ideas to ease difficulties in laparoscopic urology dr. anmar nassir, frcs(c) fellowship in andrology...
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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 UnivConsultant Urology, King Faisal Specialist Hospital, Jeddah
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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 2001Clayman. From knife to needle to nothing, Braz J Urol 2001 Clayman. From knife to needle to nothing, Braz J Urol 2001Clayman. From knife to needle to nothing, Braz J Urol 2001
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Introduction
Laparoscopic procedures are continuously evolving in Urology. This includes Ablative procedures:
radical nephrectomy
Reconstructive techniques: pyeloplasty.
Both: radical prostatectomy. radical cystectomy.
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Why to accept laparoscopy as an alternative to open
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HUYNH, HOLLANDER, J of Urol, February 2005HUYNH, HOLLANDER, J of Urol, February 2005
LAPAROSCOPIC NEPHRECTOMY COMMUNITY HOSPITAL. Michigan, USA
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HUYNH, HOLLANDER, J of Urol, February 2005HUYNH, HOLLANDER, J of Urol, February 2005
LAPAROSCOPIC DONOR NEPHRECTOMY COMMUNITY HOSPITAL. Michigan, USA
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Raftopoulos et al, Surgical Endoscopy Oct 2004 Raftopoulos et al, Surgical Endoscopy Oct 2004
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Raftopoulos et al, Surgical Endoscopy Oct 2004 Raftopoulos et al, Surgical Endoscopy Oct 2004
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Raftopoulos et al, Surgical Endoscopy Oct 2004 Raftopoulos et al, Surgical Endoscopy Oct 2004
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Recent advances …
In laparoscopic surgery technological improvements.
In imaging technologies
Hemal, Menon. Laparoscopy, robot, telesurgery & Hemal, Menon. Laparoscopy, robot, telesurgery & urology: future perspective. J Postgrad Med 2002urology: future perspective. J Postgrad Med 2002
Hemal, Menon. Laparoscopy, robot, telesurgery & Hemal, Menon. Laparoscopy, robot, telesurgery & urology: future perspective. J Postgrad Med 2002urology: future perspective. J Postgrad Med 2002
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Recent advances in laparoscopic surgery technological improvements.
Advances in imaging technologies Urologist acceptance Decrease morbidity Patients interest.
Hemal, Menon. Laparoscopy, robot, telesurgery & Hemal, Menon. Laparoscopy, robot, telesurgery & urology: future perspective. J Postgrad Med 2002urology: future perspective. J Postgrad Med 2002
Hemal, Menon. Laparoscopy, robot, telesurgery & Hemal, Menon. Laparoscopy, robot, telesurgery & urology: future perspective. J Postgrad Med 2002urology: future perspective. J Postgrad Med 2002
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RPLND
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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 1998Bishoff, Kavoussi: Urological Laparoscopy, Why bother? J Urol 1998 Bishoff, Kavoussi: Urological Laparoscopy, Why bother? J Urol 1998Bishoff, Kavoussi: Urological Laparoscopy, Why bother? J Urol 1998
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Difficulties In starting While practicing
Patients’ factor Instruments
Toward advancement
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How to overcome?
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Difficulties In startingWhile practicing
Patients’ factor Instruments
Toward advancement
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Longer OR time In preparing or startingVisualization Instruments
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Laparoscopic Fenger-plasty.
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Atlas of the Uro Clin Oct 2003 Vrabec, Al-Zahrani
Atlas of the Uro Clin Oct 2003 Vrabec, Al-Zahrani