Robotic Trocar Placement
Robotic Trocar Placement - Related Videos
06:24
A Spine Robotic-Assisted Navigation System for Pedicle Screw Placement
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Cited by 8 •
2020
This article presents a standardized surgical technique for robotic-assisted pedicle screw placement by using robotic-assisted navigational systems. We present a step-by-step protocol and describe the workflow and precautions of this procedure.
08:34
Robot-assisted Partial Splenectomy
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2026
This protocol describes a robot-assisted partial splenectomy for a benign splenic tumor. The robotic approach optimizes spleen preservation by enhancing surgical precision, minimizing blood loss, and improving postoperative outcomes. Key surgical steps include meticulous splenic hilum dissection, selective vascular ligation, intraoperative ultrasonography, and controlled parenchymal transection.
04:19
Robotic Enucleation of Esophageal Leiomyoma
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2026
This manuscript describes the surgical technique for robotic enucleation of an esophageal leiomyoma, serving as a reference for similar cases.
06:57
Arterial Line Placement
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2023
Source: Sharon Bord, MD, Department of Emergency Medicine, The Johns Hopkins University School of Medicine, Maryland, USA When monitoring patients, it is important to obtain values that are accurate and reliable. Blood pressure monitoring is one of the essential vital signs, and for a majority of patients, measuring it utilizing non-invasive techniques provides accurate values. However, there are situations in which the blood pressure requires more exact, specific, and reliable measurements.
05:25
Identification and Protection of the Recurrent Laryngeal Nerve during Transoral Robotic Thyroidectomy
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2025
The aim of this article is to present a method for identifying and protecting the recurrent laryngeal nerve during robotic thyroidectomy through the oral vestibular approach in the absence of the laryngeal nerve monitor.
FAQs
Port spacing supports instrument triangulation, which positions the robotic instruments around the operative target rather than along a single line. Adequate separation also helps maintain reach and clearance for the robotic arms. When spacing is planned in relation to the intended operative field, the setup can improve tissue manipulation and reduce interference between instruments.
Surgical anatomy determines which body-wall locations provide useful access to the intended operative field. Positioning that reflects the relevant anatomy can help instruments reach the target while preserving room for robotic-arm movement. This planning links the access configuration to the procedure’s technical demands instead of treating port placement as a fixed arrangement.
Poor positioning may restrict access to the operative field, reduce the effective reach of instruments, or increase interference between robotic arms and instruments. These limitations can make tissue manipulation more difficult and may contribute to tissue injury. Careful planning therefore matters not only for visualization and control, but also for maintaining a workable instrument configuration.
Planning begins with the surgical anatomy and the location of the intended operative field. Clinicians then select port sites and spacing that support instrument triangulation, reach, and clearance for the robotic arms. This coordinated layout is designed to provide suitable camera and instrument access while reducing collisions and preserving the surgeon’s ability to control tissue manipulation.
The layout must accommodate a camera, robotic surgical instruments, and the movement of the robotic arms. Port sites and their spacing are selected so these components can reach the operative field without excessive interference. Considering the entire instrument arrangement during planning helps maintain visualization, maneuverability, and surgeon control throughout the minimally invasive procedure.
The technique supports robotic procedures across medicine, with particular relevance to abdominal and pelvic surgery. In these settings, a carefully planned configuration can help provide access to the operative field, support instrument manipulation, and promote efficient operating-room practice. Its value depends on matching port locations and spacing to the anatomy and goals of each procedure.