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Date : 13-05-19 07:13     
 

LAPAROSCOPIC SURGERY

 

CURRENT STATUS OF LAPAROSCOPIC AND ROBOTIC 

SURGERY IN UROLOGY


Laparoscopy has revolutionized many areas of Urology.  It is no longer necessary to make a large incision to remove a kidney for removal of cancer or for donation for a kidney transplant.  The most important benefit of Laparoscopic Nephrectomy is a significant reduction in morbidity for the patient.  The patients are able to leave the hospital just 1 or 2 days after a laparoscopic nephrectomy (as opposed to 5 – 6 days for open nephrectomy).  There is hardly a scar compared to the days when removal of a rib was necessary. 


Laparoscopy has also made removal of the prostate easier.  Most surgeons however, now use robotic prostatectomy to remove the prostate for patients with prostate cancer.  Again, with this minimally invasive technique, patient has much less morbidity.  They can go home 1 – 2 days after robotic prostatectomy.  There is much less blood loss due to improved magnification which allows precise control of blood vessels.


We can also perform partial nephrectomy using the robotic technique.  In the past, a partial nephrectomy required a large flank incision but now, it can be performed using only 3 small incisions and robotic technique.  Again, there is much less morbidity than in the past.

In conclusion, laparoscopic instruments and robotic instruments have made morbidity of removal of kidney or prostate much less than in the past.




 
 
 
 
 
 
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