Prof. Dr. Mustafa SOFİKERİM | Urology

Laparoscopic Surgery

Laparoscopy is a surgical technique performed with long-thin surgical equipments in the surgical treatment of intra-abdominal organs, with the help of a telescope connected to a camera from the tubules placed in several small or small (0.5-1 cm) holes instead of large surgical incisions. In laparoscopic surgery, there is a telescope that can be seen to be operated (such as kidney, prostate, urethra) and that is placed inside the body from one of the pipes. With a high-resolution camera system, surgery is performed with an approximately 10-15 fold magnified view of the organ. Due to these small holes used in laparoscopic surgery, compared to the large surgical incisions in open surgery, there is very little discomfort and pain, and a better appearance is provided in cosmetic terms. Postoperative pain is less, and therefore the use of painkiller, hospitalization time and recovery time is considerably reduced. Laparoscopic surgery is performed under general anesthesia similar to open surgery.

Although laparoscopic surgery is a technique that provides important facilities for patients compared to open surgery, it requires quite a lot of experience and special training on this subject.

When compared to open surgery, several benefits are identified in the studies; such as less postoperative pain, less bleeding, shorter hospital stay, daily activity and early return to work, etc.

Laparoscopy is a feasible technique for many surgical procedures in urology.

Urological Diseases In Which Laparoscopy Is Frequently Applied:

Prostate cancer (Laparoscopic Radical Prostatectomy)

Kidney Cancer (Laparoscopic Radical Nephrectomy)

Renal protective renal tumor surgery (Laparoscopic Partial Nephrectomy)

Bladder cancer (Laparoscopic Radical Cystectomy)

Renal outlet strictures-UPJ stenosis (Laparoscopic Pyeloplasty)

Removal of non-functioning kidneys (Laparoscopic Nephrectomy)

The conditions which are inconvenient for the application of laparoscopic surgery are incurable bleeding diseases, intestinal obstructions, active infections in the abdominal wall and cancers spread over the abdomen and abdominal ascites. Experienced and trained surgeons who perform laparoscopic surgery routinely have lower complication rates. The approximate complication rate in laparoscopic surgery is 5% and the probability to pass to open surgery is approximately 1-5%.