2019 AMI Online Salon

Radical Robot-assisted Laparoscopic Cystoprostatectomy

Project Details

  • Company/Institution: Johns Hopkins School of Medicine
  • Entrant Name: Lohitha Kethu
  • Membership Type: Student Submission    
  • Address: Chicago, IL
  • Client: Cory Sandone
  • Medium/software used: Adobe Photoshop, Illustrator CC
  • Final presentation format: Powerpoint slide
  • Primary Audience: Surgical residents

Project Description

These Powerpoint slide images teach two vital steps of the radical robot-assisted laparoscopic cystoprostatectomy, where the prostate and bladder are removed due to bladder cancer. It is rarely performed through minimally invasive means so residents’ accurate visualization of anatomy is crucial to preserve sexual function. Instructional color and painterly textures were used to distinguish anatomy.

Viewing the pelvic bowl caudally through the abdominal cavity, with rectum inferior to bladder, figure 10 depicts left-hand attachments to the bladder divided and fascia covering the prostate dissected. A laparoscopic clip applicator places clips around neurovascular bundles in a nerve-sparing way. A robotic retractor retracts the bladder.

 Figure 12b shows the bladder reflected and retracted inferiorly by a robotic retractor, completed nerve-sparing, dorsal venous complex stapled, and puboprostatic ligaments cut. The urethra is incised with a robotic scissor to free both specimens.