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Laparoscopic urology: Past, present, and future

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Abstract

Laparoscopy has begun to have a significant impact on the management of urologic problems. Although initially limited to diagnostic pediatric problems, it has more recently been used to resolve myriad adult urologic conditions. Indeed, during the past year laparoscopic urology has moved well beyond the diagnosis of the undescended testicle and has been successfully used for pelvic lymphadenectomy, varicocelectomy, ureterolysis, drainage of a pelvic lymphocele, bladder suspension, and nephrectomy. Future applications of laparoscopy in urology may well include nephroureterectomy, cystectomy, and creation of an ileal conduit.

Résumé

La chirurgie coelioscopique fait son apparition en urologie. Limitée au début aux problèmes diagnostiques chez l'enfant, elle a été utilisée plus récemment pour résoudre plusieurs problèmes urologiques chez l'adulte. En effet, les techniques coelioscopiques sont utilisées non seulement pour faire le diagnostic de testicule aberrant, mais aussi pour réaliser des lymphadénectomies, des cures des varicocèles, des urétèrolyses, un drainage de lymphocèle pelvien, une suspension de la vessie et une néphrectomie. Dans l'avenir, on peut espérer voir la réalisation de l'urétèronéphrectomie, la cystectomie, voire mÊme la création d'une néo iléale.

Resumen

La laparoscopia ha comenzado a tener un impacto significativo en el manejo de los problemas urológicos. Aunque inicialmente apareció restringida a problemas pediátricos, más recientemente se utiliza para el manejo de numerosas condiciónes urológicas en el adulto. Ciertamente en el ultimo año, la urología laparoscópica ha avanzado bastante más allá del diagnóstico del testículo no descendido y ha venido a ser utilizada en linfadenectomía pélvica, varicocelectomía, ureterolisis, drenaje de linfoceles pélvicos, suspensiónes de la vegiga y nefrectomía. Las aplicaciónes futuras de la urología laparoscópica bien podrían incluir la nefroureterectomía, la cistectomía y, aÚn, la construcción de un conducto urinario ileal.

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Authors and Affiliations

  1. Department of Surgery (Urology), Washington University School of Medicine, St. Louis, Missouri, USA

    Ralph V. Clayman M.D. & Louis R. Kavoussi M.D.

  2. Mallinckrodt Institute of Radiology, Washington University School of Medicine, St. Louis, Missouri, USA

    Ralph V. Clayman M.D. & Louis R. Kavoussi M.D.

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  1. Ralph V. Clayman M.D.
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  2. Louis R. Kavoussi M.D.
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Clayman, R.V., Kavoussi, L.R. Laparoscopic urology: Past, present, and future. World J. Surg. 17, 57–62 (1993). https://doi.org/10.1007/BF01655706

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