In the last 10 years, the management of paediatric urological pathologies has been radically transformed; over 70% of all cases can now be treated with minimally invasive techniques. This book is unique in its format, because for each pathology it explores all MIS techniques available for its treatment (laparoscopy, retroperitoneoscopy, robotics, prone position, pneumovesicoscopy, endourology, laser, fetoendoscopy, etc.). Each technique is described in a dedicated chapter, which includes a video of the procedure that can be viewed online. Written by internationally renowned paediatric urology experts, the book offers a valuable toolkit for surgeons, paediatricians and urologists.

This book provides a data-driven analysis of robotic assisted, laparoscopic, and endoscopic urological procedures in children, including renal surgery, ureteral surgery, oncology, and bladder surgery. Introductory chapters outline and describe the logistics of establishing a dedicated minimally invasive program at your institution, as well as the basics of anatomy, instrumentation, access, and trocar placement. Subsequent chapters are organized by anatomic compartment (upper tract and lower tract) and organ system. Each chapter also addresses advanced techniques and future directions, as well as common complications and case-based challenges. The final chapters review oncology and special considerations in infants. Minimally Invasive and Robotic-Assisted Surgery in Pediatric Urology provides a comprehensive, evidence-based text on pediatric urology robotic and minimally invasive surgery, allowing readers to implement the material presented for the improvement of their own practices and patient outcomes.

The sixth edition of The Kelalis-King-Belman Textbook of Clinical Pediatric Urology presents state-of-the-art knowledge and common-sense practice in all areas of clinical pediatric urology in a single, easily accessible volume. Clinical in orientation and practical in presentation, it covers every disorder and disease, diagnostic method, and appropriate treatment in pediatric urology from the embryo onwards. Widely acknowledged as the leading reference in the field, the book is essential reading for all practitioners who deal with urological disorders of childhood, whether trainees, residents or experienced specialists. The book begins with chapters on evaluating the patient and general principles of pediatric urology, including the use of advanced diagnostic imaging techniques and the increasing importance of minimally invasive surgical techniques. It then proceeds through the entire urinary tract from adrenal gland to external genitalia, discussing anatomy, normal and abnormal development, anomalies and diseases and their treatment.

Paediatric robotic surgery has been rapidly developed in recent years. This book presents comprehensive and advanced knowledge of different types of paediatric robotic surgery including thoracic, oncologic, abdominal and urologic surgeries. Each chapter is with the same layout as the introduction, indications and contraindications, preoperative preparation, detailed surgical approaches, and post-operative complication management as well as comparison with conventional surgery together with case presentations and video recordings in the end. It is a key reference book for paediatric surgeons and residents who would like to learn and to perform paediatric robotic surgery, and also for hospital general managers for how to establish paediatric robotic surgery settings.

This book provides a data-driven analysis of robotic assisted, laparoscopic, and endoscopic urological procedures in children, including renal surgery, ureteral surgery, oncology, and bladder surgery. Introductory chapters outline and describe the logistics of establishing a dedicated minimally invasive program at your institution, as well as the basics of anatomy, instrumentation, access, and trocar placement. Subsequent chapters are organized by anatomic compartment (upper tract and lower tract) and organ system. Each chapter also addresses advanced techniques and future directions, as well as common complications and case-based challenges. The final chapters review oncology and special considerations in infants. Minimally Invasive and Robotic-Assisted Surgery in Pediatric Urology provides a comprehensive, evidence-based text on pediatric urology robotic and minimally invasive surgery, allowing readers to implement the material presented for the improvement of their own practices and patient outcomes.

Minimally invasive surgery has impacted the outcomes of surgery more than any technology since the development of sterile technique. The hard science has demonstrated that decrease in wound complications and recovery time has created the biggest gap with open approaches to surgery. The total economic benefit may be unfathomable when looked at comprehensively. Integral to the rise of minimal access and therapeutic techniques in surgery has been the growth of technological improvements over time. Beginning with insufflators, videoscopy, and energy devices, that evolution has continued into the development of tele-surgical devices that feature full articulation of instruments, high-resolution 3-D optics, and computer assisted movement. This has come with controversy – as the dominant manufacturer of robotic assisted devices, Intuitive Surgical, and their generations of da Vinci surgical platforms, holds enough market share to spur cries of monopoly and financial excess. However, with over 3000 world-wide systems in use, and over 6000 peer-reviewed research articles, the impact of robotic surgery cannot be ignored. The current state of data suggests equivalency in most procedures with regard to traditional outcome measures, equal or somewhat elevated costs, with specific areas of superiority. The first section of this textbook, Surgical Robots, covers the history, economics, training, and medico-legal aspects of robotic surgery that will be of interest to students, residents, fellows, surgical staff, and administrators or public health specialists who seek to gain a comprehensive background on robotic surgery, or justification for purchasing a robotic system for their institution. Surgeons will also find this background valuable to their practice, to give context to their procedures so they can better counsel their patients, help with advocating for robotic platform purchases, and proactively prepare themselves for medico-legal issues. The chapter on legal issues will have specific instances of robotic surgery-related lawsuits and their outcomes, a first for robotic surgery texts. The second section of this textbook, Robotic Procedures, will contain a comprehensive catalogue of procedures that have been performed robotically in general surgery, gynecology, urology, plastic surgery, cardiothoracic, and otolaryngology. Each author will cover the existing literature, preoperative planning, room and patient setup, steps of the procedure, and postoperative care. Standardized room maps and port placement will help the student, resident, fellow, surgeon or OR Staff to quickly reference these before cases. Each chapter will also cover the specific equipment needs and expected complexity of the procedures, allowing administrators to better gauge how to prepare for, or ration, use or their robotic resources. The final section, Future of Robotics, will give the entire scope of audience a look into what exciting advancements in the field are on the horizon. This textbook is a complete resource for robotic-assisted minimally invasive surgery, covering the history, current state, technical and clinical aspects, and future considerations that may be of interest to any who has a role, stake, or curiosity regarding robotic surgery.

Pediatric Urology has rapidly developed as a separate subspecialty in the last decade. During this time, significant advances in technology and instrumentation has meant that increasingly more procedures can be performed by the minimally invasive route. However, access to and availability of adequate training facilities and resources continues to hinder surgeons in achieving experience and expertise in the minimally invasive techniques in paediatric urology. Pediatric Endourology Techniques 2nd edition is a fully illustrated text with an accompanying web application which addresses these issues. The aim of this 2nd edition is to enable surgeons to carry out commonly performed minimally invasive pediatric urological procedures. This book has been organised systematically to enable quick reference to the topic of interest. It encompasses not only the majority of commonly performed pediatric endourological procedures in a standardised format but also newer techniques and procedures that have developed since publication of the first edition. A list of specific relevant reading material is given at the end of each chapter. Pediatric Endourology Techniques 2nd Edition is a valuable tool for pediatric urologists as well as pediatric surgeons, general surgeons, adult urologists and those with an interest in minimally invasive surgery.

Urologists were early adaptors of robotic assisted laparoscopy, and pediatric urology similarly led in incorporating the technology into the surgical armamentarium for treating even the smallest infants. And it is in that tradition that this issue of Urologic Clinics of North America surveys the journey from the earliest pure laparoscopic procedures to the most advanced reconstruction possible today due to evolutions in technology. The issue begins with the procedure that arguably popularized the laparoscopic approach in pediatric urology—the laparoscopic orchiopexy, then posit the continued relevance of pure laparoscopy in the robotic era, before finally surveying contemporary advances in robotic-assisted pediatric urologic surgery. The issue is of relevance not only tor the novice contemplating a transition to laparoscopy or robotics but also for the seasoned minimally invasive surgeon seeking to enhance skills and augment his or her practice.

Operative urology has evolved in recent years to include laparoscopic and robot-assisted surgical procedures, which have resulted in significant improvements in quality of life-related outcome. Nevertheless, training methods in urologic laparoscopy and robot-assisted surgery vary considerably, and a structured training scheme is required to enable the modern urologist to adapt to and make optimal use of these techniques. Accordingly, the main goal of this surgical atlas is to guide the urologist carefully through all the standard laparoscopic and robot-assisted procedures. Each procedure is presented in detail with numerous supporting endoscopic images and diagrams. The reader is thereby acquainted with the different surgical steps and will acquire the knowledge necessary for reliable reproduction of the techniques in clinical practice.