Role of laparoscopy in reconstructive surgery

Rassweiler, Jens; Pini, Giovannalberto; Gözen, Ali Serdar; Klein, Jan; Teber, Doğu

doi:10.1097/mou.0b013e32833f21bd

Cited by 31 publications

(15 citation statements)

References 114 publications

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“…[1][2][3][4][5] Bladder closure can be performed successfully during laparoscopy regardless of whether a cystotomy was performed intentionally for simple prostatectomy LAPAROSCOPIC BLADDER CLOSURE WITH BARBED SUTURE or for diverticulectomy, 1,4 or if the bladder injury was incidental. 18,19 Commonly, the preferred suture material is polyglactin, and the preferred technique is interrupted sutures or running suture with intracorporeal knots.…”

Section: Discussionmentioning

confidence: 98%

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Comparison of Laparoscopic Closure of the Bladder with Barbed Polyglyconate Versus Polyglactin Suture Material in the Pig Bladder Model: An Experimental In Vitro Study

Gözen

Arslan

Schulze

et al. 2012

Journal of Endourology

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Section: Discussionmentioning

confidence: 98%

“…[1][2][3][4][5] Intracorporeal knot tying remains a technical challenge for the laparoscopic surgeon. Even experienced laparoscopic surgeons seek novel concepts in suture ligation to minimize operative time.…”

Section: Introductionmentioning

confidence: 99%

Comparison of Laparoscopic Closure of the Bladder with Barbed Polyglyconate Versus Polyglactin Suture Material in the Pig Bladder Model: An Experimental In Vitro Study

Gözen

Arslan

Schulze

et al. 2012

Journal of Endourology

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“…However, laparoscopic approach has not yet become the most accepted and widely used approach in reconstructive surgery due to the greater complexity of some of these techniques [1]. …”

Section: Introductionmentioning

confidence: 99%

Two-Port Laparoscopic Reconstructive Surgery of the Urinary Tract with Reusable Umbilical System (Hybrid Less): A Proof of Concept Study

Angulo

Pérez²,

García-Tello³

et al. 2016

Urol Int

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Objectives: We compared perioperative results and complications of reconstructive surgery of the urinary tract performed using a multichannel platform through the umbilicus and one additional 3.5-mm with a cohort of patients simultaneously treated with conventional 4-port laparoscopy. Materials and Methods: Matched-pair study comparing perioperative outcomes, postoperative visual analogue pain scale (VAPS) and morbidity of 2-port (n = 20) and 4-port (n = 10) laparoscopic reconstructive urological surgery. Preoperative and perioperative data compared included demographics, type of surgery, operative time, blood loss, decrease in serum hemoglobin, operative complications, length of stay and postoperative complications according to Clavien-Dindo classification. Results: There was no significant difference between groups regarding age, gender, body mass index, American Society of Anesthesiologists score, type of surgery, operative time, operative complications and intraoperative or postoperative transfusion. Estimated blood loss was lower using reduced-port approach. VAPS at postoperative day one was significantly lower for 2-port approach and so was the length of stay. Patient satisfaction with the wound was higher for 2-port surgery. Differences were not observed in number and severity of postoperative complications. Conclusions: Urological reconstructive operations can be safely performed using the hybrid laparoendoscopic single-site umbilical approach, resulting in lower blood loss, higher patient satisfaction and lower postoperative pain, which also facilitate earlier hospital discharge, than the same reconstructive procedures performed through multiport conventional laparoscopy.

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“…Alternative techniques for minimizing access trauma without losing the advantage of triangulation, such as minilaparoscopy or small access retroperitoneoscopic technique, use miniaturized instruments [72][73][74][75] . The com bination of both access modalities (hybridLESS) has also been used 76 .…”

Section: Less and Minilaparoscopymentioning

confidence: 99%

Advances in laparoscopic surgery in urology

Rassweiler

Teber

2016

Nat Rev Urol

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In the past 10 years, laparoscopy has been challenged by robotic surgery; nevertheless, laparoscopic techniques are subject to continuous change. Ultrahigh definition is the next development in video technology, it delivers fourfold more detail than full high definition resulting in improved fine detail, increased texture, and an almost photographic emulsion of smoothness of the image. New 4K ultrahigh-definition technology might remove the current need for the use of polarized glasses. New devices for laparoscopy include advanced sealing devices, instruments with six degrees of freedom, ergonomic platforms with armrests and a chest support, and camera holders. A manually manipulated robot-like device is still at the experimental stage. Robot-assisted surgery has substantially revolutionized laparoscopy, increasing its distribution; however, robot-assisted surgery is associated with considerable costs. All technical improvements of laparoscopic surgery are extremely valuable to further simplify the use of classical laparoscopy.

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Role of laparoscopy in reconstructive surgery

Abstract: Laparoscopy will increasingly be used for reconstructive urologic surgery. This trend will be supported by the widespread use of the DaVinci device.

Cited by 31 publications

References 114 publications

Comparison of Laparoscopic Closure of the Bladder with Barbed Polyglyconate Versus Polyglactin Suture Material in the Pig Bladder Model: An Experimental In Vitro Study

Comparison of Laparoscopic Closure of the Bladder with Barbed Polyglyconate Versus Polyglactin Suture Material in the Pig Bladder Model: An Experimental In Vitro Study

Two-Port Laparoscopic Reconstructive Surgery of the Urinary Tract with Reusable Umbilical System (Hybrid Less): A Proof of Concept Study

Advances in laparoscopic surgery in urology

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