Laparoscopic uro surgery
Laparoscopic uro surgery is the art of performing the entire surgery which previously needed large incisions, by small key hole sized incisions.
The common procedure performed by laparoscopic approach in uro-oncology are adrenalectomy, nephroureterectomy, nephrectomy, prostatectomy, retroperitoneal lymph node dissection for testis cancer, renal cyst decortication, etc.
Laparoscopic radical prostatectomy provides advantage over open retropubic approach due to the lack of long incisions and early recover. Adrenalectomy for adrenal tumours is the golden standard approach. The adrenal is a small organ but its location requires usually big incisions in open surgery, whereas laparoscopy provides excellent visualization of the adrenal region and in many cases there is no need to extend incisions for specimen retrieval. The laparoscopic approach can be considered to be gold standard for nephrectomy too. As the experience with laparoscopic surgery is increasing, laparoscopic partial nephrectomy is becoming increasingly accepted.
Retroperitoneal lymph node dissection in patients with testis cancer has been developed as an alternative to the open approach which requires a median laparotomy from the xyphoid down to the symphysis and frequently leads to retrograde ejaculation in this young patient group.