Laparoscopy is and how it applies to the urology

Written by: Dr. Luis Álvarez Castelo
Edited by: Top Doctors®

From the last years of the twentieth century, there have been major advances in the surgical techniques. Thanks to them today few patients need the conventional use of the scalpel to his speech, which was essential in the&ldquo,&rdquo open surgery;conventional.

We live the rise of so-called&ldquo,&rdquo minimally invasive surgeries that provide great advantages ;, patients to be able to perform the same operations as in open surgery but avoiding large incisions


By laparoscopic intervention only have to make small incisions half centimeter or 1 inch, by which a high-resolution camera and tiny instruments are inserted to perform the operation from inside the abdomen. The surgeon and his team controlled intervention in great detail through a high definition screen.

This not only is a great advantage for the welfare of the patient, because the smaller the wounds notice less postoperative pain and may soon return to her normal life, but caused less blood loss. This decreases the need for transfusions;in expert hands and can even improve the precision in the operation, entering a camera that provides a remote nitida and organs enlarged image with details that simply do not see eye.


Laparoscopy in urology


In urologic diseases, when it is necessary to operate a kidney or bladder tumor or prostate completely removed in the presence of a malignant tumor, open surgery is being gradually replaced by laparoscopic surgery. In fact, today it is common for a surgery for prostate cancer by laparoscopy patient can leave the hospital the day after the operation, with much less hassle and just postoperative bleeding.


The surgery of the future


In this sense, today's the last day advance what constitutes robotic surgery. It consists of an evolution of laparoscopy, in which the camera and instruments are not handled directly by the hands of a surgeon, but the arms of a robot. This robot is controlled by the specialist by controls on a console, and allows you to perform moves much more comfortable and delicate, without shaking, and three-dimensional images inside the patient's abdomen.

The intervention that is used most is the robotic prostatectomy, achieving better preserve this technique to avoid nerve sparing so frequent sequel of helplessness that appears after prostate surgery open. Its main drawback, which has limited their use, their current high cost compared with conventional laparoscopy.

No doubt this will be the future of surgery, but we can say that“ The future has already begun

*Translated with Google translator. We apologize for any imperfection

By Dr. Luis Álvarez Castelo

Regarding specialty, with over twenty years experience. Dr. Alvarez Castelo is skilled in laparoscopic surgery, prostate cancer-more than 1000 implants prostatic brachytherapy low tax rate, and urodynamics, neurourology and incontinence. It was formed in Hospitals of international prestige. From its formation include European Fellowship in Urology obtained in Vienna, studied at the University of Pittsburgh and Mount Sinai Hospital in New York, Training in Brachytherapy for Prostate Cancer in the Seattle Prostate Institute and Training in Laparoscopic Surgery in Tuttlingen and Bordeaux.

*Translated with Google translator. We apologize for any imperfection

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