Experimental Training Studies of Laparoscopic Techniques in Urology

Laparoscopic Needle Driver

Laparoscopic Needle Driver

 

Development Of Urological Laparoscopy

At the end of the 1980s, we started a search at the Urological Clinic started after non-palpable testicles in the abdominal cavity. Since that time, the Integration of laparoscopy in diagnostics and especially in urological therapy Diseases consistently advanced. This expresses in the numbers:   During we were only able to perform 19 laparoscopic interventions in 1990 already count. The year 1992 falls with a leap number of surgeries performed laparoscopically.

Use of Simulations is significant choice with Laparoscopic Needle Driver.

Professorship In the Field of Urological Laparoscopy

The key reason for this was the visiting professorship of SA Loaning, MD, who first came for a year. At the University essential preliminary work does in the field of urological laparoscopy. Thanks to the innovative approach to laparoscopy and its practical SA Loaning, MD was able to experience our work in a very special stimulate way.

Guest Professors of Urological Laparoscopy

The next few years marks by enormous progress in the field of laparoscopic surgeries at individual centers. At this We were able to take part in stormy progress and this at least for the help shape countries. The many years of activity of SA Loaning, MD enabled us to invite various guest professors known in the field of urological laparoscopy. The opportunity to work with these pioneers of urologic laparoscopy in our operating rooms has helped us improve the quality of procedures and improve outcomes. Our ever-growing experience in dealing with laparoscopic procedures has enabled the Urology Clinic to mature into a recognized center for laparoscopic urology in a short space of time.

Advance Laparoscopic Techniques in Urology

Since 1992, the Urological Clinic of the has been trying to spread the advance laparoscopic techniques in urology. It organizes 2-3 training courses per year for laparoscopic operations in urology. Because of their qualitatively high level and because of the Participation of leading laparoscopists at national and international level they met with great regional and national interest. Additionally, were Colleagues from our clinic since 1993 in training courses for urological laparoscopy Tutors involved who work in the surgical training centers of the companies Ethicon.

Specialist Training Laparoscopic Surgical Techniques

In addition, we participated in live surgical seminars at the Congresses of the Urological Society and the Association of North Urologists in1998 and 2000 as well as the conference of Society for Urology 2000. From the very beginning, our clinic focused on the training of resident’s great importance attaches to laparoscopic surgeons. Laparoscopy is firmer Part of the surgical-urological specialist training. The training assistants in clinics gradually introduces to laparoscopic surgical techniques right from the start, so that these are not the "hobby" of individual surgeons remains.

Positive Experimental Studies Laparoscopic Prostatectomy

Since 1997, encouraged by the positive experimental studies and the multiplied published clinical success reports, we devoted ourselves to the use of the Laparoscopy for the surgical treatment of urological malignancies. That in turn led to a further increase in the number of operations and to a change in the Frequency distribution of the indications.

Development Of Laparoscopic Techniques

The minor interventions (varicocele, pelvic Lymphadenectomy) became rarer and the larger and more complicated operations (tumor nephrectomy, RLA) increased. Through intensive clinical application and Further development of laparoscopic techniques in daily routine and integration of innovative processes. We were able in several cases to exceed existing limits and certain laparoscopic procedures for the first time and to prepare for their introduction into clinical practice.

Laparoscopic Techniques Replaces Routinely Open Surgical Operations

In the meantime, the range of indications for the use of laparoscopy on the Clinic for Urology of the (CCM) continuously enlarged and a large number formerly open surgical operations already routinely replaces by laparoscopic techniques, such as e.g.:

·         pelvic lymphadenectomy for prostate cancer

·         Lymphocele marsupialization

·         Adrenalectomy (up to 7 cm)

·         Nephrectomy/nephroureterectomy

·         Pelvic plastic (> 12 years)

·         Ureterolysis in M. Ormond

·         Radical tumor nephrectomy (up to 11 cm)

·         Kidney tumor resection with organ preservation (< 4cm)

·         Retroperitoneal lymphadenectomy (stage I/ IIa testicular tumor)

·         Donor nephrectomy for living kidney transplantation

·         Retropubic prostatectomy

As can sees, the range of indications for laparoscopic operations in the Urology Clinic (CCM) cover a wide range of urological Operations including mentally stressful interventions such as donor nephrectomy or technically complicated procedures such as prostatectomy.

Conclusion

Approximately 70% of all our abdominal surgical procedures are already laparoscopically carries out and it too expects that further technological progress will open the Surgery in urology pushes out even more in the coming decades.

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