By H. Kumon, M. Murai, S. Baba
Innovation in minimally invasive therapy utilizing the concept that of cystoscopy is now growing new horizons in endourology, This 6th quantity within the sequence contemporary Advances in Endourology specializes in endo-urooncology, the merging of endourology and oncology.
In surgical operation of urologic malignancies, bipolarization, the novel prolonged resection or organ-sparing surgical procedure, turns into extra striking. additional revolution in subtle reconstructive surgical procedure through robot structures in addition to image-guided ablation expertise will determine minimally invasive, tailored approaches for every sufferer with urologic melanoma. during this ebook, the present prestige and destiny clients of robot expertise and energy-based ablation expertise are reviewed, illustrating their roles in destiny endo-urooncology.
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Extra resources for Endourooncology-New Horizons in Endourology
The detailed history of the development of the robot has been described in the literature . The robotic system aids in dexterity enhancement, precision localization, and manipulation. Technologically, the robotic system can be categorized into three types: Autonomous: the preoperative plan controls the manipulator. Supervisory: the computer accurately guides the surgeon to perform the surgery. Teleoperated: input devices are under the surgeon’s control from a remote control robotic console.
Robots do not fatigue, regardless of time or environment, and can be more cost-effective than humans. The function of robots, however, remains heavily inﬂuenced by human factors. Indeed, industrial and medical robots function only as well as the software or operators controlling the devices. Recently, two performance-enhancing robots were introduced to increase the clinical applicability of laparoscopy [1–4]. One is the “da Vinci” system (Intuitive Surgical, Mountain View, CA, USA), and the other is the “ZEUS” system (Computer Motion, Goleta, CA, USA).
The superﬁcial dorsal veins are fulgurated, and fat is cleared from the anterior surface of the prostate so that the shiny endopelvic fascia can be seen laterally. Step II. Incision of the endopelvic fascia. The endopelvic fascia is entered at the point where it reﬂects over the pelvic side wall, and the levator ani muscle is gently teased away to expose the lateral surface of the prostate. The incision is then extended in an anteromedial direction towards the apex of the prostate to expose the dorsal vein, urethra, and striated urethral sphincter.