The Infona portal uses cookies, i.e. strings of text saved by a browser on the user's device. The portal can access those files and use them to remember the user's data, such as their chosen settings (screen view, interface language, etc.), or their login data. By using the Infona portal the user accepts automatic saving and using this information for portal operation purposes. More information on the subject can be found in the Privacy Policy and Terms of Service. By closing this window the user confirms that they have read the information on cookie usage, and they accept the privacy policy and the way cookies are used by the portal. You can change the cookie settings in your browser.
Laparoscopy has become the forefront of urologic surgery for the management of malignant and nonmalignant diseases. With this, an increasing number of urologists are performing routine and complex laparoscopic procedures with the aim of more minimal invasive approaches, which have the potential for significant reduction in patient morbidity. Understanding the anatomical landmarks and relationships...
Urologic surgery has evolved to include minimally invasive and robot-assisted techniques with excellent outcomes. These techniques have been expanded to include surgery of the retroperitoneum. Currently, minimally invasive retroperitoneal surgery has been described for surgery on the adrenal, kidney, ureter, and lymph nodes. A strong working knowledge of the essential instruments in laparoscopic and...
The laparoscopic approach has been applied to a wide variety of procedures in the field of urology. Since urologists initially adopted laparoscopy from other specialties, most procedures described have been based on the traditional transperitoneal approach. Well-defined organ systems and a relative paucity of intraperitoneal fat allow the rapid identification of landmarks. Instilled gas expands the...
Purpose: Laparoscopic adrenalectomy is a widely accepted surgical approach for treating most adrenal masses. This chapter will briefly discuss the differential diagnosis of adrenal masses, and review preoperative considerations, surgical approaches, postoperative management, and complications associated with adrenal surgery. Method: In the era of imaging, most adrenal masses are diagnosed incidentally...
The first retroperitoneoscopy was performed by Gaur who had constructed a simple device consisting of a No. 7 surgical glove mounted on a red-rubber catheter and created the workspace of the retroperitoneal laparoscopy by inflating the glove. Since this first report, retroperitoneoscopic nephrectomy has become a safe and efficient procedure. Retroperitoneoscopy can be the technique of choice for accessing...
Over the past decade, there has been a change in the management of newly diagnosed renal cortical tumors, shifting away from radical nephrectomy (RN) toward the application of partial nephrectomy (PN). Minimally invasive surgical approaches have been increasingly used in patients with small renal masses over the last several years with equivalent oncologic outcomes.1 Minimally invasive extirpative...
The ability to perform reconstructive surgery with the robotic surgical platform has recently led to the application of robotics to nephron sparing surgery. Because of space limitations and the size of the robot at the patient side, the standard approach to robotic partial nephrectomy (RPN) has been transperitoneal. However, posterior located tumors are difficult to approach transperitoneally, and...
Laparoscopic and robot-assisted distal ureteral reconstruction techniques and outcomes are well described. In this chapter, we summarize our surgical technique for reconstruction of non-malignant ureteral strictures. We detail ureteroneocystotomy, psoas hitch, and Boari flap procedures. Preoperative and postoperative considerations are presented.
Laparoscopic nephroureterectomy is a well-established surgical treatment option for patients with transitional cell carcinoma of the upper urinary tract and has well-published data supporting an advantage in decreased patient morbidity compared to open techniques with similar oncologic outcomes. With the recent addition of the da Vinci Surgical System (Intuitive Surgical Inc., Sunnyvale, CA), robot-assisted...
Pelvic lymphadenectomy (PLA) for the time being appears to be the most reliable staging method for localized prostate cancer (PCa), retrieving information concerning lymph node (LN) invasion that is important for the initiation of adjuvant therapy. LN metastasis is associated with poor prognosis and consequently there is a trend to perform PLA in all patients with respectable probability to harbor...
Open prostatectomy is a long accepted method of treating patients with large hyperplasic glands. New therapeutic options have demonstrated efficiency and safety for high volume benign prostatic hyperplasia (BPH). Minimally invasive laparoscopic and endourological treatments have reproduced similar results to open simple prostatectomy with some clinical advantages. Results indicate that laparoscopic...
Several trends emerged in recent years to create the possibility of performing complex minimally invasive surgery for prostate cancer. Radical prostatectomy is an operation in which surgical control of cancer and preservation of vulnerable bodily functions require great precision and experience. Only through the development of advanced videoscopic equipment, refined surgical tools, and pioneering...
Extraperitoneal surgery for the prostate has been the gold standard for open surgeons. The technique can be applied by minimally invasive surgeons if the principles of extraperitoneal space formation are followed. We have endeavored to provide the reader with a stepwise team approach to achieve robotic extraperitoneal laparoscopic prostatectomy in a safe and reproducible manner.
Initial reports of single-port laparoscopic surgery, now known as laparoendoscopic single-site surgery (LESS), are gaining momentum. LESS has become more sophisticated in part due to flexible tip laparoscopes and advancements in operating instruments. These newer instruments have improved the surgeon’s range of motion and the ability to “triangulate” instruments despite in-line placement. Feasibility...
Laparoscopy and robotic surgery have provided much excitement in our operating theaters over the last two decades. Continued technological improvements have added a number of new tools to our surgical armamentarium promising to better the care we deliver to our patients. From open surgery, to multiport laparoscopic surgery, to needlescopic, and most recently to single-port surgery, the ultimate goal...
Set the date range to filter the displayed results. You can set a starting date, ending date or both. You can enter the dates manually or choose them from the calendar.