A structured process for achieving optimal port placement for robotic transperitoneal renal surgery
From the World Congress of Endourology
Source: UroToday
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I came to similar conclusions as this team did as regard to port placement after several cases. The ports for robotic renal surgery are different than for laparoscopic surgery.Â
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I found the camera you planned on using was also important. The 30 degree down camera works best in this position. If the angle of the patient is 60 degrees instead of 90 it would put the 0 degree camera in the same position relative to the patient.Â
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I place my ports more in a straight line, with the upper 8 just below the costal margin and use at least 8 cm of space, preferably 10.Â
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I also have been using the daVinci S since March and with the S, collisions are not much of a problem and port placement is much more forgiving. I think when more urologists have access to the S, more of us will perform more renal surgery with robotics.Â