Feasibility of Robotic-Assisted Laparoscopic Nephroureterectomy in Left Ventricular Assist Device Patient

Figure 2

Schematic drawing depicting placement of ports during robotic-assisted laparoscopic nephroureterectomy in relation to LVAD position. Port 1 : 12 mm robotic telescope port, port #2 : 8 mm robotic instrument port, Port 3 : 8 mm robotic instrument port, Port 4 : 12 mm surgical assistant port, Port 5 : 5 mm surgical assistant port used for liver retraction. Ports 2 and 3 were used for the right and left robot arms, respectively, during the nephrectomy part of the surgery. For the distal ureter and bladder cuff excision, the left robotic arm was repositioned to port 2 and the right robotic arm was repositioned to port 4.