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What alternative patient position might a surgeon prefer when performing a radical cystectomy with ileal conduit?
Supine
Trendelenburg
Low lithotomy
Prone
The correct answer is: Low lithotomy
In the context of performing a radical cystectomy with ileal conduit, low lithotomy is often selected for positioning due to several key factors that enhance access and visibility for the surgeon. This position facilitates better access to the pelvic region, allowing for optimal exposure of the bladder and surrounding structures. The low lithotomy position raises the legs and provides stability, which can be particularly beneficial when maneuvering surgical instruments and providing the necessary visibility for the surgical field. It also permits gravity to assist in the retraction of the bladder and other anatomy involved in the procedure. This positioning can help the surgical team minimize complications and enhance the safety and efficiency of the operation. While the supine position also allows access to the surgical site, it may not afford the same level of pelvic exposure as the low lithotomy position. Trendelenburg positioning, which tilts the patient with the head down, may complicate access and visibility in the lower abdomen and pelvis. Prone positioning is not typically appropriate for a radical cystectomy as it does not provide adequate access to the pelvic organs.