Stephan Spitzer Atelier für Medizinische Illustration

Galerie

Slide shows

	Intertrochantere Osteotomie
	Correction of Cystocele
	Ureteric Reimplantation
	Anastomotic Urethroplasty (AU)
	Pyeloplasty (Anderson-Hynes)
	Tissue repair for Inguinal Hernia
	Antireflux surgery (Lich-Gregoir)

	Holmium Laser Enucleation
	Transvesical Diverticulectomy
	Robotic Partial Nephrectomy
	TU-Resection of Bladder Tumours
	Laparoscopic Donor Nephrectomy
	Female robot. radical Cystectomy
	Robot-assisted Prostatectomy

	Differenziertes Krafttraining
	Blum: Kinesiologische Analyse
	Unterkiefer
	Ren mobilis (Die Wanderniere)

Schriftliches

Title	Robot-assisted laparoscopic nerve-sparing prostatectomy
Technique	Pencil / Watercolour / Computer
Author	Gillitzer/Thueroff et al., University Medical Center Mainz
Publication	British Journal of Urology International (BJUI)
Publisher	Blackwell-Wiley Publishing 2009

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Figure 1	a) Specific Patient positioning b) Surgical team
Figure 2	Port placement
Figure 3	The bladder is mobilized from the anterior abdominal wall
Figure 4	The visceral layer of the endopelvic fascia is superficially incised
Figure 5	The levator muscle and the puboperinealis muscle are dissected and swept laterally
Figure 6	The tissue overlying the urethra is transected while the assistant pushes the prostate down
Figure 7	The dorsal vein complex is oversewn
Figure 8	The periprostatic fascia is bluntly and sharply dissected from the prostatic capsule
Figure 9	Dissection of the bladder neck can be started
Figure 10	The ventral circumference of the bladder neck has been devided, The Foley catheter is deflated
Figure 11	The tip of the catheter is pulled ventrally, opening of the retrotrigonal space
Figure 12	The fourth roboter arm elevates the vas deferens
Figure 13	The vasa have been clipped and transected. Dissection of the seminal vessels
Figure 14	Clipping and transecting of the vessels between the lobes of the seminal vesicles
Figure 15	Denonvilliers' fascia is cut transversally
Figure 16	Separation of periprostatic fascia with the NVBs
Figure 17	Management of the prostatic pedicles
Figure 18	Dissection towards the apex of the prostata
Figure 19	Ventral circumference of the urethra is incised
Figure 20	The rectourethralis muscle is readapted to the transected retrotrigonal muscle layer
Figure 21	The vesicourethral anastomosis is completed

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