Endourooncology: New Horizons in Endourology by Assaad El-Hakim, Benjamin R. Lee, Arthur D. Smith (auth.),

By Assaad El-Hakim, Benjamin R. Lee, Arthur D. Smith (auth.), Hiromi Kumon M.D., Ph.D., Masaru Murai M.D., Ph.D., Shiro Baba M.D., Ph.D. (eds.)

Recent examine and scientific paintings have verified that the swift urologic innovation in minimally invasive therapy is growing fascinating new horizons in endourology. This 6th quantity within the sequence Recent Advances in Endourology brings that wisdom to a much wider viewers, targeting the recent suggestion of endourooncology, that's the merging of endourology and oncology. within the surgical operation of urologic malignancies, bipolarization - that's, radical prolonged resection or organ-sparing surgical procedure - is making awesome advances. additional advancements in subtle reconstructive surgical procedure utilizing robot platforms and image-guided ablation know-how will enable surgeons to formulate minimally invasive, tailored methods for every sufferer with urologic melanoma. during this publication, the present prestige and destiny customers of those new applied sciences are reviewed, illuminating their roles sooner or later of endourooncology.

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Kidney and Adrenal First, the feasibility of robot-assisted nephrectomy and adrenalectomy was reported in the pig [36]. Subsequently, the use of robotics has been demonstrated in nephrectomy, partial nephrectomy, and living-donor nephrectomy, with safety, and as an effective alternative to conventional laparoscopic procedures [37–39]. Various authors have also reported safe and effective robot-assisted laparoscopic adrenalectomy in humans [40–42]. Some authors even felt that the da Vinci system enables conventionally trained urologic surgeons to perform complex, minimally invasive procedures with ease and precision.

The long-tip forceps helps in holding the bladder neck in an atraumatic fashion and also in cinching down the bladder after a couple of sutures. The vesicourethal anastomosis is performed mucosa-to-mucosa in a choreographed sequence as described by van Velthoven et al. and by us earlier [25, 26]. It is begun hemicircumferentially towards the left side, using the needle of the dyed end, by passing the needle outside in at the 4- or 5-o’clock position on the bladder neck and inside out on the urethra.

Menon M, Tewari A, Peabody J, and members of the VIP Team (2003) Vattikuti Institute prostatectomy: technique. J Urol 169:2289–2292 25. Van Velthoven RF, Ahlering TE, Peltier A, Skarecky DW, Clayman RV (2003) Technique for laparoscopic running urethrovesical anastomosis: the single knot method. Urology 61:699–702 26. Menon M, Hemal AK, Tewari A, Shrivastava A, Bhandari A (2004) Technique of apical dissection of prostate and urethrovesical anastomosis in robotic radical prostatectomy. BJU Int. 2004 Apr; 93(6):715–719 27.

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