079IC - The Retroperitoneal Approach for Robotic Surgery: Beyond Partial Nephrectomy

Monday, May 1, 2023

10:00 AM – 12:00 PM CST

Location: S102C

Instructional Course Director(s)

JP

James Porter, MD

Director, Robotic Surgery, Providence St Joseph Health
Swedish Medical Center

Instructional Course Faculty(s)

Jean Joseph, MD,FACS,MBA

Winfield W Scott Professor and Chairman
University of Rochester Medical Center
SC

Simone Crivellaro, MD

Course Description: The retroperitoneal technique for robotic urological procedures is now an accepted approach. To date, the focus has been on retroperitoneal partial nephrectomy; however, with experience, other procedures and techniques have been developed. These include extraperitoneal prostatectomy, retroperitoneal nephroureterectomy, pyelolithotomy, ureteral reconstruction, adrenalectomy and lymphadenectomy. There has also been growing interest in the application of the single port robot to retroperitoneal procedures as well. Given the small workspace and lack of landmarks, advanced retroperitoneal techniques are best learned from the experience of others who have performed these procedures. In this course, the instructors provide the tips and techniques to allow the attendee to successfully perform retroperitoneal robotic surgery.

Learning Objectives:

Identify the key landmarks to gain and maintain orientation during retroperitoneal robotic surgery.
Perform the necessary techniques to gain retroperitoneal access.
Describe proper port configuration to avoid robotic arm collisions and robotic arm reach limitations.
Identify the similarities and differences between multiport and single-port approaches for robotic retroperitoneal surgery.
Evaluate robotic arm collisions and robotic arm limitations during retroperitoneal robotic surgery.
Identify the role of the bedside assistant surgeon during multiport and single-port robotic retroperitoneal surgery.