American Journal of Roentgenology, Vol 160, 1167-1170, Copyright © 1993 by American Roentgen Ray Society
Laparoscopic surgery in urology: current applications
IS Gill, K Kerbl and RV Clayman
Division of Urology, University of Kentucky Medical Center, Lexington 40536.
Urologic applications of laparoscopy have increased exponentially in the
past few years, and newer techniques continue to be described. This article
considers the latest advances in the field and attempts to place
laparoscopy in proper perspective in urologic therapy. From modest
diagnostic maneuvers, urologic laparoscopy has progressed to ablation of
large solid organs and complex reconstructive procedures. Reproducible
clinical success has been achieved in localization of undescended
testicles, varicocelectomy, dissection of pelvic lymph nodes, drainage of
lymphoceles, and nephrectomy. Clinical reports on use of this technique for
orchiectomy, ureterolysis, nephropexy, partial nephrectomy,
nephroureterectomy, bladder diverticulectomy, dissection of retroperitoneal
lymph nodes, and ileal conduit urinary diversion have been published.
Exciting and rapid development of more advanced techniques is under way in
the laboratory. Even at this early stage, when urologic applications of
minimally invasive surgery are still being defined, it is likely that
laparoscopy will have a lasting impact on the practice of urology.
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