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Oberer Harntrakt

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Laparoskopische und roboterassistierte Chirurgie in der Urologie

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Zusammenfassung

In Rückenlage wird zunächst ein Harnröhrenkatheter eingelegt. Anschließend wird der Patient auf Anweisung des Anästhesisten in die Seitenlage gedreht. Der Urinbeutel wird entweder am Kopf- oder am Fußende des Operationstisches platziert, um die Diurese während der Operation überwachen zu können. Das obere Bein wird auf ein speziell geformtes Lagerungskissen oder auf Schaumgummi gelegt, sodass beide Beine voneinander getrennt und die Druckpunkte entlastet werden. Das untere Bein wird im Kniegelenk leicht abgewinkelt. Alle anderen Druckpunkte, einschließlich der Schultern und Hüften werden durch Schaumstoff- oder Gummimatten geschützt. Kopf und Nacken werden durch Kissen oder einen Gummiring unterstützt, damit sie in einer neutralen Position bleiben. Abhängig von der Matratze des Operationstisches kann eine zusätzliche Axillarrolle erforderlich sein (nicht im Bild dargestellt), um eine Plexus brachialis Verletzung zu vermeiden.

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Authors and Affiliations

  1. Klinik und Poliklinik für Urologie, Universitätsklinikum Leipzig, Leipzig, Liebigstraße 20, 04103, Germany

    Prof. Dr. med. Jens-Uwe Stolzenburg FRCS (Ed), FRCS (Eng)

  2. Department of Urology, St. Elizabeth’s Medical Center, Tufts University School of Medicine, 11 Nevins Street, Suite 501, 02135, MA, Boston, USA

    Prof. Ingolf A. Türk

  3. Department of Urology, University of Patras, School of Medicine, 26500, RIO Patras, Greece

    Prof. Evangelos N. Liatsikos

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  1. Prof. Dr. med. Jens-Uwe Stolzenburg FRCS (Ed), FRCS (Eng)
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  2. Prof. Ingolf A. Türk
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  3. Prof. Evangelos N. Liatsikos
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Stolzenburg, JU., Türk, I.A., Liatsikos, E.N. (2011). Oberer Harntrakt. In: Laparoskopische und roboterassistierte Chirurgie in der Urologie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-10379-7_1

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  • DOI: https://doi.org/10.1007/978-3-642-10379-7_1

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