surgery is a less invasive alternative to traditional
open surgery with quicker recovery and less pain. This
involves placing pencil-sized instruments through
small incisions to perform surgery rather than making
one large open incision.
surgeons and gynecologists have been doing procedures
laparoscopically for quite some time. It was not until the 1990's that several centers
began doing laparoscopic urological surgery. The first procedures were
relatively simple ones, such as removing pelvic lymph nodes as a diagnositic
procedure in select patients with prostate cancer. As urologists became
more facile at this, they began removing kidneys laparoscopically with some
success. After several years of refinement in technique, urologists now
can do most procedures done open via a laparoscopic approach. Procedures
done currently via the laparoscopic approach include:
Laparoscopic nephrectomy (removal
of kidney for cancer).
or robotic-assisted laparoscopic
radical prostatectomy (removal
of prostate for cancer, discussed
on a separate page of this
partial nephrectomy (removal
of the portion of the kidney that
has cancer, leaving the rest of
the kidney intact).
cryoablation of kidney tumors
(freezing the cancer portion of
the kidney, discussed on a separate
page of this website).
or robotic assisted laparoscopic
cystectomy (removal of
the bladder for cancer).
pelvic lymph node dissection
(for removal of lymph
nodes with certain testicular
off dilated veins
to the scrotum).
kidney cyst removal.
bladder neck suspension
for female stress
his general surgery
training in the early
a large number of
(laparoscopic appendectomy). Having
skills, he was quickly
able to translate
this with further
training while in
the Navy to perfoming
more complex laparoscopic
urological procedures. He
now has over six
than most other
urologists in the
Copyright 2006 Napa
Valley Urology Associates