Richard Link (@RoboDocX) / X

Richard Link

1,073 posts

Richard Link

@RoboDocX

Carlton-Smith Endowed Chair of Urologic Education, Professor of Urology, Director Div of Endourology and Minimally Invasive Surgery, Baylor College of Medicine.

Houston, TX

bcm.edu/people/view/b1…

Joined January 2009

Richard Link
@RoboDocX
Feb 11, 2023
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
00:00
328K
Richard Link
@RoboDocX
Jul 13, 2023
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.
138K
Richard Link
@RoboDocX
Oct 8, 2021
Ok first year medical students. What’s wrong with this picture? Hint: it’s a rare cause of ureteral obstruction. #urologicimaging #ctquiz
Richard Link
@RoboDocX
Mar 15, 2023
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
59K
Richard Link
@RoboDocX
Apr 29, 2024
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).
11K
Richard Link
@RoboDocX
Oct 2, 2023
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.
00:00
26K
Richard Link
@RoboDocX
Jun 8, 2023
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
9.7K
Richard Link
@RoboDocX
Mar 16, 2023
Replying to @RoboDocX
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.
6.7K
Richard Link
@RoboDocX
Feb 11, 2023
Replying to @RoboDocX
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.
15K
Richard Link
@RoboDocX
Dec 17, 2024
That beautiful moment when you are digging the ureter out of dense scar tissue on top of the iliac vessels waiting for sudden bleeding and then....the veil lifts and all is well. Isn't surgery awesome? Single port right robotic retroperitoneoscopic ureteroneocystostomy,
00:00
12K
Richard Link
@RoboDocX
Jan 2, 2025
Outpatient SP retro radical Nx with rplnd via low anterior access for 9 cm enhancing mass extending into the renal sinus. Really, we are in a new era of regionalized outpatient renal surgery. Honestly never thought I would see a day where patients have this surgery and request
11K
Richard Link
@RoboDocX
Jun 10, 2023
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.
00:00
8.5K
Richard Link
@RoboDocX
Oct 30, 2023
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.
00:00
11K
Richard Link
@RoboDocX
Dec 17, 2024
38♂️failed pyeloplasty/leak, failed endopyelotomy, successful buccal graft UPJ- patency RGP /ureteroscopy - poor antegrade drainage. Flank pain/UTIs, now PCN dependent. Autotransplant to completely eliminate upper ureter. Thoughts? @mdstifelman @md_eun @wiegand_luke @lee_c_zhao
18K