Robotic Urology by Hubert John & Peter Wiklund

Author:Hubert John & Peter Wiklund
Language: eng
Format: epub
Publisher: Springer International Publishing, Cham

We always begin with the division of the left colon adhesions in order to better mobilize the bladder once separated from the anterior abdominal wall. This maneuver is performed incising the umbilical arteries as high as possible and continuing the dissection laterally until the vasa deferentia are reached. It is very important to open this space well, incising the peritoneum as cranially as possible to achieve a better mobilization of the bladder (Fig. 27.2).

Fig. 27.2The bladder is separated from the abdominal wall, and the peritoneum is opened until the vas deferens is reached as laterally and cranially as possible, to achieve complete mobilization of the bladder. This image is the detail of the right side where the peritoneum is incised until vas deferens is reached. D vas deferens, RS retius space, LP limit of peritoneum incision

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