):

Mark Sullivan ◽

Nilay Patel ◽

Inderbir Gill

Keyword(s):

Robotic Surgery ◽

Three Dimensional ◽

Small Diameter ◽

Skills Training ◽

Range Of Movement ◽

Urological Surgery ◽

Video Systems ◽

High Resolution Images ◽

Surgical Field ◽

Three Dimensional Vision

The development of laparoscopic and consequently robotic urological surgery have improved the visual field for the urological surgeon and led to reductions in postoperative pain, reduced convalescence, and improved cosmesis for the patient. Laparoscopy and robotics require video systems and telescopes to produce high-resolution images. Trocars have been developed to access the surgical field together with devices to deliver the insufflating gases. Instruments have been developed to allow for tissue dissection and incision together with haemostatic devices and sealants for control of small diameter vessel bleeding. Clips and staplers are used to control larger diameter vessels. Methods of access and skills training are discussed. Robotic surgery provides three-dimensional vision, greater range of movement, and the lack of tremor. Whether these are real benefits in terms of patient outcome is not yet clear, but the learning curve for robotic surgery does appear to be shorter than for pure laparoscopy.

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Pierre Curie: the anonymous neurosurgical contributor

Neurosurgical FOCUS ◽

10.3171/2015.4.focus15102 ◽

2015 ◽

Vol 39 (1) ◽

pp. E7 ◽

Cited By ~ 1

Author(s):

Karen Man ◽

Victor M. Sabourin ◽

Chirag D. Gandhi ◽

Peter W. Carmel ◽

Charles J. Prestigiacomo

Keyword(s):

Robotic Surgery ◽

Focused Ultrasound ◽

Haptic Feedback ◽

Gamma Knife Radiosurgery ◽

Nobel Laureate ◽

Marie Curie ◽

Wide Range ◽

Pierre Curie ◽

Technological Developments ◽

Neurological Surgery

Pierre Curie, best known as a Nobel Laureate in Physics for his co-contributions to the field of radioactivity alongside research partner and wife Marie Curie, died suddenly in 1906 from a street accident in Paris. Tragically, his skull was crushed under the wheel of a horse-drawn carriage. This article attempts to honor the life and achievements of Pierre Curie, whose trailblazing work in radioactivity and piezoelectricity set into motion a wide range of technological developments that have culminated in the advent of numerous techniques used in neurological surgery today. These innovations include brachytherapy, Gamma Knife radiosurgery, focused ultrasound, and haptic feedback in robotic surgery.

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Confronting the grey zone after severe brain injury

Emerging Topics in Life Sciences ◽

10.1042/etls20190115 ◽

2019 ◽

Vol 3 (6) ◽

pp. 707-711 ◽

Cited By ~ 1

Author(s):

Andrew Peterson ◽

Adrian M. Owen

Keyword(s):

Brain Injury ◽

Ethical Issues ◽

Vegetative State ◽

Clinical Care ◽

Grey Zone ◽

Severe Brain Injury ◽

New Methods ◽

Legal Decision Making ◽

Technological Developments ◽

The Brain

In recent years, rapid technological developments in the field of neuroimaging have provided several new methods for revealing thoughts, actions and intentions based solely on the pattern of activity that is observed in the brain. In specialized centres, these methods are now being employed routinely to assess residual cognition, detect consciousness and even communicate with some behaviorally non-responsive patients who clinically appear to be comatose or in a vegetative state. In this article, we consider some of the ethical issues raised by these developments and the profound implications they have for clinical care, diagnosis, prognosis and medical-legal decision-making after severe brain injury.

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