Categories: Urology

Laparoscopic surgeries in Urology

Laparoscopic surgery, more popularly known as keyhole surgery or minimally invasive surgery, wherein complex surgeries are performed through tiny centimeter incisions that has revolutionized the surgical approach for many conditions. In Urology, Laparoscopic surgery finds applications in many scenarios.

What are the advantages of Laparoscopic surgery?

  1. Faster recovery
  2. Shorter hospital stay
  3. Better cosmesis
  4. Less pain or Painless surgery
  5. Earlier return to work or normal activity
  6. Earlier return to exercises

Applications in Urology

  1. Adrenal glands: Adrenalectomy, Adrenal tumor/cyst excision
  2. Kidneys: Removal of the kidney (non-functioning kidney, Kidney cancer: partial or complete removal, kidney removal in donor for the transplant)
  3. Ureter: Pelvic-ureteric junction obstruction, Removal of large > 2 cm stones from the ureter, ureteric stricture
  4. Bladder: Removal of bladder partially or completely (in muscle-invasive bladder cancer)
  5. Prostate: Removal of Cancerous prostate
  6. Testis: Undescended testes surgery, varicocele surgery

All abdominal surgeries that were once performed through open surgery have now been performed with laparoscopic surgery. The fact that major surgeries can be done with minimal morbidity, good cosmesis and early return to work have popularised this approach.

Urologists who have been trained in laparoscopic surgery have to perform these surgeries. There is a steep learning curve and not all centres can provide this facility. As a patient, it is important to choose the right centre for laparoscopic surgeries.

Laparoscopic surgeries in Children

Many of the conditions listed above can occur in children too. Laparoscopic surgeries are possible in children and have the distinct advantage of quicker recovery and lesser time lost from school and sports. This is a major psychologic and physical advantage for the kids.

What to expect before and after Laparoscopic surgery?

Once the Urological surgeon has diagnosed the condition and has planned the surgery, a few blood tests and radiologic investigations will be done. The patient will be assessed by the Anesthesiologist to evaluate fitness for General anesthesia. A Cardiologist may be required to certify fitness, especially in elderly patients. Duration of the surgery varies and can range between 1-4 hours depending on the procedure. The patient is provided with painkillers after the surgery and can be mobilised for 6 hours post-procedure. Oral liquids can be had from 4 hours after procedure and solids from the next day following the procedure. Discharge generally takes 1-3 days post-surgery for most conditions. Rest at home between 1-2 days and return to work after that should be possible in most cases. Stitch removal is generally not required self-absorbing stitches are used on the skin.

Dr. Vikas Jain, Senior Consultant and Director, Urology and Renal Transplant, Narayana Superspeciality, Gurugram and Dharamshila Narayana Superspeciality Hospital, Delhi

Dr. Ashwin Mallya, Consultant, Urology and Renal Transplant, Narayana Superspeciality, Gurugram

Narayana Health

Recent Posts

सर्वाइकल कैंसर या बच्चेदानी के मुंह का कैंसर

बच्चेदानी के मुंह का कैंसर महिलाओं में होने वाले कैंसर में दूसरे स्थान पर आता…

2 weeks ago

Cervical Cancer Screening

Regular cervical screening can prevent about seven or eight out of every 10 cervical cancers…

2 weeks ago

Amyotrophic lateral sclerosis: All you need to know

Amyotrophic lateral sclerosis Table of Content: What is amyotrophic lateral sclerosis? Who gets ALS? What…

3 weeks ago

Brain Angiogram: Why Is It Done?

Brain angiogram, also known as a cerebral angiogram, is one of the common diagnostic tests…

3 weeks ago

All you need to know about Ataxia

Table of Content: What is Ataxia? Causes Symptoms Risk Factors & Complications How is it…

3 weeks ago

पोस्ट कोविड सिंड्रोम में तेजी से बढ़ रही पल्मोनरी फाइब्रोसिस और एम्बोलिज्म (खून के थक्के) की समस्या

जयपुर। कोरोना संक्रमण से ठीक होने के बाद भी फेफड़ों पर इसका असर लंबे समय…

3 weeks ago