Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Video

Updated: May 13, 2026

Retzius-Sparing Robot-Assisted Radical Prostatectomy
12:10

Retzius-Sparing Robot-Assisted Radical Prostatectomy

Published on: May 19, 2022

Positioning injuries associated with robotic assisted urological surgery.

James T Mills1, Michael B Burris, Daniel J Warburton

  • 1Department of Urology, University of Virginia, Charlottesville, Virginia, USA.

The Journal of Urology
|March 8, 2013
PubMed
Summary

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Growth of Children With Cerebral Palsy and Health Outcomes.

Pediatrics·2026
Same author

Implications of hemoglobin, albumin, lymphocyte, platelet (HALP) score as a predictor of neoadjuvant chemotherapy response in bladder cancer patients.

Urologic oncology·2026
Same author

Predictors of adherence to surveillance cystoscopy for patients with non-muscle invasive bladder cancer.

BJUI compass·2026
Same author

Perinatal Arterial Ischemic Stroke Phase 3 Trial Protocol for Intensive Infant-Toddler Rehabilitation (I-ACQUIRE).

Stroke·2026
Same author

Protein phosphatase 2A subunit B55 alpha is required for angiotensin type 2 receptor elicited natriuresis.

American journal of physiology. Renal physiology·2025
Same author

Editorial Comment.

The Journal of urology·2025

Robotic urological surgery can cause nerve injuries, with a 6.6% incidence found in this study. Longer operative times and higher patient risk factors increase the likelihood of these positioning injuries.

Area of Science:

  • Urology
  • Neurosurgery
  • Surgical Safety

Background:

  • Nerve injuries from patient positioning are a known surgical complication.
  • Robotic surgery introduces novel positioning challenges and necessitates patient safety vigilance.
  • Data on positioning injury incidence in robotic urological surgery is limited.

Purpose of the Study:

  • To determine the incidence of patient positioning injuries during robotic-assisted urological surgery.
  • To identify specific risk factors associated with these injuries.
  • To describe the temporal resolution of neurological deficits resulting from positioning injuries.

Main Methods:

  • Retrospective review of adult urological cases utilizing da Vinci® Si and Standard® Surgical Systems (January 2010 - December 2011).
Keywords:
BMIIVbody mass indexcomplicationsintravenousnervous systempatient positioningroboticstraumaurogenital system

More Related Videos

A Teleoperated Robotic System-Assisted Percutaneous Transiliac-Transsacral Screw Fixation Technique
05:57

A Teleoperated Robotic System-Assisted Percutaneous Transiliac-Transsacral Screw Fixation Technique

Published on: January 6, 2023

Related Experiment Videos

Last Updated: May 13, 2026

Retzius-Sparing Robot-Assisted Radical Prostatectomy
12:10

Retzius-Sparing Robot-Assisted Radical Prostatectomy

Published on: May 19, 2022

A Teleoperated Robotic System-Assisted Percutaneous Transiliac-Transsacral Screw Fixation Technique
05:57

A Teleoperated Robotic System-Assisted Percutaneous Transiliac-Transsacral Screw Fixation Technique

Published on: January 6, 2023

  • Risk factors categorized into positioning, operative, patient-specific, and anesthesia-related domains.
  • Analysis of 13 specific patient care aspects for association with positioning injuries.

    • Main Results:

    • 22 positioning injuries (6.6%) occurred in 334 operations.
    • Injuries resolved within 1 month (59.1%), 1-6 months (18.2%), or persisted beyond 6 months (22.7%).
    • Significant risk factors included operative time (p <0.0001), in-room time (p <0.0001), and American Society of Anesthesiologists (ASA) class (p = 0.0033).

    Conclusions:

    • Positioning injuries are under-recognized in robotic urological surgery and can have prolonged resolution.
    • Patient counseling regarding positioning injury risks is crucial, particularly for lengthy procedures.
    • Patients with multiple comorbidities (e.g., ASA class 4) face elevated risk for these injuries.