Laparoscopic Urologic Oncology Capa dura - 2003

Laparoscopic nephrectomy for a renal tumor was introduced by Clayman, Kavoussi, and associates in 1990 (1); in experienced hands, this approach has become an accepted alternative to traditional open radical nephrectomy (ORN) for small and medium-sized ( 13 cm) renal masses without evidence of renal vein or inferior vena caval involvement (i.e., T1, T2, and T3a renal tumors).

With its reduction in pain, morbidity, and recovery time for many procedures traditionally performed through an open incision, minimally invasive urologic surgery is revolutionizing how urologists treat disease. In Laparoscopic Urologic Oncology, highly experienced physicians and surgeons join forces to provide the first comprehensive survey of laparoscopic and minimally invasive management of urologic cancers. The authors focus on surgical technique-including laparoscopic radical prostatectomy, kidney morcellation, and kidney tumor ablation-and the role of laparoscopic surgery in the management of urologic tumors. Comparing results to conventional open surgery, discussing controversies, and identifying the shortcomings of minimally invasive procedures, their reviews provide balanced insights into indications, contraindications, and outcomes. In particular, such issues as the adequacy of oncologic results and morbidity are compared to those of conventional open techniques. The authors also address those patient conditions for which a minimally invasive alternative does not exist.
Comprehensive and state-of-the-art, Laparoscopic Urologic Oncology surveys and demonstrates all the laparoscopic and minimally invasive techniques that are now the standard of care in the treatment of urologic malignancies by both the general urologist and the urologic oncologist.