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Robotic and Laparoscopic Instrumentation in Pediatric Urology

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Minimally Invasive and Robotic-Assisted Surgery in Pediatric Urology

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Abstract

In this chapter we review instrumentation in pediatric urology for laparoscopic procedures with and without robot assistance. For the da Vinci systems, we discuss the history of platform development and factors important in instrument selection beyond the nominal port size; working distance, instrument selection, and energy delivery systems are reviewed. We focus on systems in widespread use, and introduce several exciting alternatives to the popular systems of today. On the horizon are robotic systems with different docking mechanisms, a variety of instruments, 3 mm trocars, eye-tracking features for camera control, open consoles allowing multiple viewers, and haptic feedback. We pay special attention to single-port laparoscopic surgery. To overcome traditional limitations in triangulation, several deflectable laparoscopic instruments have been developed with differing mechanisms of control, the details of which are especially important to applications in the confined working spaces seen in pediatric urology.

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Author information

Authors and Affiliations

  1. Ann & Robert H. Lurie Children’s Hospital of Chicago, Boston, MA, USA

    James T. Rague

  2. Harvard Medical School, Boston Children’s Hospital, Department of Urology, Boston, MA, USA

    Michael P. Kurtz

Authors
  1. James T. Rague
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  2. Michael P. Kurtz
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Corresponding author

Correspondence to Michael P. Kurtz .

Editor information

Editors and Affiliations

  1. Department of Urology, Mayo Clinic, Rochester, MN, USA

    Patricio C. Gargollo

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Rague, J.T., Kurtz, M.P. (2020). Robotic and Laparoscopic Instrumentation in Pediatric Urology. In: Gargollo, P.C. (eds) Minimally Invasive and Robotic-Assisted Surgery in Pediatric Urology. Springer, Cham. https://doi.org/10.1007/978-3-030-57219-8_5

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  • DOI: https://doi.org/10.1007/978-3-030-57219-8_5

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-57218-1

  • Online ISBN: 978-3-030-57219-8

  • eBook Packages: MedicineMedicine (R0)

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