Patient Positioning for Robotic Pelvic Surgery



Proper patient positioning is one of the first step to avoid perioperative complications during surgery. This appears of pivotal importance especially during robotic assisted surgical procedures since the bulky robotic system requires not only “constrained positioning” of the patient in order to allow the robotic docking, but it also hides the patient to potential checks during the procedure itself. Herein we describe in details the technique of patient positioning and side docking of the robotic arm system routinely employed in our Institution for all cases of robotic pelvic surgery, including radical prostatectomy, radical cystectomy, urogynecological procedures, ureteric reimplantation. Since its introduction we did not experienced any patient positioning related complications and in all cases it was possible to complete the programmed robotic assisted surgical procedure without the need of changing patient position or the robotic docking.


Patient positioning Robotic pelvic surgery 


  1. 1.
    Davis JW, Kreaden US, Gabbert J, Thomas R. Learning curve assessment of robot-assisted radical prostatectomy compared with open-surgery controls from the premier perspective database. J Endourol. 2014;28(5):560–6.CrossRefPubMedPubMedCentralGoogle Scholar
  2. 2.
    Gollapalli L, Papapetrou P, Gupta D, Fuleihan SF. Post-operative alopecia after robotic surgery in steep Trendelenburg position: a restated observation of pressure alopecia. Middle East J Anaesthesiol. 2013;22(3):343–5.PubMedGoogle Scholar
  3. 3.
    Kan KM, Brown SE, Gainsburg DM. Ocular complications in robotic-assisted prostatectomy: a review of pathophysiology and prevention. Minerva Anestesiol. 2015;81(5):557–66.PubMedGoogle Scholar
  4. 4.
    Mattei A, Di Pierro GB, Rafeld V, Konrad C, Beutler J, Danuser H. Positioning injury, rhabdomyolysis, and serum creatine kinase-concentration course in patients undergoing robot-assisted radical prostatectomy and extended pelvic lymph node dissection. J Endourol. 2013;27(1):45–51.CrossRefPubMedGoogle Scholar
  5. 5.
    Mills JT, Burris MB, Warburton DJ, Conaway MR, Schenkman NS, Krupski TL. Positioning injuries associated with robotic assisted urological surgery. J Urol. 2013;190(2):580–4.CrossRefPubMedGoogle Scholar
  6. 6.
    Pridgeon S, Bishop CV, Adshead J. Lower limb compartment syndrome as a complication of robot-assisted radical prostatectomy: the UK experience. BJU Int. 2013;112(4):485–8.CrossRefPubMedGoogle Scholar

Copyright information

© Springer-Verlag London 2017

Authors and Affiliations

  • Andrea Cestari
    • 1
  • Francesco Sozzi
    • 1
  • Matteo Ferrari
    • 1
  1. 1.Department of UrologyAdvanced Urotechnology Center, Polo Chirurgico Capitanio Scientific Institute “Istituto Auxologico Italiano”MilanItaly

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