Atlas of Single-Port, Laparoscopic, and Robotic Surgery: A Practical Approach in Gynecology

330 Pages·2014·22.173 MB·English

by  Pedro F. Escobar, Tommaso Falcone (eds.)

Pedro F. Escobar
Tommaso Falcone Editors
Atlas of Single-Port,
Laparoscopic,
and Robotic Surgery
A Practical Approach
in Gynecology
123
Atlas of Single-Port, Laparoscopic,
and Robotic Surgery

Pedro F. Escobar (cid:129) T ommaso Falcone

Editors
Atlas of Single-Port,
Laparoscopic,
and Robotic Surgery
A Practical Approach in Gynecology
Editors
Pedro F. Escobar, MD Tommaso Falcone, MD, FRCSC
Director of Gynecologic Oncology FACOG
Instituto Gyneco-Oncológico Department of Obstetrics
Hospital HIMA-Oncologico and Gynecology
Caguas, PR Women’s Health Institute
USA Cleveland Clinic
Cleveland, OH
Clinical Associate Professor of Surgery USA
Cleveland Clinic Lerner
College of Medicine
Cleveland , OH
USA
ISBN 978-1-4614-6839-4 ISBN 978-1-4614-6840-0 (eBook)
DOI 10.1007/978-1-4614-6840-0
Springer New York Heidelberg Dordrecht London
Library of Congress Control Number: 2014940544
© Springer Science+Business Media New York 2014
This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or
part of the material is concerned, specifi cally the rights of translation, reprinting, reuse of
illustrations, recitation, broadcasting, reproduction on microfi lms or in any other physical way,
and transmission or information storage and retrieval, electronic adaptation, computer software,
or by similar or dissimilar methodology now known or hereafter developed. Exempted from this
legal reservation are brief excerpts in connection with reviews or scholarly analysis or material
supplied specifi cally for the purpose of being entered and executed on a computer system, for
exclusive use by the purchaser of the work. Duplication of this publication or parts thereof is
permitted only under the provisions of the Copyright Law of the Publisher's location, in its
current version, and permission for use must always be obtained from Springer. Permissions for
use may be obtained through RightsLink at the Copyright Clearance Center. Violations are liable
to prosecution under the respective Copyright Law.
The use of general descriptive names, registered names, trademarks, service marks, etc. in this
publication does not imply, even in the absence of a specifi c statement, that such names are
exempt from the relevant protective laws and regulations and therefore free for general use.
While the advice and information in this book are believed to be true and accurate at the date of
publication, neither the authors nor the editors nor the publisher can accept any legal responsibility
for any errors or omissions that may be made. The publisher makes no warranty, express or
implied, with respect to the material contained herein.
Printed on acid-free paper
Springer is part of Springer Science+Business Media (www.springer.com)
Pref ace
Over the years, minimally invasive surgery, namely operative laparoscopy,
has emerged as the standard treatment for many gynecologic conditions.
Innovations in minimally invasive surgical technology—such as multichan-
nel ports, articulating instruments, and fl exible high-defi nition endoscopes—
have allowed laparoscopic surgeons to perform increasingly complex
surgeries through smaller incisions utilizing robotic and single-site technol-
ogy. The collaborative efforts that we, the editors, have had together from
novel surgical instrumentation development and working together on multi-
ple national and international events have resulted in this surgical atlas.
We are honored to have a group of world experts in conventional laparo-
scopic, robotic, and single-site gynecologic surgery contribute to our surgical
atlas. This atlas is unique in that it includes illustrative pictures, drawings,
and images that cover all contemporary minimally invasive techniques in
gynecology.
Caguas, PR, USA Pedro F. Escobar , MD
Cleveland, OH, USA Tommaso Falcone , MD, FRCSC, FACOG
v

Acknowledgment
Allison Siegel, for her immense contribution to the editing of the book.
vii

Contents
Part I Conventional Laparoscopy . . . . . . . . . . . . . . . . . . . . . . . . . . 1
1 Basic Principles and Anatomy
for the Laparoscopic Surgeon. . . . . . . . . . . . . . . . . . . . . . . . . . . 3
M. Jean Uy-Kroh and Tommaso Falcone
2 Laparoscopic Myomectomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23
M. Brigid Holloran-Schwartz and Patrick P. Yeung Jr.
3 Laparoscopic Adnexal Surgery. . . . . . . . . . . . . . . . . . . . . . . . . . 35
Anna Fagotti and Giovanni Scambia
4 Laparoscopic Total and Supracervical Hysterectomy . . . . . . . 43
Stephen E. Zimberg
5 Laparoscopic Excision of Endometriosis. . . . . . . . . . . . . . . . . . 59
Rebecca Rossener, Luiz Fernando Pina Carvalho,
Juan Luis Salgado, and Mauricio S. Abrao
6 Techniques in Gynecologic Oncology. . . . . . . . . . . . . . . . . . . . . 69
Michael Frumovitz
7 Techniques in Urogynecology and Pelvic
Reconstructive Surgery. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 79
Cecile A. Unger and Beri Ridgeway
8 Techniques in Reproductive Surgery. . . . . . . . . . . . . . . . . . . . . 95
Elizabeth W. Patton and Magdy Milad
Part II Single/Reduced Laparoscopy . . . . . . . . . . . . . . . . . . . . . . . 105
9 Instrumentation for Single-Site Gynecologic Surgery . . . . . . . 107
Jessica R. Woessner and Jason A. Knight
10 Single-Port Laparoscopic Adnexal Surgery . . . . . . . . . . . . . . . 117
Chad M. Michener
11 Single-Port Laparoscopic Hysterectomy . . . . . . . . . . . . . . . . . . 135
Kevin J.E. Stepp and Anjana R. Nair
12 Single-Port Laparoscopic Management of Endometriosis. . . . 147
Mohamed A. Bedaiwy and Leticia Cox
ix