ideas to ease difficulties in laparoscopic urology dr. anmar nassir, frcs(c) fellowship in andrology...
TRANSCRIPT
Ideas to ease difficulties in
Laparoscopic Urology
Dr. Anmar Nassir, FRCS(C)
Fellowship in Andrology (U of Ottawa)Fellowship in EndoUrology and Laparoscopy (McMaster Univ)
Chairman, Department of Surgery Umm Al-Qura UnivConsultant Urology, King Faisal Specialist Hospital, Jeddah
Introduction
During the last 25 years, probably urology was the surgical specialty that presented the most extraordinary technological development.Evolution
{ open minimally invasive}.
Development{techniques technology}.
Clayman. From knife to needle to nothing, Braz J Urol 2001Clayman. From knife to needle to nothing, Braz J Urol 2001 Clayman. From knife to needle to nothing, Braz J Urol 2001Clayman. From knife to needle to nothing, Braz J Urol 2001
Introduction
Laparoscopic procedures are continuously evolving in Urology. This includes Ablative procedures:
radical nephrectomy
Reconstructive techniques: pyeloplasty.
Both: radical prostatectomy. radical cystectomy.
Why to accept laparoscopy as an alternative to open
HUYNH, HOLLANDER, J of Urol, February 2005HUYNH, HOLLANDER, J of Urol, February 2005
LAPAROSCOPIC NEPHRECTOMY COMMUNITY HOSPITAL. Michigan, USA
HUYNH, HOLLANDER, J of Urol, February 2005HUYNH, HOLLANDER, J of Urol, February 2005
LAPAROSCOPIC DONOR NEPHRECTOMY COMMUNITY HOSPITAL. Michigan, USA
Raftopoulos et al, Surgical Endoscopy Oct 2004 Raftopoulos et al, Surgical Endoscopy Oct 2004
Raftopoulos et al, Surgical Endoscopy Oct 2004 Raftopoulos et al, Surgical Endoscopy Oct 2004
Raftopoulos et al, Surgical Endoscopy Oct 2004 Raftopoulos et al, Surgical Endoscopy Oct 2004
Recent advances …
In laparoscopic surgery technological improvements.
In imaging technologies
Hemal, Menon. Laparoscopy, robot, telesurgery & Hemal, Menon. Laparoscopy, robot, telesurgery & urology: future perspective. J Postgrad Med 2002urology: future perspective. J Postgrad Med 2002
Hemal, Menon. Laparoscopy, robot, telesurgery & Hemal, Menon. Laparoscopy, robot, telesurgery & urology: future perspective. J Postgrad Med 2002urology: future perspective. J Postgrad Med 2002
Recent advances in laparoscopic surgery technological improvements.
Advances in imaging technologies Urologist acceptance Decrease morbidity Patients interest.
Hemal, Menon. Laparoscopy, robot, telesurgery & Hemal, Menon. Laparoscopy, robot, telesurgery & urology: future perspective. J Postgrad Med 2002urology: future perspective. J Postgrad Med 2002
Hemal, Menon. Laparoscopy, robot, telesurgery & Hemal, Menon. Laparoscopy, robot, telesurgery & urology: future perspective. J Postgrad Med 2002urology: future perspective. J Postgrad Med 2002
RPLND
But..
The major impediment to widespread application of laparoscopy in urology has
been the complexity and technical demands of urological procedures
Bishoff, Kavoussi: Urological Laparoscopy, Why bother? J Urol 1998Bishoff, Kavoussi: Urological Laparoscopy, Why bother? J Urol 1998 Bishoff, Kavoussi: Urological Laparoscopy, Why bother? J Urol 1998Bishoff, Kavoussi: Urological Laparoscopy, Why bother? J Urol 1998
Difficulties In starting While practicing
Patients’ factor Instruments
Toward advancement
How to overcome?
Difficulties In startingWhile practicing
Patients’ factor Instruments
Toward advancement
Longer OR time In preparing or startingVisualization Instruments
Laparoscopic Fenger-plasty.
Atlas of the Uro Clin Oct 2003 Vrabec, Al-Zahrani
Atlas of the Uro Clin Oct 2003 Vrabec, Al-Zahrani