Richard Link @RoboDocX Twitter profile

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Richard Link

@RoboDocX

2 years

Ok bold robotic surgeons. Fortune favors the prepared. While operating on an accessory renal vessel at its origin on the aorta with lymphadenopathy you see this. What’s your next move? How do you prepare in advance to handle this should it occur? @bcm_urology

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Richard Link

@RoboDocX

1 year

Single site removal of long term encrusted retained stent with 11 cm bladder stone, staghorn calculus and encased ureteral component using da Vinci SP. Simultaneous flexible ureteroscopy to confirm ureter clear of residual stone. Quite satisfying.

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Richard Link

@RoboDocX

3 years

Ok first year medical students. What’s wrong with this picture? Hint: it’s a rare cause of ureteral obstruction. #urologicimaging #ctquiz

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Richard Link

@RoboDocX

2 years

42 year old man with new onset right flank pain. No stones. What is this structure in the right hemiscrotal compartment and what is your next move? @bcm_urology

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Richard Link

@RoboDocX

5 months

Extraction of large ADPKD kidneys after lap Nx can be challenging but not nearly as challenging as you might think. Lower midline & connect two port sites. No bag for these. Incision size related to short axis of kidneys. Assistant with smaller hands a plus (2 handed job).

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Richard Link

@RoboDocX

1 year

Eroded IPP reservoir in bladder with large defect in lateral bladder wall. Assisted 1° team - removing and repairing transvesically via a very small anterior cystotomy with da Vinci SP. Nice to have transvesical SP option for managing these unusual things when they come up.

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Richard Link

@RoboDocX

1 year

Robotic living donor nephrectomy (left side) from horseshoe kidney donor with transection of isthmus. Two arteries including lower pole artery arising from IMA. Isthmus compressed on stay side using clip approach from partial nx. Warm ischemia 4 min, home POD #1 . #robomigos

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Richard Link

@RoboDocX

2 years

Excellent. Herniation of the ureter into an inguinal hernia is a relatively rare cause of ureteral obstruction. Can be an unpleasant surprise for a general surgeon performing repair and may be injured during that procedure.

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Richard Link

@RoboDocX

2 years

In this case, preparation allowed us to grasp the bleeding point prior to camera clean and control active hemorrhage. Clean the camera efficiently and revisualize. Finish repair with proline and lapra-ty. <200 cc ebl. Be prepared. Not too many real surprises in surgery.

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Richard Link

@RoboDocX

1 year

Robotic transvesical simple prostatectomy (SP) for mere mortals #6 : Connect foley to a suction line - a versatile way to keep the field clean during the 360 reconstruction. Plus it makes your bedside assistant feel needed and valued…. A council tip catheter is best for this.

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Richard Link

@RoboDocX

11 months

A 5 mm assist port can be very helpful during #SP transvesical simple prostatectomy for suction/retraction. Generally, we don't close this after removal (think sp tube). However, if you prefer to close the small defect, it's simple to do so from within the bladder.

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Richard Link

@RoboDocX

2 years

Retrocaval ureter is an uncommon cause of ureteral obstruction/flank pain, easily corrected using minimally invasive techniques with low morbidity. Given the congenital anomaly, why some patients present later in life remains a bit of a mystery! @bcm_urology @StLukesHealthMD

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Richard Link

@RoboDocX

1 year

Really starting to relish transvesical simple prostatectomy with SP. No resection defect to heal and direct bladder access. >300g gland, complete resection with 360 anastamosis, no CBI and clear urine postop day zero. How far this procedure has come in such a short time.

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Richard Link

@RoboDocX

1 year

Let's talk strategy! 65 year old male with retained ureteral stent > 5 years. Complete staghorn (only partially shown), encrusted ureteral stent and 8 cm bladder stone. Kidney 25% by mag3. Patient wants to try to rehabilitate this kidney. What's next in your algorithm?

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Richard Link

@RoboDocX

1 year

When you know it’s going to be an interesting day. Single artery clamped proximally for posterior 4.5 cm upper pole tumor abutting hilum. Tumor extends to medulla. Here’s the firefly result after clamp and IC-green. Next move? #robomigos #whenonlythetumorlightsup

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Richard Link

@RoboDocX

5 months

Bilateral native nephrectomies for ADPKD. One case where I personally find the “old fashioned” multiport transperitoneal lap approach superior to robotic. Nice to have options to taylor to each circumstance.

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Richard Link

@RoboDocX

2 years

Big week for @bcm_urology and our amazing team at @StLukesHealthTX rolling out Davinci SP technology for our patients. 3 complex ureteral reconstructions and a 6 cm kidney tumor resection. Great start and the future is bright!

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Richard Link

@RoboDocX

2 years

Straightforward resection of a tongue of tumor extending into the collecting system during a robotic heminephrectomy. I remember the days doing this pure laparoscopically. It's amazing the advances that we take for granted every day in our field. @bcm_urology @StLukesHealthMD

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Richard Link

@RoboDocX

1 year

Happy to have arrived in Istanbul in preparation for the upcoming @SIU_urology meeting. Such a stunning and vibrant city! Looking forward to meeting new (and old) friends and talking about robotics/MIS and the SP journey.

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Richard Link

@RoboDocX

2 years

Anticipation of micro events that can lead to this situation is critical. Patient selection - recognize a high risk situation in advance. Is it within your skill set or do you need more experienced help? Good communication before and during the event with team members. Calm!

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Richard Link

@RoboDocX

4 months

Great privilege today assisting outstanding surgeons @KarelDecaestec1 & Peter DeKuyper at @AZMMGent for the first #SP cases in Belgium. 3 low anterior retro kidney cases. Amazing start and the sky is the limit with this team!

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Richard Link

@RoboDocX

1 year

All robotic partial Nx cases and all billed with the same code. Yes I know there is the -22 modifier but does this really make sense? I mean we bill >2 cm stones differently than <2 cm with PCNL. These are really different scales of operation requiring different skills. Rational?

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Richard Link

@RoboDocX

6 months

Transvesical simple prostatectomy with #SP 4 months following a prostatic artery embolization (PAE) that did not improve patient's symptoms. 190 g prostate and now in retention. Other than slightly adherent posterior plane, no notable difficulties with procedure following PAE.👍

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Richard Link

@RoboDocX

6 months

Sometimes nature can be unexpectedly surprising and beautiful. A bladder stone in the shape of a perfect cube during a transvesical case.

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Richard Link

@RoboDocX

1 year

Transvesical SP simple prostatectomy for mere mortals #4 : Camera below. Approaching the adenoma dissection from the posterior plane eases exposure. Camera below allows 🐍 upward toward the direction of dissection. More effective than a 30 deg up lens on Xi? I think so!

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Richard Link

@RoboDocX

2 years

History of ruptured appendix removed through large midline incision with ureteral resection. 7.8cm gap on superimposed antegrade/retrograde. Boari flap reconstruction using a single 3 cm incision with Davinci SP. Empowering technology! @bcm_urology @CHITexas @StLukesHealthTX

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Richard Link

@RoboDocX

3 months

Outstanding day yesterday working with @JeremySlawin and team ( @JennaBatesMD @Areddy408 ) on their first low anterior retro kidney #SP cases at the Houston VA. Successful launch of another outstanding #SP kidney program!

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Richard Link

@RoboDocX

1 year

The core team is geared up for the 96 hour, 7 hospital + trauma holiday weekend call fest. Phone charged. Milk bones stocked. Vulnerable family members sent out of the toxic zone to visit relatives. 👍🏼 #gotime

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Richard Link

@RoboDocX

1 year

SP retro partials for hilar tumors. Everything you need and nothing you don’t…..

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Richard Link

@RoboDocX

1 year

Houston #roboamigos head to Germany for some surgical teaching, meeting old friends and cultural exchange. We have Tx barbecue sauce in the luggage…Hopefully after this flight I can convince W Mayer to try Twitter. I’m not holding my breath….

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Richard Link

@RoboDocX

1 year

Transitioning from Xi multiport to SP partial nx? You can walk before you run. 3.4 cm endophytic tumor: single periumbilical incision using gelpoint with sidecar. Assistant lap application of bulldog, clips, suction. Low stress early in learning curve & bonus cosmetic result!

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Richard Link

@RoboDocX

1 year

Very appreciative of the award - means the most to those of us who love teaching. Witnessing our trainees grow into their full powers is one of the most satisfying aspects of academic urology. Couldn’t be more thrilled to be named by such an outstanding core of chiefs residents!

Jennifer Taylor, MD

@LonestarUroDoc

1 year

👏👏👏 @RoboDocX for the Faculty Teaching Award Tremendous mentor and surgeon-educator!!

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Richard Link

@RoboDocX

1 year

SP retro for mortals #1 : When starting from low anterior (SARA/SPAM) don't fall into the trap of aligning your boom arm pointing at the ipsilateral shoulder. Point toward the contralateral mid clavicular line. This will take you swiftly to the psoas, the ureter and the hilum.

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Richard Link

@RoboDocX

1 year

SP and Xi both play roles within the current ecosystem of robotic surgery in a patient & surgeon specific manner. 11cm tumor broadly interfacing the renal sinus with CKD. Space and speed of Xi MP trans partial Nx advantageous here. Use the tool best suited to the task!

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Richard Link

@RoboDocX

1 year

Had to travel to India to learn BPH pearls from my Houston neighbor and International Man of Mystery @RRGonzalezMD . Thoughtful and insightful presentation as always.

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Richard Link

@RoboDocX

8 months

Transvesical simple prostatectomy with #SP after kidney transplant? No problem. This shows the final reconstruction and stent in transplant ureter (there for other reasons). Can be helpful to target your incision under flex cysto guidance to assure protection of orifice at dome.

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Richard Link

@RoboDocX

8 months

It was a great privilege to watch Dr Peter Scardino, a giant in our field, speak on prostate cancer today as the Hamill Visiting Professor at @HMethodistUro . He was a big part of why I started my urology journey at @bcm_urology in the late 1990s.

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Richard Link

@RoboDocX

1 year

Imagine a conference where the slides never got stuck, the videos always played, the zoom links were seamless and the food was top notch… Kudos to @MCIIndiaLive and @AmerUrological for knocking it out of the park at the Best of AUA Mumbai 2023. It was a pleasure to participate.

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Richard Link

@RoboDocX

1 year

Suspect 2+ year fellowships that mandate research time are less attractive to a growing proportion of trainees who are looking outside academics. Can we teach disease-focused multidisciplinary oncology care effectively without assuming everyone wants to be an academic? Should we?

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Richard Link

@RoboDocX

1 year

I love simple prostatectomy for large prostates. The tenaculum is literally my favorite instrument! However have moved to doing the overwhelming majority of them transvesical with SP and no tenaculum 🥲. No size cutoff as the procedure is basically size independent. 👍🏼

𝙍𝙞𝙘𝙘𝙖𝙧𝙙𝙤 𝘽𝙚𝙧𝙩𝙤𝙡𝙤 MD PhD

@RicBertolo

1 year

#Robotic simple #prostatectomy (Millin #technique ). •How often do you consider it for #large prostates/ #BPH ? If this is the case, which is your PVol cut-off/indication? •Do you believe that the #tenaculum robotic #forceps substantially help? ▶️ the 🎥 below 👇🏼

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Richard Link

@RoboDocX

3 months

Take advantage of the “triangle” during robotic partial nx = three effectors working near simultaneously during resection. Two deep endophytic tumors. Easier with #SP as three arms in close proximity but feasible with Xi if 3rd arm not tied up retracting or with assist suction.

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Richard Link

@RoboDocX

1 year

SP retro for mere mortals #2 : Don't lock yourself into selecting either flank OR a low anterior incision. Position is flexible/adjustable to circumstance provided you stay retro. I prefer a more lateral incision making retro access much easier. Take advantage of Sp versatility.

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Richard Link

@RoboDocX

2 years

Minimally invasive nephrectomy for symptomatic ADPKD is safe & effective for controlling symptoms and may recapture space for transplantation. I prefer to tackle this magic trick laparoscopically rather than robotically. How about you? @bcm_urology @StLukesHealthMD 40 cm kidney!

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Richard Link

@RoboDocX

3 years

@beschur @bcm_urology Sure Ben. Kind of gives it away though….

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Richard Link

@RoboDocX

4 months

#SP - empowering technology for complex procedures through minimal access. Single site incision hidden within the umbilicus to perform tapered and tunneled ureteroneocystostomy for congenital megaureter. Supine patient, no Trendelenburg, ultimately no visible scar. Can recommend!

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Richard Link

@RoboDocX

2 years

Vascular surgeons: I’ve worked with some great ones - many who were tech endovasc wizards. But few had any comfort with robotic surgery. Involving them electively or urgently always meant open surgery. Why? No applications in vascular? Lack of training exposure? Is this changing?

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Richard Link

@RoboDocX

10 months

Vibrant hands on session on #SP partial Nx at @SocietySURS / @Endo_Society hosted by @aghazimd and his amazing kidney models. Can I be faulted if I kept an ear open to glean surgical pearls from @SimoneCrivella2 myself at the adjacent station?

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Richard Link

@RoboDocX

1 year

Referred for obstructing 2.5 cm proximal ureteral stone with 4 cm total stone burden. Referring urologist unable to access stone ureteroscopically due to ureteral tortuosity or pass wire beyond to stent. Bmi 65 with skin to stone distance 20+ cm. Next move?

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Richard Link

@RoboDocX

5 months

Just a small 15 - 20 cm percutaneous stone problem in an Indiana Pouch….. @bsc_urology #trilogy for the win here. Impressed with the speed of fragmentation and evacuation of very large stones. Just needs a bigger stone cup…

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Richard Link

@RoboDocX

4 months

Highly asymmetrical 200g prostate before and after outpatient STEP procedure (single port transvesical enucleation of the prostate). The variety in bph morphology across cases is truly striking from this antegrade perspective.

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Richard Link

@RoboDocX

2 years

Herniated ureters can often be reduced acutely in the cystoscopy suite using stiff wires and a stent. This relieves obstruction and potentially eases the hernia surgery and protects the ureter.

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Richard Link

@RoboDocX

2 years

Every decade kidney surgeons look toward the sky as a new technology burns brightly and threatens to crash down and alter their way of life. Open surgeons felt it in the early 2000s with laparoscopy and laparoscopists in the 2010s with robotics. What about SP surgery today?

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Richard Link

@RoboDocX

1 year

Pleasure speaking about robotic proximal ureteral reconstruction at #scsaua 2023. Looking back fondly to those days 15 years ago helping @JStuartWolf make chicken skin UPJ models to teach laparoscopic pyeloplasty for the @AmerUrological .

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Richard Link

@RoboDocX

5 months

Not a bad tumor location but approaching 7x7cm. GFR 30-40. Despite my infatuation with low anterior access #SP for retro partial nx, this one I’d prefer multiport retro. In my hands, slightly shorter warm ischemia and easier to manipulate large tumor in larger space. Disagree?

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Richard Link

@RoboDocX

5 months

Fascinating session on da Vinci reconstruction in a packed house at the AUA Robotic Theater. Shout out to a masterful panel and @mdstifelman and @CraigRogersMD for organizing.

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Richard Link

@RoboDocX

1 year

Posterior hilar tumor abutting renal vein, segmental artery and displacing the proximal ureter/renal pelvis. I think the anterior retroperitoneal approach with SP would be advantageous here as it gives a beautiful view of the posterior hilum along the ureter axis. How about you?

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Richard Link

@RoboDocX

11 months

A short video to highlight how versatile the #SP can be for dissecting out a transplant ureter and renal pelvis for minimally invasive reconstruction. Curved incision within the umbilicus essentially invisible. Empowering technology!

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Richard Link

@RoboDocX

1 year

Great people, old friends and the same vascular anatomy but….all the robot controls are in German…. #roboamigos

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Richard Link

@RoboDocX

1 year

Fantastic stopover in Delhi and Agra arranged by @WeAreMCI with super-guide Umesh Mall. Now en route to Mumbai for the Best of AUA program from @AmerUrological . Robotics, SP, stones, recon and more. Honored to be included in the program with superb US-based and local faculty.

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Richard Link

@RoboDocX

1 year

Transvesical SP simple prostatectomy for mere mortals #1 . Consider starting with a separate 5 mm transvesical port early in your learning curve. Don’t close. Reliable suction and retraction like your Xi cases = low stress. Rosi less reliable in transvesical cases IMHO.

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Richard Link

@RoboDocX

1 year

2 open conversions SP retro cases in 2023. Haven’t converted in > 10 yr prior. Hard envelope pushing -> good intentions toward improving outcomes. How do surgeons debrief after unanticipated events and derive maximal learning benefit for themselves and team? How do you do it?

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Richard Link

@RoboDocX

1 year

Our residents learning the magic of robotic upper tract reconstruction from Wolf visiting professor @mdstifelman . Innovative, practical and great for our patients. @bcm_urology @BCM_UroRes

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Richard Link

@RoboDocX

7 months

Inspiring session at Young NARUS on robotic nephron sparing surgery spearheaded by @LauraBukavinaMD @ASanchez_UroOnc @NazihKhaterMD @RoboUro . It was a privilege to participate.

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Richard Link

@RoboDocX

1 year

I hope you will join @mdstifelman and I on Tuesday Sept 26 for this engaging webinar. Why should you consider adding da Vinci SP to your armamentarium? How might it transform your practice and help your patients? How to streamline your learning curve?

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Richard Link

@RoboDocX

10 months

Ok robotic #SP sleuths.🕵️ You are doing a low anterior access on the right side. You are dissecting in the wrong place!😱 Four easy clues in this clip should tip you off. What are clues #1 - #4 and where are you? 😀

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Richard Link

@RoboDocX

1 year

@drjkaouk demonstrating transvesical simple prostatectomy with the da Vinci SP to a full house at #SIU2023Istanbul . Looking forward to more discussion of SP advances during our shared session tomorrow. @SIU_urology

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Richard Link

@RoboDocX

1 year

Retroperitoneoscopic partial Nx has become our go-to for most cases with SP. But a transperitoneal procedure via periumbilical incision gives nice cosmetic result for patient subset where this is a priority. Sidecar w/ gel point allows assistant to place bulldogs, suction, etc.

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Richard Link

@RoboDocX

1 year

Atrophic pelvic horseshoe kidney with stone inaccessible to RIRS or PCNL and recurrent UTIs. Pure retroperitoneal MP SARA access with nephrolithotomy. SP robot down but converted pure SARA to Xi SARA+2 with 30 deg up and gelpoint. Total OR time after dock < 60 min. #robomigos

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Richard Link

@RoboDocX

1 year

Such a great time sharing SP experiences with the Chicago Urology Robotics Roundtable. Making new #robomigos and lots of fruitful discussion. Satisfying to feel the rising tide of this community lifting all boats together.

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Richard Link

@RoboDocX

8 months

Testing the Nebulae I from @NTIsurgical - an Airseal alternative for #SP and #XI robotic cases. Intriguing device that splits sensing, insufflation and smoke evac into separate lines and decreases nitrogen scavenging. Lots of flexibility to play with here and 1/2 the cost. 👍🏼

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Richard Link

@RoboDocX

3 years

Privileged to present our work on papillary renal cell carcinoma models at #kcrs2021 @kidneycan in Philadelphia. What a vibrant, engaging and welcoming experience. @bcm_urology

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Richard Link

@RoboDocX

2 years

@AdamRMetwalli @bcm_urology Absolutely @AdamRMetwalli . The meta message is “keep your wits about you and act in a directed thoughtful manner - don’t just react without strategy.” Also prepositioning gauze nearby when you anticipate a potential problem can help you get gross pressure on the site quickly.

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Richard Link

@RoboDocX

4 months

Wow! @moeltemamy what a tour de force of minimally invasive surgery and a marvelous video. Love to see the envelope being pushed so successfully.

Mohamed Eltemamy

@moeltemamy

4 months

Robotic DUAL kidney transplantation. Left kidney had 2 arteries. Operative time 4h30m. @amjtransplant @ASTSChimera @CleClinicUro #Robotics #Transplant #kidneytransplant #kidney #MedTwitter

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Richard Link

@RoboDocX

1 year

Superb complications course at #AUA2023 with rapid fire video clips and resolutions. Nightmare fuel but you will never see such a variety of events and open discussion in such a short time investment. IMHO robotic surgeons and trainees of any level would benefit. 💪🏼

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Richard Link

@RoboDocX

2 years

Before/after robotic simple prostatectomy with reconstruction. I prefer to start at 12 o’clock and run to 6 for best view for closure but this step can be the most challenging to teach. Who has an easier way to get the same quality of result? @bcm_urology

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Richard Link

@RoboDocX

1 year

Transplant kidney - obstructed proximal ureter. 5 failed attempts by others to reconstruct. Pcn dependent since 2008. Right native ureter intact but no pelvis and everything behind vessels. No dilated lower pole calyx for ureterocalicostomy. Any options? @lee_c_zhao @mdstifelman

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Richard Link

@RoboDocX

7 months

Going to be an incredible hands on course @ #AUA24 for those seeking to add #SP to their armamentarium. Launch your #SP journey the easy way and have some fun. You will not find a more knowledgeable and passionate group of dedicated instructors (+ me..) devoted to teaching you!🚀

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Richard Link

@RoboDocX

1 year

Follow a breadcrumb trail to the hilum in obese patients during retro sara partial nx. With huge Gerotas fat envelopes, returning to the hilum can be a long journey with lots of fat wrangling. A long vessel loop is a “breadcrumb trail” for efficient return to clamp, unclamp, etc.

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Richard Link

@RoboDocX

1 year

Who uses # of hamsters as a measure of mass? Are we using the hamster scale officially for this stuff now? “Today I did a partial nx for a 6 cm, 12 hamster renal mass.” Does have gravitas that way….

CNN

@CNN

1 year

The world’s largest kidney stone has been removed from a patient in Sri Lanka – and it’s about the size of a grapefuit, as long as a banana and as heavy as four hamsters

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Richard Link

@RoboDocX

1 year

I would spin this around. Since all transurethral resection techniques leave a large open raw cavity that closes by secondary intention why do you think we don’t see a lot more BNC? To me it seems remarkable that what we ask to heal doesn’t scar down more often. 🤷🏻‍♂️

Ricardo R Gonzalez MD

@RRGonzalezMD

1 year

Bladder neck contractures can happen after any prostate surgery. This was 7 months after an Aquablation (first I’ve seen). Why do you think BNC’s happen? See poll below… #BPH @SocietyofBPD @HMethodistUro

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Richard Link

@RoboDocX

3 months

Enjoyable and informative lecture by the incomparable (and busy!) @jimhumd about prostate cancer controversies over the past two decades during our Grand Rounds. Nice to focus on something non hurricane related this morning. @bcm_urology

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Richard Link

@RoboDocX

7 months

Extremely fun rapid fire SP vs Xi jeopardy session at @RoboUro with some of the legendary founders of #SPsurgery . @mdstifelman @SimoneCrivella2 @drjkaouk Both tools are valuable - personalize your surgery!

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Richard Link

@RoboDocX

5 months

Great morning working with @prostacentric on #SP hydrogel models from @aghazimd . Terrific #AUA24 SP hands on master class. Let’s get that #SP journey started!

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Richard Link

@RoboDocX

2 years

Very exciting technology with many potential applications. Already changing how we approach surgical problems. The only limits are our creativity. We’ve been enthusiastic practitioners of single site laparoscopy since 2009. This system takes that capability to the next level.

St. Luke's Health MD

@StLukesHealthMD

2 years

. @RoboDocX discusses the introduction of the Da Vinci SP robot at @bcm_urology , as it opens the door for new approaches to various urological procedures. This revolutionary device is leading to quicker recoveries and minimal discomfort #Urology @BCMHouston

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Richard Link

@RoboDocX

1 year

Our talented and dapper chief urology residents along with @LonestarUroDoc at graduation festivities. Great speeches and wonderful human beings. It has been my pleasure to teach and be taught by all four of you. Bright futures! @bcm_urology @BCM_UroRes

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Richard Link

@RoboDocX

1 year

Looking forward to our session this morning discussing single port robotic applications with uber innovators @drjkaouk and Dr. Maurice Garcia at #SIU2023Istanbul . What do you think? Is SP a multiport robot replacement or just another new tool for the growing MIS surgical toolbox?

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Richard Link

@RoboDocX

1 year

Semi-hypothetical: 77yo with bothersome LUTS on meds, PSA 6.5, 90 g prostate with lesion in T-zone by MRI, fusion biopsy 8/14 cores with G3+3, one core 10% G4. OncoDx as shown. Pt does not want RALP or XRT due to side effects. Offer SP transvesical RASP and surveillance?

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Richard Link

@RoboDocX

3 years

Real pleasure and privilege to participate in the point counterpoint on small renal masses with my esteemed colleague @jaimelandmanuci at the @govurology 2022 Kimbrough meeting. Very thoughtful and forward thinking discussion. @jaimelandmanuci is a real thought leader on SRM.

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Richard Link

@RoboDocX

7 months

Some #roboamigos hit the trails at @RoboUro #narus2024 . @CraigRogersMD @drjkaouk setting the off-roading and armor standard for robotic urologists. Great fun!

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Richard Link

@RoboDocX

7 months

Great case observation day yesterday at @StLukesHealthMD with an awesome team of surgeons from Austin, TX. Two #SP low anterior retro partials and a lot of engaging conversation. Their enthusiasm for this versatile new platform is wonderful to see.

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Richard Link

@RoboDocX

6 months

Hypothetical: a UU or reimplant isn't possible here for some reason in a 45 year old female active smoker. Are you doing an easy Psoas hitch/short Boari flap or a buccal graft onlay here in 2024? Tobacco use change your decision? What if it was obliterated? @mdstifelman @md_eun

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Richard Link

@RoboDocX

10 months

For #SP transperitoneal partial nx w/ Gelpoint umbilical access (occasional role for this!)- organize your ports into vertical NOT horizontal zones. Minimizes external conflicts and maximizes assistant's ability to function identical to MP partial Nx. #robomigos #easybutton

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Richard Link

@RoboDocX

6 months

Great sessions today at #intuitiveconnect about alternative access nephron sparing surgery, transvesical procedures and managing complex case scenarios. Privileged to teach with such an outstanding faculty and staff.

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Richard Link

@RoboDocX

1 year

Gearing up for day #1 of Best of @AmerUrological 2023 with co-faculty on site @thomaschi8 @GopalBadlani and Melissa Kaufman in Mumbai. Monsoon season appears to have just begun….

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