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In structural engineering, the analysis of beams subjected to varying loads is a critical aspect of understanding the behavior and performance of these structural elements. A common scenario involves a beam subjected to a combination of different load distributions.
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Related Experiment Video

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Single Port Donor Nephrectomy
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Robotic Laparoendoscopic Single Site: Pyeloplasty and Nephrectomy Chapter.

Igor Sorokin1, Jeffrey A Cadeddu1

  • 1Department of Urology, University of Texas Southwestern Medical Center , Dallas, Texas.

Journal of Endourology
|May 19, 2018
PubMed
Summary

Robotic laparoendoscopic single site (RLESS) surgery is safe for select patients with benign upper tract conditions. This technique utilizes specialized instruments and careful port placement for effective procedures like pyeloplasty and nephrectomy.

Keywords:
RLESSlaparoendoscopic single sitenephrectomypyeloplasty

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Area of Science:

  • Urology
  • Minimally Invasive Surgery
  • Robotic Surgery

Background:

  • Robotic laparoendoscopic single site (RLESS) surgery offers a minimally invasive approach for complex procedures.
  • Upper tract procedures present unique challenges for single-site surgery due to anatomical constraints.

Purpose of the Study:

  • To describe the technique and feasibility of RLESS for common upper tract procedures.
  • To identify ideal patient candidates for RLESS upper tract surgery.

Main Methods:

  • Utilizing a GelPOINT® access platform for single-port placement with a diamond configuration.
  • Employing 5 mm EndoWrist® robotic instruments under direct vision.
  • Implementing the chopstick technique to enhance instrument range of motion and surgeon awareness.

Main Results:

  • RLESS for upper tract procedures is demonstrated as safe and feasible in appropriately selected patients.
  • Ideal candidates are young, have a low body mass index, and require surgery for benign conditions.
  • The described techniques for pyeloplasty and nephrectomy are detailed.

Conclusions:

  • RLESS is a viable and safe option for upper tract procedures in carefully selected patients.
  • Meticulous attention to instrument orientation and synchronous movement is crucial for successful RLESS outcomes.
  • This approach expands the application of minimally invasive robotic surgery to upper tract urological conditions.