V08-05 ENHANCEMENTS TOWARD SP ROBOTIC GROIN DISSECTION

Abstract

You have accessJournal of UrologyNOTES/LESS (V08)1 Sep 2021V08-05 ENHANCEMENTS TOWARD SP ROBOTIC GROIN DISSECTION Sabrina Stair, Nabeel Shakir, Lee Zhao, and William Huang Sabrina StairSabrina Stair More articles by this author , Nabeel ShakirNabeel Shakir More articles by this author , Lee ZhaoLee Zhao More articles by this author , and William HuangWilliam Huang More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000002041.05AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Minimally invasive inguinal lymph node dissection has many benefits as compared to open dissection. While the single port robot has the advantage of one incision, there are several disadvantages to the system. These include limited energy devices, lack of near infrared fluorescent laparoscopy, and a minimal working distance of seven cm from the end of the robotic trocar. Our objective is to present several novel surgical enhancements to single port robotic inguinal lymph node dissection. METHODS: We present a case of robotic inguinal lymph node dissection using novel enhancements. These enhancements are the use of a balloon dilator to create dissection space, the use of a laparoscopic LigaSure device via the assistant port, the use of a mini GelPoint trocar to create a floating dock for the robotic trocar, and the use of a 5 mm near infrared laparoscope through the assistant port to identify lymphatic channels demarcated with indocyanine green. The medical record and intraoperative photographs and videos were used to create this presentation. RESULTS: Robot-assisted inguinal lymph node dissection was successfully performed. Total operative time was 227 minutes. A total of fifteen lymph nodes were identified. Patient had an uncomplicated post-operative course. CONCLUSIONS: The usage of the outlined operative enhancements allows for a thorough and efficient inguinal lymph node dissection. Source of Funding: None © 2021 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 206Issue Supplement 3September 2021Page: e602-e602 Advertisement Copyright & Permissions© 2021 by American Urological Association Education and Research, Inc.MetricsAuthor Information Sabrina Stair More articles by this author Nabeel Shakir More articles by this author Lee Zhao More articles by this author William Huang More articles by this author Expand All Advertisement Loading ...