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Файл:Ординатура / Хирургия / Библиотека им академика М.И. Перельмана / Книга_5193_Библиотеки_им_академика_М_И_Перельмана.pdf
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- •Disclaimer for Society of American Gastrointestinal and Endoscopic Surgeons (SAGES) Manual
- •Contents
- •Contributors
- •Commercialization
- •References
- •References
- •3: Asensus Surgical: Senhance Surgical System
- •Asensus Surgical: Senhance Surgical System
- •Senhance System Console
- •Straight Stick Instruments
- •Articulating Instruments
- •Energy
- •Intelligent Surgical Unit
- •Advanced Intelligent Surgical Unit Features
- •Senhance Connect
- •Surgeons Console Design
- •Arm Cart Design
- •The Hugo RAS™ System
- •Robotic Arms
- •The Surgeon’s Console
- •System Tower
- •Arm Cart
- •Hugo Instruments
- •Future Developments
- •References
- •5: Versius Surgical Robot
- •Introduction
- •System Design
- •Surgeon Console
- •Disclaimers
- •The Head-Up Display (HUD)
- •Some Important Icons
- •Alarm Icons
- •Arm Modes
- •Arm Clash
- •System Connections
- •Approved Procedures
- •Some Important Safety Features
- •Conclusion
- •6: Virtual Incision: MIRA Surgical System
- •Introduction
- •The MIRA Surgical System
- •Indication
- •Additional Technical Information
- •Clinical Data
- •Telesurgery
- •Purpose
- •Adopting
- •Operationalizing
- •Standardizing
- •Lessons
- •Conclusion
- •Bibliography
- •Introduction
- •Curricula Components
- •Web-Based Training
- •Virtual Simulation
- •Bedside Skills
- •Console Training
- •Training Programs
- •Intuitive Surgical Da Vinci Curriculum
- •Robotic Training Network (RTN)
- •Conclusion
- •References
- •9: Digital Surgery
- •Introduction
- •Advanced Visualization
- •3D Visualization
- •Fluorescence-Guided Surgery
- •Augmented Reality
- •Current Implementation
- •Enhanced Instrumentation
- •Data Capture
- •Video Data
- •Data Analytics
- •Artificial Intelligence
- •Surgical Decision-Making
- •Skills Assessment
- •Patient Care
- •Automated Surgery
- •Connectivity
- •Telementoring
- •Education
- •Clinical Practice
- •Telesurgery
- •Robotic Surgical Platforms
- •Conclusion
- •References
- •Introduction
- •Foundational Knowledge
- •Practical Skills
- •Continuing Education
- •Conclusion
- •References
- •Robotic Surgery Curriculum
- •Surgical Decision-Making
- •Surgical Technique
- •Operative Technique
- •Facebook™ Groups
- •Conclusions
- •References
- •12: Robotic Paraesophageal Hernia Repair
- •Postoperative Care
- •References
- •Introduction
- •Pathophysiology
- •Clinical Features
- •Diagnosis
- •Endoscopic Functional Luminal Imaging Probe (EndoFLIP)
- •Treatment
- •Pharmacotherapy
- •Endoscopic Treatment
- •Botulinum Toxin Injection
- •Pneumatic Dilation
- •Per-oral Endoscopic Myotomy (POEM)
- •Heller Myotomy
- •Operative Steps
- •Liver Retraction
- •Hiatal Dissection
- •Myotomy
- •Partial Fundoplication
- •Intraoperative Complications
- •Esophageal Perforation
- •Gastric Perforation
- •Vagal Nerve Injury
- •Postoperative Care
- •References
- •14: Robotic Esophagectomy
- •Introduction
- •Robotic-Assisted Ivor-Lewis Esophagectomy
- •Abdominal Phase
- •Thoracic Phase
- •Robotic-Assisted McKeown Esophagectomy
- •Thoracic Phase
- •References
- •Introduction
- •Indications
- •Local Resection: “Wedge Gastrectomy”
- •Lymphadenectomy
- •Proximal Gastrectomy
- •Distal Gastrectomy
- •Total Gastrectomy
- •Reconstruction
- •Billroth I
- •Roux-en-Y
- •Double-Tract Reconstruction
- •Conclusion
- •References
- •16: Robotic Sleeve Gastrectomy
- •Introduction
- •Operative Technique
- •Conclusion
- •References
- •17: Robotic Roux-en-Y Gastric Bypass
- •Introduction
- •Indications
- •Contraindications
- •Patient Preparation
- •Technique (Key Operative Steps)
- •Complications
- •Early Complications
- •Late Complications
- •References
- •18: DS/SADI
- •Introduction
- •Patient Preparation
- •Surgical Technique
- •Single Anastomosis DuodenoIleal Bypass
- •Sleeve Gastrectomy
- •Bowel Measurement
- •Duodenal Dissection
- •Duodenoileostomy
- •Bowel Measurement
- •Enteroenterostomy
- •Postoperative Care
- •References
- •Introduction
- •Part I: Revisional Foregut Surgery
- •Introduction
- •Operative Principles: Robotic Revisional Foregut Surgery
- •Presurgical Care: Optimization/Prehabilitation
- •Operating Room Setup
- •Patient Positioning
- •Access/Port Placement/Liver Retraction
- •Fundoplication Takedown
- •Crural Repair
- •Mesh Reinforcement
- •Antireflux Procedure
- •Outcomes
- •Part II: Revisional Bariatric Surgery
- •Introduction
- •Preoperative Assessment
- •Setup
- •Access/Port Placement/Liver Retraction
- •Surgical Technique
- •Outcomes
- •References
- •20: Robotic Transabdominal Preperitoneal (TAPP) Inguinal Hernia Repair
- •Introduction
- •Preoperative Evaluation
- •Robotic TAPP
- •Instrumentation
- •Dissection
- •Mesh
- •Closure
- •Special Cases
- •Acute Presentation
- •Common Complications
- •Chronic Pain
- •Recurrence
- •Testicular Ischemia
- •Mesh Infection
- •Conclusion
- •References
- •Introduction
- •Preoperative Considerations
- •Intraoperative Considerations
- •R-TAPP
- •IPOM
- •Conclusion
- •References
- •22: Complex Robotic Abdominal Wall Reconstruction
- •Background
- •Preoperative Planning
- •Botox Injection
- •Patient Selection
- •Operative Procedure
- •Patient Positioning
- •Technique
- •Hybrid Robotic Ventral Hernia Repair
- •Conclusion
- •References
- •23: Robotic Cholecystectomy
- •Introduction
- •Indications
- •Robotic Dissection
- •Single-Port Robotic Cholecystectomy
- •References
- •Introduction
- •Robotic Liver Resection
- •Patient Selection
- •Positioning
- •Port Placement
- •Standard Robotic Instruments
- •Right Hepatectomy (see Video 1)
- •Falciform Dissection
- •Hilar Dissection
- •Intraoperative Ultrasound
- •Parenchymal Transection
- •Left Hepatectomy
- •Hilar Dissection
- •Pringle Maneuver
- •Left Lateral Sectionectomy
- •Right Posterior Sectionectomy
- •Segment 7 Resection
- •Segment 8 Resection
- •Robotic Biliary Reconstruction
- •Choledochal Cyst
- •Bile Duct Injury
- •Roux-en-Y Hepaticojejunostomy
- •Conclusion
- •References
- •25: Robotic-Assisted Pancreaticoduodenectomy (Whipple)
- •Robotic Whipple
- •Patient Selection
- •Operative Steps
- •Supra-pancreatic/Hilar Dissection
- •Uncinate Dissection
- •Reconstruction Phase
- •Final Steps
- •Vascular Resections
- •Postoperative Care
- •Conclusion
- •References
- •26: Right Hemicolectomy
- •Introduction
- •Indications
- •Preparation
- •Patient Positioning
- •Conclusion
- •References
- •Background
- •Indications
- •Operation Steps
- •Left Hemicolectomy
- •Total Colectomy
- •Learning Curve
- •Future Directions
- •Suprapubic Approach
- •Single-Site Robotic Surgery
- •da Vinci SP® Surgical System
- •Conclusion
- •References
- •28: Low Anterior Resection
- •Background
- •Learning Curve
- •Training Program
- •Genitourinary Function
- •Preoperative Planning
- •Operative Procedure
- •Room Setup
- •Patient Positioning
- •Technique
- •Conclusion
- •References
- •29: Robotic Lateral Transabdominal Adrenalectomy
- •Introduction
- •Pertinent Anatomy
- •Patient Positioning
- •Right Adrenalectomy
- •Port Placement
- •Technique
- •Left Adrenalectomy
- •Port Placement
- •Technique
- •Postoperative Care
- •Limitations
- •References
- •Introduction
- •Operative Room Setup
- •Patient Position
- •Surgical Procedure
- •Step 1: Working Space
- •Step 3: Console Time
- •Discussion
- •References
- •31: Robotic Pulmonary Lobectomy
- •Current Evidence
- •Surgical Technique
- •Right-Sided Resections
- •Right Upper Lobectomy
- •Right Lower Lobectomy
- •Right Middle Lobectomy
- •Left-Sided Resections
- •Left Lower Lobectomy
- •Conclusion
- •References
- •32: Robotic-Assisted Cardiac Surgery
- •Introduction
- •Robotic-Assisted Coronary Artery Bypass
- •Operative Technique
- •Outcomes
- •Robotic-Assisted TECAB
- •Hybrid Coronary Revascularization (HCR)
- •Robotic-Assisted Mitral Valve Surgery
- •Patient Selection
- •Outcomes
- •Robotic Aortic Valve Replacement
- •Conclusion
- •References
- •33: Mediastinal Procedures
- •Introduction
- •Anterior Mediastinal Mass Example Case Scenario
- •Anterior Mediastinal Mass Excision Operative Steps
- •Middle Mediastinal Mass Example Case Scenario
- •Middle Mediastinal Cyst Excision Operative Steps
- •Posterior Mediastinal Mass Case Scenario
- •Patient Positioning
- •Posterior Mediastinal Mass Excision Operative Steps
- •Summary
- •References
- •34: Liver Transplantation
- •Introduction
- •Robotic Donor Hepatectomy
- •Patient Selection
- •Positioning
- •Port Placement
- •Instruments
- •Adjunct Robotic Instruments
- •Right Donor Hepatectomy
- •Falciform Dissection
- •Hilar Dissection
- •Demarcation
- •Parenchymal Transection
- •“Rubber Band” Retraction Technique
- •Parenchymal Transection
- •Closure
- •Left Donor Hepatectomy
- •Hilar Dissection
- •Demarcation
- •Parenchymal Transection
- •“Rubber Band” Retraction Technique
- •Parenchymal Transection

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Navigating Resources forAspiring
andExperienced Robotic Surgeons
YasaminTaghikhan andAnkitSarin
Introduction
As with most emerging technologies, robotic surgery continues to evolve at a
rapid pace, making it critical for surgeons to stay updated and skilled in its application. The increasing complexity and diversity of robotic systems have resulted
in a growing demand for comprehensive, high-quality training resources. These
resources cater to both novices and experienced surgeons, offering opportunities
to build foundational knowledge, enhance technical skills, and foster professional growth.
While most training resources currently focus on the Intuitive da Vinci robotic
platform, an increasing number of platform-agnostic resources are emerging as the
eld diversies. This chapter provides a structured and detailed overview of key
resources available for robotic surgeons, covering foundational knowledge, practical skills, professional networking, and continuing education opportunities. It serves
as a roadmap for navigating the wealth of information and tools essential for excelling in this innovative eld.
10
Foundational Knowledge
It is imperative for aspiring and current robotic surgeons to continue to build upon
their foundational knowledge through reviewing books, latest journals, and via
online platforms and communities as they advance through various stages of their
careers. In this section, you will nd resources that offer theoretical knowledge,
practical tips, and visual aids for all levels of surgeons.
Y. Taghikhan · A. Sarin (*)
Department of Surgery, University of California Davis, Sacramento, CA, USA
e-mail: ytaghikhan@ucdavis.edu; axsarin@ucdavis.edu
© The Author(s), under exclusive license to Springer Nature Switzerland AG 2025
S. Samreen et al. (eds.), The SAGES Manual of Robotic Surgery,
https://doi.org/10.1007/978-3-031-86927-3_10
109

110
Y. Taghikhan and A. Sarin
1. Books
a) Robotic Surgery by Farid Gharagozloo and others. A comprehensive multi-
specialty robotic surgery volume that can serve as a reference for all robotic
surgeons. [1]
b) Atlas of Robotic General Surgery by Yuri W.Novitsky. An inclusive atlas that
covers a wide range of robotic techniques for general surgery by 50+ experts
in the eld. It includes many high-quality colored illustrations that complement the text. [2]
c) Principles and Practice of Robotic Surgery by Eduardo A.Sagarin. A great
reference covering adult and pediatric robotic surgeries with step-by-step
instructions for new and experienced surgeons. [3]
d) Essentials of Robotic Surgery by Matthew Kroh and Sricharan Chalikonda.
Excellent reference from 2015. [4]
e) Robotic General Surgery by Yuman Fong and others. A newly released refer-
ence for surgeons at all levels of training with discipline-based chapters
showcasing many robotic procedures in general surgery. [5]
2. Journals and Publications
a) Journal of Robotic Surgery
A peer-reviewed journal that creates a platform for surgeons and researchers
to review and exchange knowledge and expertise in the eld of robotic surgery. [6]
b) International Journal of Medical Robotics and Computer-Assisted Surgery
A diverse international cross-disciplinary journal focusing on advancements,
techniques, and clinical outcomes in robotic surgery. [7]
c) Surgical Innovation (SRI)
Although not exclusively covering robotic surgery topics, this journal covers
emerging topics and offers peer-reviewed articles highlighting the advances in minimally invasive surgery. [8]
d) Annals of Surgery
A highly respected journal that frequently publishes signicant studies on robotic
surgeries, randomized trials, and systematic reviews. [9]
e) Surgical Endoscopy
Focuses on minimally invasive surgery, including robotic-assisted procedures,
and is known for publishing cutting-edge research and reviews. [10]

10 Navigating Resources forAspiring andExperienced Robotic Surgeons
111
Educational Websites andPlatforms
Society of American Gastrointestinal and Endoscopic Surgeons (SAGES)
i. Offers a variety of resources including videos and guidelines, including
detailed manuals and atlas. [11]
WebSurg
ii. A comprehensive platform created by surgeons that includes online modules,
live demonstrations, and interactive session from international experts. This
platform offers the opportunity to learn from experts all over the world. [12]
Surgical Council on Resident Education (SCORE)
iii. A great resource for residents and newly practicing surgeons as it provides
didactic materials as well as quizzes to reinforce learning. [13]
Crowdsourced Assessment of Technical Skills (C-SATS)
iv. A unique platform that offers personalized feedback on performance by
allowing robotic surgeons to upload procedure videos to be reviewed by
experts. [14]
Intuitive Surgical Online Learning Platform (My Intuitive)
v. My intuitive surgical program offers a wide selection of material, including
video tutorials, interactive stimulations, as well as access to the da Vinci
Surgical System learning. [15]
Podcasts andBeyond
a) Global Robotic-Assisted Surgery Podcast (GRASP)
Leading robotic surgeons appear as guests on this podcast and offer their expertise within their eld. [16]
b) Behind the Knife (BTK)
While not exclusively focused on robotics surgery, this podcast covers a variety
of topics related to robotic and minimally invasive surgeries through guest speaker
discussions. Additionally, their YouTube channel offers content on robotic procedures. [17]
Practical Skills
1. Surgical Videos Libraries and Live Streams
a. Journal of Medical Insight (JOMI)
A unique library of videos including robotic surgery taken from the perspective
of surgeons that allow for on-demand virtual shadowing experiences for all levels of
surgeons including trainees. [18]

112
Y. Taghikhan and A. Sarin
b. Csurgeries
A collection of peer-reviewed surgical videos including robotic surgeries
designed for educational purposes. [19]
c. GIBLIB
An assortment of curated surgical videos and lectures on demand for current and
aspiring surgeons. [20]
d. Intuitive Telementoring
A unique way to learn from other surgeons by remotely observing or broadcasting live procedures. [15]
2. Simulation Training
a) Da Vinci SimNow
An online simulation training platform that provides a range of exercises to
help improve robotic surgery skills, available for surgeons at various levels of
experience. [15]
b) Surgical Science
A medical simulation company that offers an extensive library of stimulated
surgeries as well as the ability to customize surgeries. It is intended for organizations seeking to further advance the training level of their surgeons. [21]
3. In-Person Proctoring
a. SAGES Robotics Resident and Fellows Courses
A nationwide course offered to residents and fellows throughout the year with
prerecorded lectures on robotic general surgery topics as well as hands-on skills
training on the robotic console. [22]
b. Institute for Research into Cancers of the Digestive System (irCAD)
An international organization offering both on-site and online courses across
various disciplines, including robotic surgery aiming to enhance skills in robotic
and minimally invasive surgery. [23]
c. Association of Program Directors for Colon and Rectal Surgeons Robotic
Training Courses
An association providing resources for both colorectal surgery residents and program directors, specically offering surgeon led robotic training course to fellows
both virtually and on-site. [24]
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