The ‘scrubbed surgeon’ in robotic surgery

One of the principal reasons for the rapid progress of robotic surgery has been its advantage in allowing laparoscopy naïve surgeons to offer minimal access surgery to their patients. While this may continue to be an advantage of this modality, it has to be remembered that this has often been possible primarily due to the availability of an assistant who has at least basic laparoscopy skills that permit the performance of critical patient side tasks. We review the literature on the role of the assistant or the ‘scrubbed surgeon’ in robotic surgery and discuss the advantages of a properly trained assistant in a developing and established robotic surgery program.

[1]  Akshay Bhandari,et al.  Vattikuti Institute prostatectomy, a technique of robotic radical prostatectomy for management of localized carcinoma of the prostate: experience of over 1100 cases. , 2004, The Urologic clinics of North America.

[2]  Ashutosh Tewari,et al.  Robotic radical cystectomy and urinary diversion in the management of bladder cancer. , 2004, The Urologic clinics of North America.

[3]  A. Hoznek,et al.  Complete solo laparoscopic radical prostatectomy: initial experience. , 2003, Urology.

[4]  Chandru P Sundaram,et al.  Utility of the fourth arm to facilitate robot‐assisted laparoscopic radical prostatectomy , 2005, BJU international.

[5]  T. Ahlering,et al.  Successful transfer of open surgical skills to a laparoscopic environment using a robotic interface: initial experience with laparoscopic radical prostatectomy. , 2003, The Journal of urology.

[6]  Adrian Lobontiu,et al.  Laparoscopic radical prostatectomy: description of the extraperitoneal approach using the da Vinci robotic system. , 2003, The Journal of urology.

[7]  T. Ahlering,et al.  Robotic laparoscopic radical prostatectomy with a single assistant. , 2004, Urology.

[8]  Ashutosh Tewari,et al.  Technique of da Vinci robot-assisted anatomic radical prostatectomy. , 2002, Urology.

[9]  Michael P Esposito,et al.  Use of fourth arm in da Vinci robot-assisted extraperitoneal laparoscopic prostatectomy: novel technique. , 2006, Urology.

[10]  Ashutosh Tewari,et al.  Vattikuti Institute prostatectomy: technique. , 2003, The Journal of urology.

[11]  Ashutosh Tewari,et al.  Laparoscopic and robot assisted radical prostatectomy: establishment of a structured program and preliminary analysis of outcomes. , 2002, The Journal of urology.

[12]  A W Partin,et al.  Comparison of robotic versus human laparoscopic camera control . , 1995, The Journal of urology.

[13]  Ashutosh Tewari,et al.  Nuances in the optimum placement of ports in pelvic and upper urinary tract surgery using the da Vinci robot. , 2004, Urologic clinics of North America.

[14]  T Frede,et al.  Transperitoneal laparoscopic radical prostatectomy: ascending technique. , 2004, Journal of endourology.

[15]  Fatih Atug,et al.  Robotic assisted laparoscopic pyeloplasty in children. , 2005, The Journal of urology.

[16]  G Vallancien,et al.  Laparoscopic radical prostatectomy: oncological evaluation after 1,000 cases a Montsouris Institute. , 2003, The Journal of urology.