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Robot-assisted Laparoscopic Prostatectomy
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==Equipment== *30 degree camera *Left hand: bipolar Maryland graspers *Right hand: monopolar scissors *4th arm: Prograsp fenestrated graspers *16F foley as intraoperative catheter *18F coude catheter as final catheter *Floseal x2 *Surgicel *Sutures **DVC ligation: <u>2-0 V lock on V-20/SH, ≈15cm/6 inches</u>, with loop at end (alternative: 2-0 V-lock on GS-21/CT and 2-0 Stratafix on SH needle) **Posterior urethral support: <u>3-0 V-lock on CV-23/RB1 and 3-0 monocryl on RB1</u> (alternative: 3-0 monocryl “double-arm suture” on RB1, one dyed, other not dyed 23cm) ***<u>Each cut to ≈18cm/7 inches and tied to each other at tails</u> **Vesicourethral anastomosis: <u>two 3-0 V lock sutures on CV-23/RB1, each ≈15cm/6 inches, with tails looped and secured together</u> (alternative: 3-0 double-arm Stratafix suture on RB1 needle) *Closing **0 Vicryl on UR6 x 2 **4-0 monocryl on PS-Z ** 0 silk for drain *Rescue stitches **Reduce bladder neck: 2-0 Vicryl on SH needle, cut to 15-20cm **Vascular injury: 4-0 Prolene on RB1, cut to 10cm *Specimen Retrieval Pouch **Endo Catch™ Gold device 10 mm ***Volume 220mL *Jackson-Pratt drain
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