Positioning during radical retropubic prostatectomy - page 2
Do you guys usually place the safety strap just above the knees, or at mid-calf? Do you spread (and leave) the legs slightly apart, like a "V", as you might when you do a fem-pop, (so that you... Read More
Apr 10, '05Quote from grimmygrimmy, thanks for the explanation. i have a better understanding of it now.[font=book antiqua]typically, the davinci works like the surgeon...but on a much smaller level. this sort of machine was really pushed by our urology chief, and it is used almost exclusively for prostatectomies at uva. it is highly publicized around the area, and the dept hired on a fellow to know that robot inside and out, as well as run the pr for it. basically, the robot is about 7 feet tall with the motors attached to laparoscopic arms. the surgeon never. the assistant scrubs, drapes the robot and pt, creates the laparoscopic incisions, aims and positions the robotic arms. after that, it's mostly up to the surgeon. the assistant will change the instruments on the arms and close. the surgeon sits in a little booth with his arms and feet working levers that move the robotic arms. it's actually a little comical to see a bunch of medical students sitting at one side of the or with the 3-d glasses on in front of a movie screen...the entire setup must be done in 3 dimensions - that's how the surgeon sees it in the booth. he/she is also mic'ed. the finer points (and i am sure there are many) are beyond my knowledge. as i said, there is a team that specializes in the davinci, and i am not on that team. when i oriented, i had to learn how to circulate a robot case in the event that a team member called out. i hope that helped to give you a little background.
Apr 10, '05Here's a cool site if any of you are interested--it's free, although you have to register and choose a screen name and password. Virtually any laparoscopic operation is on there in 3-D, just as if you were scrubbed and watching; and they are narrated, step by step. I didn't see a robotic radical prostatectomy, but there is a robotic chole. You can get CEs from the site too (or rather CMEs--you just ask your state board their equivalency in CEs.) I am not certain if they are free, but I intend to take full advantage if they are!