WHAT IS BAND – AID SURGERY?
“Band – Aid surgery” refers to laparoscopic surgery or key hole surgery. That is because the cuts made in laparoscopy to place the instruments are small enough to be covered by a band-aid.
WHAT IS LAPAROSCOPY?
Laparoscopy or Lap, is a “Minimally Invasive Surgery” performed inside abdominal cavity using small telescope with built in magnification and a variety of long & thin surgical instruments placed through approximately 3-4 incisions (each of which is usually no larger than 0.5cm – 1cm). This is very different from conventional open surgery, in which a much larger surgical cut (frequently in excess of 10-15 centimeters or 100 to 150 millimeters) is typically needed.
WHAT ARE THE APPLICATIONS OF LAPAROSCOPY IN UROLOGY?
Laparoscopic or key hole surgery has been applied to a multitude of benign (non-cancerous) and malignant (oncologic or cancerous) urologic problems. Currently, laparoscopy is used to treat variety of conditions affecting urological organs like kidneys, ureter, bladder, prostate, adrenal gland.
WHAT ARE THE COMMONLY PERFORMED LAPAROSCOPIC UROLOGY SURGERIES?
As technology has progressed many urological surgeries have become available to the patients to be performed laparoscopically.
- Removal of kidney – for cancer or other destructive kidney diseases – Lap nephrectomy
- Reconstruction of the urine-collecting system of the kidney for obstruction between the kidney and ureter – Lap Pyeloplasty
- Removal of adrenal gland – Lap adrenalectomy
- Removal of prostate cancer -Lap radical prostatectomy
- Kidney/ureteric stone removal – Lap pyelolithotomy / ureterolithotomy
- Repair of enlarged veins around the testis – Lap varicocele repair
- Undescended testis – Lap orchiopexy
CAN KIDNEY CANCERS BE ALSO TREATED LAPAROSCOPICALLY?
Yes, most of the kidney Cancers can be treated laparoscopically. However, the extent of kidney to be removed depends on the size, spread and location of the tumor. Having said so, sparing kidney tissue as much as possible is important because patients who have their entire kidney removed are more likely to suffer from chronic kidney disease compared to patients who received a kidney sparing partial nephrectomy.
- Lap Partial Nephrectomy – only the diseased part of your kidney sparing the healthy, functioning kidney.
- Lap Radical Nephrectomy – surgical removal of entire kidney, surrounding fat and adrenal gland which sits atop the kidney.
IS REMOVAL OF KIDNEY (PARTIAL/COMPLETE) THE BEST OPTION FOR ME?
Surgery is the main treatment for most kidney cancers. The chances of surviving kidney cancer without having surgery are small. Even patients whose cancer has spread to other organs may benefit from surgery to take out the kidney tumor. Removing the kidney containing the cancer can help some patients live longer, so a doctor may suggest surgery even if the patient’s cancer has spread beyond the kidney. Kidney removal can also be used to ease symptoms such as pain and bleeding.
WHAT ARE THE ADVANTAGES OF LAPAROSCOPIC KIDNEY SURGERY OVER TRADITIONAL “OPEN SURGERY”?
Laparoscopy achieves the same end result as open, with small cuts rather than a long cut.
WHAT FACTORS DETERMINE OUTCOME OF A LAPAROSCOPIC SURGERY?
As you consider laparoscopic surgery for yourself remember that your surgeon’s laparoscopic experience is the key to reducing risk and improving your likelihood of a successful outcome.