Hellow guys, Welcome to my website, and you are watching Robotic Para Aortic lymphadenectomy and demonstration of the Hilaris Maneuver.. and this vIdeo is uploaded by Athens Gynecologic Oncology, Georgios Hilaris, MD at 2019-02-08T15:54:19-08:00. We are pramote this video only for entertainment and educational perpose only. So, I hop you like our website.
| Name | Robotic Para Aortic lymphadenectomy and demonstration of the Hilaris Maneuver. |
| Video Uploader | Video From Athens Gynecologic Oncology, Georgios Hilaris, MD |
| Upload Date | This Video Uploaded At 08-02-2019 23:54:19 |
| Video Discription | In this video of paraaortic lymphadenectomy for ovarian cancer, we show a very simple robotic maneuver, for transitioning from the pelvic to the upper abdominal (ie cephalad) robotic camera orientation. Our proposed maneuver, eliminates the need to undock and re-dock the robot or to work on a perpendicular plain over the aortic nodes in order to continue from pelvic, to para-aortic lymph node dissection. This maneuver is feasible only with the DaVinci Xi model. With the increasing use of robotic assisted technology, the free camera movement of conventional laparoscopy is significantly limited as the robot has to be undocked to move to the upper abdomen view. This disadvantage is tackled with our maneuver, the 'Hilaris maneuver' and the use of the DaVinci-Xi. Previous robotic systems have a cumbersome setup and limited range of motion of the robotic arms. This minimizes or even eliminates its applicability in urogenital malignancies requiring both a pelvic and paraaortic lymphadenectomy. The reason is, that in order to switch from a lower/pelvic orientation to an upper abdominal/paraaortic one, the robot has to be undocked and redocked facing cephalad. This is true in most cases of ovarian cancer staging as the one presented. In this video a proposed maneuver for switching from a pelvic to an upper abdominal view, while maintaining the original docking position is being demonstrated using the DaVinci Xi system. In addition a ParaAortic lymphadenectomy, important anatomical landmarks and points of caution are shown. |
| Category | Education |
| Tags | paraaortic | robotic | maneuver | lymphadenectomy | Hilaris | pelvic | gynecologic | cancer | davinci | ovarian | endometrial | cervical | ρομποτικη | χειρουργικη | καρκινος | ωοθηκη | μητρα | τραχηλος | υγεια | ρομποτ | surgery | Staging |
