This anatomical plate, displayed in a slide format, was created after observing nephrouterectomy surgeries performed with the Da Vinci Xi at Johns Hopkins Hospital. During a nephrouterectomy, the kidney and attached ureter are removed down to the level of the bladder. Initial sketches were made during the surgery and refined after consultation with the attending surgeon.
Sketches
Patient placed in right modified plank position.
White line ofToldt incised from hepatic flexure to pelvic inlet.
Colonic contents medialized.
Peritoneum incised at Morison’s pouch.
Proximal ureter separated from gonadal vessels, clipped
Kidney and ureter freed from psoas fascia and IVC attachments
