Robotic Instrumentation and Operating Room Setup

  • Ty T. Higuchi
  • Matthew T. GettmanEmail author


Since the introduction of minimally invasive surgery in the 1980s, there have been countless advances in technology culminating in the development of the field of robotic-assisted surgery. The field of urology has been at the forefront of robotic-assisted surgery dating back to 1989 when the PROBOT was used to assist with transurethral resection of the prostate.1,2 Further devices were designed for transrectal ultrasound-guided prostate biopsy and percutaneous nephrolithotomy.3,4 In the early 1990s, several companies began to develop “master–slave systems,” where the surgeon controls the robotic instrument arms remotely from a console. The purpose of these systems was to eliminate physiologic tremor and to increase surgical dexterity and precision. Subsequent refinement in these systems led to the introduction of the da Vinci® Surgical System (Intuitive Surgical, Sunnyvale, CA). Since the first robotic-assisted prostatectomy in 2000 and subsequent Federal Drug Administration approval, the da Vinci® has been used in a vast array of urologic surgeries and surgical techniques have now been described for almost every genitourinary organ.5 A proper understanding of robotic instrumentation is pivotal to the implementation of a successful robotics program. This chapter will review fundamental principles of robotic instrumentation using the da Vinci® Surgical System, surgical team, operating room setup, and basic principles of robotic-assisted surgery.


Standard System Surgical System Master Controller Surgeon Console Electrosurgical Unit 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


da Vinci© S

da Vinci© streamlined

da Vinci© Si

da Vinci© streamline integrated


high definition


three dimensional


light-emitting diode


camera control units


  1. 1.
    Davies BL, et al. A surgeon robot prostatectomy – a laboratory evaluation. J Med Eng Technol. 1989;13(6):273–277.PubMedCrossRefGoogle Scholar
  2. 2.
    Davies BL, et al. The development of a surgeon robot for prostatectomies. Proc Inst Mech Eng H. 1991;205(1):35–38.PubMedGoogle Scholar
  3. 3.
    Dasgupta P, Rose K, Challacombe B. Equipment and technology in robotics. In: Smith JA, Tewari A, eds. Robotics in Urologic Surgery. Philadelphia, PA: Saunders Elsevier; 2008:3–9.CrossRefGoogle Scholar
  4. 4.
    Rovetta A, Sala R. Execution of robot-assisted biopsies within the clinical context. J Image Guid Surg. 1995;1(5):280–287.PubMedCrossRefGoogle Scholar
  5. 5.
    Challacombe BJ, et al. The history of robotics in urology. World J Urol. 2006;24(2):120–127.PubMedCrossRefGoogle Scholar
  6. 6.
    Bhandari A, Hemal A, Menon M. Instrumentation, sterilization, and preparation of robot. Indian J Urol. 2005;21(2):83–85.CrossRefGoogle Scholar
  7. 7.
    Narula VK, Melvin SM. Robotic surgical systems. In: Patel VR, ed. Robotic Urologic Surgery. London: Springer; 2007:5–14.CrossRefGoogle Scholar
  8. 8.
    Gettman MT, et al. Current status of robotics in urologic laparoscopy. Eur Urol. 2003;43(2):106–112.PubMedCrossRefGoogle Scholar
  9. 9.
    Su LM, Smith JA Jr. Laparoscopic and robotic-assisted laparoscopic radical prostatectomy and pelvic lymphadenectomy. In: Wein AJ, Kavoussi LR, Novick AC, Partin AW, Peters CA, eds. Campbell-Walsh Urology. Philadelphia, PA: Saunders Elsevier; 2007:2985–3005.Google Scholar
  10. 10.
    Gettman MT, Cadeddu JA. Robotics in urologic surgery. In: Graham SD, Gleen JF, Keane TE, eds. Glenn’s Urologic Surgery. Philadelphia, PA: Lippincott Williams & Wilkins; 2004:1027–1033.Google Scholar
  11. 11.
    Gettman MT, et al. Robotic-assisted laparoscopic partial nephrectomy: technique and initial clinical experience with da Vinci robotic system. Urology. 2004;64(5):914–918.PubMedCrossRefGoogle Scholar
  12. 12.
    Gettman MT, et al. Laparoscopic radical prostatectomy: description of the extraperitoneal approach using the da Vinci robotic system. J Urol. 2003;170(2 Pt 1):416–419.PubMedCrossRefGoogle Scholar
  13. 13.
    Joyce AD, Beerlage H, Janetscheck G. Urological laparoscopy for beginners. Eur Urol. 2000;38(3):365–373.PubMedCrossRefGoogle Scholar

Copyright information

© Springer London 2011

Authors and Affiliations

  1. 1.Department of UrologyMayo ClinicRochesterUSA
  2. 2.Department of UrologyMayo ClinicRochesterUSA

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