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This video describes how to perform robotic low anterior resection with total mesorectal excision (TME) and preservation of the pelvic autonomic nervous system based on detailed knowledge of surgical anatomy. All essential components of this robotic procedure for the treatment of rectal cancer are clearly explained. After description of the surgical anatomy, patient preparation is outlined and all steps in the procedure are presented, including medial dissection, high or low ligation of the inferior mesenteric vessels, lateral dissection, mobilization of the splenic flexure, TME with autonomic nerve preservation, and anastomosis. The video will assist in the minimally invasive, safe performance of complete TME and in the achievement of optimal oncologic and functional outcomes.

This video describes minimally invasive techniques for intersphincteric resection with lymph node dissection in patients with low rectal cancer. The progress in safe application of preoperative chemoradiation for distal rectal cancer has led to improved local control and an increase in the rate of anal sphincter preservation. The video first introduces the surgical anatomy of the internal and external anal sphincter and explains the indications for the minimally invasive approach in selected patients. Transabdominal and transanal procedures are then described step by step with the aim of enabling surgeons to achieve optimal functional and oncologic outcomes.

This video is a guide to minimally invasive partial excision of the levator ani muscle (PELM) with coloanal anastomosis in patients with low rectal cancer in whom there is unilateral involvement of the levator ani. In the past, rectal cancer with invasion of the levator muscle represented an indication for abdominoperineal resection with permanent colostomy. With recent advances in understanding of the anatomy of the anorectum and pelvic floor, however, it has become possible to preserve the anal sphincter in cases of ipsilateral levator ani involvement. The video explains the relevant surgical anatomy and shows how to perform minimally invasive PELM, describing transabdominal and perineal procedures step by step. In addition, functional and oncologic outcomes are presented, based on the author's personal experiences. It is anticipated that this novel technique will become one surgical treatment option among the various anal sphincter-saving procedures.

Neck dissections have been performed for more than a century and are considered an essential part of the treatment for most head and neck cancer patients. However, the traditional technique is associated with significant functional impairments. In the last 30 years, although several modifications have been introduced aiming to reduce morbidity, the procedure is still performed through large incisions in visible areas of the neck, and the aesthetic results are not satisfactory, especially for young patients with oropharynx and thyroid cancer. Head and neck oncologic surgery has progressed remarkably with the development of minimally invasive surgical procedures, which have led to significant improvements in patient satisfaction and quality of life, targeting functional and aesthetic objectives without compromising oncological results. Among these advances, endoscopic and robotic procedures have been incorporated by many centers around the world. In addition to the well-established use of transoral robotic surgery for oropharyngeal and laryngeal carcinomas, the use of the DaVinci robotic system has promoted the development of several remote surgical approaches to the neck, including the retroauricular/facelift approach for thyroidectomy, neck dissection and salivary gland resection. This alternative access was described by Korean authors (Koh and Choi) and its application initially spread in Asia, especially in South Korea. However, in recent years, other centers around the globe, including Brazil, India, Germany and USA, have been performing robotic neck dissection and exploring its safety, feasibility and outcomes. In selected cases, these surgical techniques eliminate the need for large visible neck incisions and provide superior functional and aesthetic results, and they are associated with acceptable costs and similar complication rates and oncologic outcomes compared to traditional procedures. The authors introduced the method in South America, and they have reported the initial results in the medical literature. This video focuses on the techniques and early outcomes (functional and oncologic) of robotic neck dissection.

Abdominal Sacrocolpopexy (ASC) involves the placement of a bridge of graft material to attach the prolapsed vagina to anterior longitudinal ligament of sacrum. Candidates for Abdominal Sacrocolpopexy (ASC) include women with symptomatic stage II or greater prolapse including apical Relaxation. The durability of sacrocolpopexy and its potential benefits for sexual function (preservation of vaginal length and axis and lower rate of dyspareunia) make this procedure a good option for even primary repair in relatively young, sexually active women. This video gives a comprehensive overview of understanding the concept, selection of patient, preoperative preparation including positioning and placement of ports and detailed operative technique with clear demonstration of surgical anatomy and tips to avoid technical nuances and potential complications. In addition, given the high definition picture, magnified image, and limited movement secondary to human manipulation, the robotic approach provides an excellent opportunity to film and educate on the steps and anatomy crucial to this procedure. Same steps can be replicated in open or laparoscopic approach, as per surgeon expertise.

This video describes how to perform robot-assisted radical cystectomy (RARC) and intracorporeal neobladder formation in female patients with muscle-invasive bladder cancer. Use of this state of the art technique has been expanding rapidly, but it continues to be performed primarily by surgeons in tertiary referral centers. The aim of the video is accordingly to increase familiarity with the procedure on the basis of the lead author's extensive experience. The surgical techniques in females and males are not identical owing to differences with regard to both the anatomy of the pelvis and the reproductive organs that may be removed during the procedure. While this video focuses exclusively on RARC in females, a companion video describes RARC in males; both videos are subdivided into organ-preserving and non-organ-preserving RARC. As regards urinary diversion, the intracorporeal Studer-type neobladder technique is introduced.

This video describes how to perform robot-assisted radical cystectomy (RARC) and intracorporeal neobladder formation in male patients with muscle-invasive bladder cancer. Use of this state of the art technique has been expanding rapidly, but it continues to be performed primarily by surgeons in tertiary referral centers. The aim of the video is accordingly to increase familiarity with the procedure on the basis of the lead author's extensive experience. The surgical techniques in males and females are not identical owing to differences with regard to both the anatomy of the pelvis and the reproductive organs that may be removed during the procedure. While this video focuses exclusively on RARC in males, a companion video describes RARC in females; both videos are subdivided into organ-preserving and non-organ-preserving RARC. As regards urinary diversion, the intracorporeal Studer-type neobladder technique is introduced.

The SAGES Manual of Robotic Surgery is designed to present a comprehensive approach to various applications of surgicaltechniques and procedures currently performed with the robotic surgical platform.The Manual also aligns with the new SAGES UNIVERSITY MASTERS Program.

The presented video shows the basic steps of robotic vesicoscopic reimplantation. The procedure is done for primary vesico-ureteric reflux in children. This is a congenital condition and is the most common cause of urinary tract infection in children. The video is aimed at Pediatric laparoscopic surgeon, Pediatric urologist and Urologist with pediatric practice. The viewer will be able to see the basic steps of the procedure with methods of establishing pneumovesicum and placing the vesicosocpic ports along with docking of the robot. The video also shows some comparison between the laparoscopic methodology and the same thing being done robotically.