Access and Port Placement

2004 ◽  
pp. 35-46
Author(s):  
Shishir Maithel
Keyword(s):  
Port Placement

Single center experience with ultrasound guided axillary vein port placement

2021 ◽  
pp. 112972982110080
Author(s):  
Patrick Tivnan ◽  
Micaela Nannery ◽  
Yan Epelboym ◽  
Rajendran Vilvendhan
Keyword(s):  
Demographic Data ◽  
Axillary Vein ◽  
Safe Procedure ◽  
Ultrasound Guided ◽  
Port Placement ◽  
Chi Square ◽  
Vein Thrombosis ◽  
Single Center Experience ◽  
Procedural Complications ◽  
The Right

Purpose: To retrospectively review a single institution experience of ultrasound guided axillary vein port placement. Methods: In this retrospective study, a patient list was generated after searching our internal database from 1/1/2012 to 10/1/2018. Patients who had undergone axillary vein port placement were included. Chart review was performed to confirm approach, laterality and to gather demographic data, clinical indications, technical outcomes, and complications. Descriptive statistics were used to analyze this cohort. Chi-square statistics were used to compare outcomes by laterality. Results: Three hundred seven patients (51% female) with an average age of 58 years were included. The port was placed via the right axillary vein in 85% (261/307), predominantly for the indication of chemotherapy access (296/307). Technical success was achieved in all 307 cases. Peri procedural complications occurred in 1% (4/307) of cases and included port malpositioning requiring replacement and a case of port pocket hematoma. Post procedural complications including deep vein thrombosis and port malfunction occurred in 17% (52/307) of cases and port removal as a result of complication occurred in 9% (29/307) of cases. Conclusions: Ultrasound guided placement of an axillary port is a safe procedure to perform and demonstrates good clinical outcomes.

Application of pelvic-style docking in robotic surgery for lower-middle mediastinal tumors

2020 ◽  
pp. 021849232098488
Author(s):  
Shota Mitsuboshi ◽  
Hideyuki Maeda ◽  
Masato Kanzaki
Keyword(s):  
Robotic Surgery ◽  
Pulmonary Vein ◽  
Target Lesion ◽  
Field Of View ◽  
Robotic Arm ◽  
Easy Access ◽  
Port Placement ◽  
Mediastinal Tumors ◽  
Inferior Pulmonary Vein ◽  
Camera Port

For robotic surgery, in a field of view looking upwards, the target lesion to be operated on should lie between the camera port and the robot. The ports are placed at the bottom of the chest wall. If the tumor is located below the inferior pulmonary vein, it is necessary to devise alternative port placement and robot docking methods. In 4 patients who had lower middle mediastinal tumors, the “Pelvic” setting on the visual pad of the patient cart was used, which allows easy access for lower middle mediastinal manipulation and results in minimal issues with robotic arm collisions.

Port placement in robotic thoracic surgery for inferior mediastinal tumors

2021 ◽  
Author(s):  
Mariko Fukui ◽  
Yukio Watanabe ◽  
Takeshi Matsunaga ◽  
Hiroyasu Ueno ◽  
Aritoshi Hattori ◽  
...  
Keyword(s):  
Thoracic Surgery ◽  
Port Placement ◽  
Mediastinal Tumors

Augmented reality for port placement and navigation in robotically assisted minimally invasive cardiovascular surgery

2004 ◽  
Vol 1268 ◽  
pp. 735-740 ◽  
Author(s):  
J Traub ◽  
M Feuerstein ◽  
M Bauer ◽  
E.U Schirmbeck ◽  
H Najafi ◽  
...  
Keyword(s):  
Augmented Reality ◽  
Minimally Invasive ◽  
Cardiovascular Surgery ◽  
Port Placement

scholarly journals Navigating the Difficult Robotic Assisted Pyeloplasty

ISRN Urology ◽  
2012 ◽  
Vol 2012 ◽  
pp. 1-4 ◽  
Author(s):  
David D. Thiel
Keyword(s):  
Ureteropelvic Junction Obstruction ◽  
Patient Positioning ◽  
Ureteropelvic Junction ◽  
Laparoscopic Pyeloplasty ◽  
Successful Completion ◽  
Port Placement ◽  
Robotic Assisted ◽  
The Face ◽  
Difficult Situations ◽  
Repair Techniques

Pyeloplasty is the gold standard therapy for ureteropelvic junction obstruction. Robotic assisted pyeloplasty has been widely adopted by urologists with and without prior laparoscopic pyeloplasty experience. However, difficult situations encountered during robotic assisted pyeloplasty can significantly add to the difficulty of the operation. This paper provides tips for patient positioning, port placement, robot docking, and intraoperative dissection and repair in patients with the difficult situations of obesity, large floppy liver, difficult to reflect colon (transmesenteric pyeloplasty), crossing vessels, large calculi, and previous attempts at ureteropelvic junction repair. Techniques presented in this paper may aid in the successful completion of robotic assisted pyeloplasty in the face of the difficult situations noted above.

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