Laparoscopic surgery in urological oncology: brief overview

Abstract

The authors report the experience of a high-volume center with laparoscopic surgery in urological oncology, as well as a review of other relevant series. Laparoscopic outcomes in the treatment of adrenal, kidney, upper tract transitional cell carcinoma, bladder, prostate, and testicular malignancy are described in this review. Specific considerations as complications and port-site recurrence are also addressed. The authors concluded that the intermediate-term oncological data is encouraging and comparable to open surgery.

Port-site Metastasis after Minimally Invasive Surgery for Urological Malignancy: A Review of Literature

“…23 Some studies showed a better preservation of cell-mediated immunity after laparoscopic surgery. 34 However, these benefits are not applied to the peritoneal level, possibly related to the hypoxic environment due to pneumoperitoneum pressure and secondary effect of the carbon dioxide in the peritoneal macrophage response. 34 Factors related to laparoscopic surgical technique contribute to port-site recurrence.…”

“…34 However, these benefits are not applied to the peritoneal level, possibly related to the hypoxic environment due to pneumoperitoneum pressure and secondary effect of the carbon dioxide in the peritoneal macrophage response. 34 Factors related to laparoscopic surgical technique contribute to port-site recurrence. 26 These include the use of pneumoperitoneum, trocar site contamination, organ and tumor morcellation, and the method of specimen retrieval.…”

Concurrent upper and lower urinary tract robotic surgery: strategies for success

“…Multi‐site surgery done using an open surgical approach requires an extensive loin to groin incision or two independent incisions with inherent problems of increased postoperative pain and increased early and late wound‐related complications [8]. Laparoscopic nephroureterectomy with en bloc removal of bladder cuff for upper tract urothelial carcinoma is a complex surgical undertaking and might still require a low Gibson incision and/or placement of additional ports [9]. RALS is relatively new and preliminary reports show the feasibility and favourable perioperative results using this approach [2,10,11].…”