Nephrectomy

Aug 8, 2022 by in UROLOGY Comments Off on Nephrectomy

Introduction Since the first report of laparoscopic nephrectomy in 1991, minimally invasive nephrectomy has become the procedure of choice for most benign pathologic conditions of the kidney and malignant renal…

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Exiting the abdomen and closure techniques

Aug 8, 2022 by in UROLOGY Comments Off on Exiting the abdomen and closure techniques

Introduction Laparoscopic and robotic-assisted minimally invasive surgery has become widely adopted based on multiple well-demonstrated benefits, including reduced complications, readmissions, postoperative pain, and length of stay. However, these approaches have…

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Retroperitoneal access

Aug 8, 2022 by in UROLOGY Comments Off on Retroperitoneal access

Access to the retroperitoneum in the operating room has traditionally been through a flank or posterior incision to avoid violation of the peritoneal cavity. This approach provides urologists the most…

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Stapling and reconstruction

Aug 8, 2022 by in UROLOGY Comments Off on Stapling and reconstruction

Since the introduction of the laparoscopic nephrectomy in 1991 by Clayman and colleagues, advancements in minimally invasive surgical equipment have expanded the application of laparoscopic techniques to several reconstructive urologic…

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Insufflators and the pneumoperitoneum

Aug 8, 2022 by in UROLOGY Comments Off on Insufflators and the pneumoperitoneum

Indications and contraindications Pneumoperitoneum is an essential component in any transperitoneal laparoscopic or robotic-assisted surgery. Instillation of gas into the peritoneum allows distention of the peritoneal space to safely visualize…

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Laparoscopic/robotic camera and lens systems

Aug 8, 2022 by in UROLOGY Comments Off on Laparoscopic/robotic camera and lens systems

Introduction It has been said that the key to a successful open surgery is exposure. Similarly, the imaging modality used in endoscopic surgery, whether it is laparoscopic or robotic-assisted laparoscopic…

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Robotic surgical systems

Aug 8, 2022 by in UROLOGY Comments Off on Robotic surgical systems

Introduction Robotic-assisted surgical devices (RASDs) have revolutionized minimally invasive surgery since 1994. The market leader, Intuitive Surgical, reports their product involvement in over 7.2 million procedures worldwide, and in 2018,…

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