Korean J Urol.
2003 Oct;44(10):945-958.
Laparoscopic Surgery in Urology(I)
- Affiliations
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- 1Department of Urology, Seoul National University College of Medicine, Seoul, Korea. hhkim@snu.ac.kr
Abstract
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PURPOSE: Laparoscopic renal surgery in urology is a rapidly evolving field that is becoming part of the operative repertoire of an increasing number of urologists. This article summarized the latest ideas and issues in the expanding field of laparoscopy in urology.
MATERIALS AND METHODS
The state of art is reviewed, including transperitoneal laparoscopic and hand-assisted techniques, as well as the retroperitoneal approach. Operative and postoperative data are reviewed with the goal of determining factors; the efficacy, efficiency and morbidity.
RESULTS
Continued demonstration of reduced postoperative pain, shorter hospital stay, and more rapid recovery along with decreasing operative times have made laparoscopy the preferred approach for the surgical removal of benign and maligant kidneys. In addition, maturing data for laparoscopic radical nephrectomy, nephroureterectomy and partial nephrectomy demonstrate equivocal oncologic results.
CONCLUSIONS
Evolving techniques and equipment will help secure laparoscopic renal surgery a prominent place in the treatment of renal diseases.
