Looking forward to moderating a fascinating session today exploring exciting and challenging topics in endourology and robotic surgery with colleagues Wesley Mayer, MD and @TheMobotMD. Highlights include SP regionalized adrenalectomy; Endoscopic challenges in kidney transplant recipients and Technical frameworks for reconstruction of endophytic renal tumors. Keeping your mind as sharp as your scalpel. @bcm_urology grandroundsinurology.com/inn…

I appreciate Neil's perspective and usually agree with him. In this case, though, I think he is arbitrarily assigning something magical and special to "intuition" much like we do to concepts like "sentience." I think this reflects our personal desire to have something unique to humans that machines can't replicate no matter how smart and experienced they become. Truth is that there are no infants out there who have expert level medical intuition without any experience. And machines can accumulate vastly more experience than individual humans in a given field. If they ultimately become "smarter" than humans and have vastly more experience do we really think they won't match our intuition?

Truly one of the highlights of the year. A critical mass of innovative single-port and multi-port surgeons with open discussion and debate.

For years we were reluctant to offer symptomatic patients with ADPKD laparoscopic or robotic decortication due to perioperative morbidity. Traditional lap or robotic transperitoneal ADPKD decortication was associated with ileus and severe peritoneal irritation due to cyst fluid spillage. Today, regionalized decortication via single-site low anterior robotic access changes that equation for the better. #SP #ADPKD #polycystickidneydisease #decortication

Looking forward to a week in China teaching regionalized surgery with the da Vinci SP platform across several cities. Excited to share insights, learn from surgical colleagues, and embrace a little adventure along the way. Grateful for the opportunity! 🇨🇳 #RoboticSurgery #SP @IntuitiveSurg

Pure retroperitoneal ureteral access using the low anterior approach with da Vinci SP is a powerful and versatile technique for managing a wide range of ureteral strictures. These procedures can often be performed with PACU discharge and are more efficient and less morbid than transperitoneal approaches to the ureter. In the tagged video, we demonstrate a side-to-side ureteroneocystostomy that avoids distal ureteral transection. share.surgeonapp.com/public/…

About to start the ball rolling at Intuitive Connect 2026 in Austin, TX. Privileged to share a stage with fantastic faculty who have prepared a very high yield two day program. Let’s let the rising tide raise all our boats this week as we share experience and insights on da Vinci surgery. @IntuitiveSurg

In surgery, fostering a defensive mindset anticipates problems in advance and avoids complications. “Offense sells tickets but defense wins championships - Bear Bryant” Over the next few weeks we will explore tips and tricks that improve your defensive mindset during single port robotic partial nephrectomy with da Vinci SP. #SP

Great tips for retroperitoneal access from Dr Osinski in this session.

Great to see such a pioneer in our field recognized at NARUS. Congratulations @NYCRoboticTeam.

Outstanding two days spending time with the faculty, residents and fellows of @UABUrology in didactics and the operating room. The team there is doing great things and I was very impressed with the insightful questions from the trainees. Thank you for the invitation!

SP Retro Pyeloplasty: The Basics I'm often asked by new SP users how easy it is to manage crossing vessels during pyeloplasty with the low anterior approach. This is one of the biggest advantages over traditional multiport retro where transposition of the ureter anterior to a crossing vessel can make suturing the anastamosis challenging. Not so with low anterior. Here are before and after images from a right sided dismembered pyeloplasty. Easy suturing!

Join me and distinguished colleagues on Saturday at the 6th Annual Global SP Marathon. We will dig into some very practical aspects of SP regionalized surgery in high BMI patients. The SP Marathon is truly a highlight of the year and the accelerator pedal for your SP learning journey! @Endo_Society @SocietySURS @SimoneCrivella2 @drjkaouk @IntuitiveSurg