In
1988 F. Dubois in Lyon, France, performed the first laparoscopic
cholecystectomy. In the last 15 years, laparoscopic surgery has
become increasingly more important. Since that time some urologic
surgeons have accepted this new technique, but the indications
for laparoscopic surgery in Urology have been limited and the
technology still needed a significant amount of improvement. This
new surgery was implemented only in a few urologic centers of
excellence. With more experience and with refinements in technology,
laparoscopy has become the focal point in urology and in the near
future will undoubtedly substitute many operations that had been
performed by classic open surgery.Surgical Techniques
Through a small needle, inserted in the peritoneal cavity, a harmless gas (CO2) is introduced until the abdominal wall is distended. It is then possible to insert a port of 5 or 10 mm into which an optical device is introduced. A TV camera is connected and the peritoneal cavity is explored.
Under visual control more 5 or 10 mm ports are introduced. Trough these ports surgical instruments are introduced
like scissors, forceps, retractors, aspirators and the operation is performed with the same surgical technique
as in open surgery
Operations
Numerous operations are performed today in the Urologic Laparoscopy Center with the advantage for the patient of a short hospitalization and convalescence.
Adrenalectomy
The adrenal glands can have benign functional disorders or can develop neoplastic tumors, or be the site of metastatic disease.
Removal of the adrena...
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Radical nephrectomy
Simple nephrectomy is performed for benign kidney disorders such as end stage pyelonephritis or urinary tuberculosis.
Radical nephrectomy is a more c...
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Partial nephrectomy
When renal tumors are small (under 4 cm), radical nephrectomy may not be indicated because long term results can be equivalent with partial nephrectom...
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Pyeloplasty
The urinary tract can present with congenital strictures usually located at the ureteric pelvic junction. The best results in the past were obtained w...
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Ureteroplasty
Sometimes the ureter can present with congenital or
iatrogenic strictures due to prior surgery. In these cases, laparoscopic surgery is ideal due to ...
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Bladder Diverticulectomy
Bladder diverticula are mucosal extensions through the bladder wall which are caused by lower tract obstruction (Benign Prostatic Hypertrophy, Bladder...
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Spermatic veins ligature
Varicocele refers to dilatation of the veins of the pampiniform plexus around the testicle. It is more frequent on the left side but can also occur bi...
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Sacral Colpopexy
After pregnancy and the trauma of delivery, genital prolapse can occur over time and is often associated with urinary incontinence.
In the past, reso...
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Radical Prostatectomy
Adenocarcinoma of the prostate is the most frequent tumor after the age of 50. Prostatic Specific Antigen (PSA) is a glycoprotein that is secreted by ...
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Retroperitoneal Lymphadenectomy
Testicular tumors metastasize first to the retroperitoneal lymph nodes. For a correct pathologic staging, it is necessary to remove them.
Even when ...
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Challenges in Laparoscopy & Robotics 2011: The Eur... Leipzig, 9-10-11 June 2011 |
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Challenges in Laparoscopy & Robotics 2010: The Eur... Rome, 10-12 June 2010 |
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Challenges in Laparoscopy and Robotics: Urologist ... Rome, 5-6-7 June 2008 |
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Challenges in Laparoscopy 2007. Surgeons: Claude A... Bordeaux, France, June 7-8-9 2007 |
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Challenges in Laparoscopy 2006. Guest Surgeons: Re... Rome, June 5-6-7 2006 |
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Resezione Endoscopica della Prostata (TURP) |
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Prostatectomia Radicale Laparoscopica La chirurgia radicale prostatica del terzo millennio |
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Malattie Prostatiche Informazioni fondamentali per uomini di oltre 40 anni |