Gasless Single-Port RoboSurgeon Surgery in Urology by Kazunori Kihara

Author:Kazunori Kihara
Language: eng
Format: epub
Publisher: Springer Japan, Tokyo

5.5.5 Dissection Along Gerota’s Fascia and Port Placement

The posterior aspect of Gerota’s fascia is dissected off the quadratus lumborum muscle (Fig. 5.14a). The anterior aspect of Gerota’s fascia is then released from the peritoneum (Fig. 5.14b). The first assistant helps the lead surgeon to produce countertraction at the dissection plane (Fig. 5.14c). The working space is maintained using long retractors (PLES retractor®, Innomedics Medical Instruments, Inc.). A single port, around 3 cm in diameter, is then prepared along Gerota’s fascia through placement of a wound retractor (Alexis wound retractor®, Applied Medical Resources, Corp.) (Fig. 5.14d).

Fig. 5.14Dissection along Gerota’s fascia and port placement. (a) Dissection along the posterior aspect of Gerota’s fascia (arrowheads). (b) Dissection along the anterior aspect of Gerota’s fascia (arrowheads). (c) External appearance in the dissection process along Gerota’s fascia. (d) A single port (2 × 3 cm)

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