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Laparoscopy


Laparoscopic surgery is a minimally invasive alternative to traditional open surgery that is performed through small incisions in the abdominal wall (0.5-1 cm). By inserting a video camera (laparoscope) and surgical instruments (tweezers, scissors, scalpel) into them, the surgeon can see the abdominal organs on a television monitor and operate his instruments from the outside, performing the operations without putting his hands inside the Body.

The introduction of gas (CO2) favors the vision of the interior of the abdomen creating a wide space to carry out the surgery. The camera offers a magnified view of the abdominal organs, allowing greater precision and a more delicate handling of vital structures.

Operations that traditionally required large incisions between 12 and 20 cm with postoperative periods between 7-15 days, today they can be carried out through three or four small incisions (0.5-1.5 cm. And the hospital stay can be as short as 24 hours in some cases.

Laparoscopic operations offer the same therapeutic benefits as traditional open operations, although they have significant benefits for the patient:

  • Reduction of pain in the postoperative period
  • Less bleeding during surgery
  • Lower risk of complications in the postoperative period (infections, hernias …)
  • Reduced hospital stay
  • Faster recovery after surgery
  • Avoid large incisions, improving cosmetic results
    LAPAROSCOPIC PROCEDURES IN UROLOGY
    Laparoscopic nephrectomy: A kidney removal technique used in cases of non-functioning kidneys due to benign diseases.
  • Laparoscopic radical nephrectomy: Removal of the entire kidney, including Gerota’s fascia and regional nodes, in cases of malignant renal tumors.
  • Laparoscopic partial nephrectomy: Technique for the removal of kidney tumors up to 4-5 cm in diameter, with preservation of the kidney.
  • Laparoscopic nephroureterectomy: Removal of the kidney, ureter, and a bladder patch in tumors of the renal pelvis and / or ureter.
  • Laparoscopic pyeloplasty: Urinary tract repair / reconstruction technique in the junction area between the renal pelvis and the ureter in cases of narrowing or blockage that prevents proper urine drainage, causing dilation (hydronephrosis) and affecting kidney function.
  • Laparoscopic resection of renal cyst: Technique to treat renal cysts.
  • Laparoscopic radical prostatectomy: Removal of the prostate gland in patients with prostate cancer. This technique can be performed with preservation of the nerves responsible for the erectile function of the penis, depending on individual circumstances.
  • Laparoscopic ureterolithotomy: Minimally invasive approach to surgically remove urinary stones from the ureter.
  • Laparoscopic adrenalectomy: Removal of the adrenal gland in patients with enlargement due to benign (pheochromocytoma, adenoma) or malignant (cancer, metastasis) diseases.
  • Laparoscopic radical cystectomy and urinary diversion: Removal of the urinary bladder in patients with bladder cancer and reconstruction of the urinary tract, using a piece of intestine to create a conduit to the skin of the abdomen (ileal conduit – incontinent diversion) or a new bladder connected to the skin of the abdomen (continent or not) or to the urethra (continent orthotopic shunt).
  • Laparoscopy in the diagnosis and treatment of cryptorchidism or hidden testicle: Exploration technique of the lesser pelvis to locate hidden testicles (cryptorchidism) and its treatment by fixation in the scrotal bag (orchiopexy) or its removal when the testicle is not viable .

Copyright Dr. José Luis Canto Pérez 2021. All rights reserved.