V769 THE ROLE OF THE BEDSIDE ASSISTANT IN ROBOTIC PARTIAL NEPHRECTOMY

Abstract

You have accessJournal of UrologyOncology (TCC & Adrenal) & Teaching Techniques1 Apr 2010V769 THE ROLE OF THE BEDSIDE ASSISTANT IN ROBOTIC PARTIAL NEPHRECTOMY Wooju Jeong, Jesse Sammon, Firas Petros, Stacey Dusik, and Craig Rogers Wooju JeongWooju Jeong More articles by this author , Jesse SammonJesse Sammon More articles by this author , Firas PetrosFiras Petros More articles by this author , Stacey DusikStacey Dusik More articles by this author , and Craig RogersCraig Rogers More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2010.02.1363AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES The bedside assistant is important in achieving success in robotic partial nephrectomy (RPN). In this video, we present the major steps of robotic partial nephrectomy, with an emphasis on the role of the bedside assistant. We also compare our outcomes with RPN stratified by the experience level of the assistant. METHODS Major steps of RPN in which the bedside assistant has an important role include port placement, bowel mobilization, spleen or liver retraction, ureter and gonadal vein dissection, hilar dissection, tumor localization, hilar clamping, tumor resection, renorrhaphy, unclamping, and removal of the specimen. Perioperative outcomes for 78 consecutive RPN cases performed by a single surgeon were compared between experienced assistants (those who assisted on >100 robotic prostatectomy cases with laparoscopic kidney experience) and inexperienced assistants. RESULTS We identified on video at least 12 steps during RPN in which maneuvers performed by a trained assistant could be beneficial. Although perioperative outcomes between cases performed by experienced assistants (n=28) and inexperienced assistants (n=50) were similar, experienced assistants were more likely to assist on more complex RPN cases (endophytic involving collecting system repair; 58% vs. 33%, p=0.04). CONCLUSIONS The bedside assistant plays an important role in RPN. We present key steps in the procedure in which the assistant can have a role in facilitating excellent outcomes in RPN. Detroit, MI© 2010 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 183Issue 4SApril 2010Page: e301 Advertisement Copyright & Permissions© 2010 by American Urological Association Education and Research, Inc.MetricsAuthor Information Wooju Jeong More articles by this author Jesse Sammon More articles by this author Firas Petros More articles by this author Stacey Dusik More articles by this author Craig Rogers More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...