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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 Univ Consultant Urology, King Faisal Specialist Hospital, Jeddah.
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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 Univ Consultant 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 2001
Introduction • Laparoscopic procedures are continuously evolving in Urology. This includes • Ablative procedures: • radical nephrectomy • Reconstructive techniques: • pyeloplasty. • Both: • radical prostatectomy. • radical cystectomy.
LAPAROSCOPIC NEPHRECTOMY COMMUNITY HOSPITAL. Michigan, USA HUYNH, HOLLANDER, J of Urol, February 2005
LAPAROSCOPIC DONOR NEPHRECTOMY COMMUNITY HOSPITAL. Michigan, USA HUYNH, HOLLANDER, J of Urol, February 2005
Recent advances … • In laparoscopic surgery • technological improvements. • In imaging technologies Hemal, Menon. Laparoscopy, robot, telesurgery & urology: 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 & urology: future perspective. J Postgrad Med 2002
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 1998
Difficulties • In starting • While practicing • Patients’ factor • Instruments • Toward advancement
Difficulties • In starting • While practicing • Patients’ factor • Instruments • Toward advancement
Longer OR time • In preparing or starting • Visualization • Instruments
Atlas of the Uro Clin Oct 2003 Vrabec, Al-Zahrani