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Essential Urologic Laparoscopy The Complete Clinical Guide 2nd Edition by Nakada ISBN 1603278206 9781603278201

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ISBN 10: 1603278206
ISBN 13: 9781603278201
Author: Nakada

In Essential Urologic Laparoscopy: The Complete Clinical Guide, Second Edition, editors Sean P. Hedican and Stephen Y. Nakada provide a complete update of their critically acclaimed first edition while adding new material related to Hand Assisted Laparoscopic Radical Cystectomy, Laparoscopic Retroperitoneal Lymph Node Dissection and Laparoscopic Assisted Renal Ablation. The authors offer clear, concise chapters focusing on getting started, laparoscopic instrumentation, and step-by-step procedural adult laparoscopy. Each chapter is organized so that the reader can easily identify key points and pitfalls, providing user-friendly text that describes the essential equipment necessary for performing urologic laparoscopy. Authorative and highly practical, Essential Urologic Laparoscopy: The Complete Clinical Guide, Second Edition provides a comprehensive guide to performing effective and cutting-edge urologic laparoscopy and is a must have for any urologist looking to create, maintain, or expand a successful practice in minimally invasive urologic surgery.

Essential Urologic Laparoscopy The Complete Clinical Guide 2nd Table of contents:

  1. DVD Contents
  2. Contributors
  3. Getting Started in Laparoscopy
  4. The Surgeon
  5. Team Laparoscopy
  6. Experienced Laparoscopist
  7. Designated Assistant
  8. Anesthesiologist
  9. Operating Room Staff
  10. Instrumentation
  11. Patient Selection
  12. The Robot
  13. Cost
  14. Conclusions
  15. References
  16. Laparoscopic Instrumentation
  17. Introduction
  18. Camera Systems
  19. Scopes
  20. Insufflation
  21. Access
  22. Trocars
  23. Hand-Assist Devices
  24. Hemostasis
  25. Energy-Based Dissectors
  26. Mechanical Vascular Control
  27. Biologic Hemostasis
  28. Dissecting Instruments
  29. Retractors
  30. Suturing
  31. Morcellation
  32. Adjunct Instruments
  33. Robotic Systems
  34. Future Advancements
  35. Conclusion
  36. Take Home Messages
  37. References
  38. Laparoscopic Access
  39. Introduction
  40. Room and Equipment Set-Up
  41. Methods of Access
  42. Anatomic Considerations
  43. Complications of Laparoscopic Access
  44. The Future of Laparoscopic Access
  45. References
  46. Laparoscopic and Robotic Pelvic Lymphadenectomy
  47. Introduction
  48. Patients
  49. Selection and Assessment
  50. Preoperative Preparation
  51. Operating Room
  52. Operating Room Set-Up
  53. Patient Positioning and Preparation
  54. Instrumentation
  55. Operative Approach
  56. Port Placement
  57. Transperitoneal L-PLND
  58. Extraperitoneal L-PLND
  59. Extraperitoneal Operative Approach
  60. Extended Lymph Node Dissection
  61. Closure
  62. Postoperatively
  63. Take Home Messages
  64. References
  65. Laparoscopic Renal Cyst Decortication
  66. Introduction
  67. Preoperative Assessment
  68. Management Algorithms
  69. Complex Cysts
  70. Symptomatic Simple Cysts
  71. Adult Polycystic Kidney Disease
  72. Operative Technique
  73. Patient Preparation
  74. Patient Positioning
  75. Trocar Placement
  76. Transperitoneal Approach
  77. Retroperitoneal Approach
  78. Procedure
  79. Transperitoneal Approach
  80. Retroperitoneal Approach
  81. Postoperative Care
  82. Results
  83. Simple Renal Cysts
  84. Indeterminate Cysts
  85. Peripelvic Cysts
  86. Autosomal Dominant Polycystic Kidney Disease
  87. Conclusions and Take-Home Messages
  88. References
  89. Laparoscopic Simple Nephrectomy
  90. Introduction
  91. Preoperative Assessment for Laparoscopic Simple Nephrectomy
  92. Preoperative Work-Up
  93. Surgical Technique
  94. Transperitoneal Nephrectomy
  95. Procedure
  96. Step 1: Initial Positioning
  97. Step 2: Pneumoperitoneal Access and Port Placement
  98. Step 3: Initial Dissection
  99. Step 4: Renal Dissection
  100. Step 5: Isolation of the Lower Pole
  101. Step 6: Isolation of the Upper Pole
  102. Step 7: Completion of Hilar Dissection
  103. Step 8: Removal of Specimen
  104. Step 9: Port Closure and Procedure Completion
  105. Retroperitoneal Nephrectomy
  106. Procedure
  107. Step 1: Initial Positioning
  108. Step 2: Establishment of Pneumoperitoneum
  109. Step 3: Completion of Port Placement
  110. Step 4: Dissection of the Kidney
  111. Step 5: Completion of Renal Dissection
  112. Step 6: Removal of Specimen
  113. Step 7: Port Closure and Completion of Procedure
  114. Surgical Considerations for Specific Pathologic Entities Affecting the Kidney
  115. Xanthogranulomatous Pyelonephritis
  116. Tuberculous Kidney
  117. Autosomal Dominant Polycystic Kidney Disease (ADPKD)
  118. Conclusions
  119. Acknowledgments
  120. References
  121. Laparoscopic Radical Nephrectomy
  122. Introduction
  123. Preoperative Assessment
  124. Necessary Instrumentation
  125. Patient Position
  126. Operation Room Set-Up
  127. Port Placement
  128. Primary Port
  129. Secondary Ports
  130. Step-by-Step Surgical Approach
  131. Renal Hilum Control
  132. Intraoperative Trouble-Shooting
  133. Problems with Orientation in the Retroperitoneum
  134. Difficulty in Finding the Renal Hilum
  135. Persistent Renal Hilar Bleeding After Division of the Renal Artery and Vein
  136. Endo GIA Malfunction
  137. Circumferential Extrafascial Mobilization of the En Bloc Specimen
  138. Intraoperative Trouble-Shooting
  139. Inadverted Peritoneotomy
  140. Specimen Entrapment
  141. Entrapment of Larger Specimens
  142. Specimen Extraction
  143. Pfannenstiel Incision
  144. Vaginal Extraction
  145. Hemostasis
  146. Special Considerations
  147. Concerns About Tumor Size
  148. Retroperitoneoscopy in Obese Patients
  149. Preservation of the Adrenal Gland (if Necessary)
  150. Oncologic Efficacy of Laparoscopic Radical Nephrectomy
  151. Take Home Messages
  152. References
  153. Laparoscopic Radical Nephrectomy: Transperitoneal Approach
  154. Introduction
  155. Pre-operative Evaluation, Patient Preparation and Positioning
  156. Access
  157. Instrumentation
  158. Right Side
  159. Step 1: Peritoneal Incisions and Pararenal Dissection
  160. Step 2: Securing the Gonadal Vein
  161. Step 3: Securing the Ureter
  162. Step 4: Securing the Adrenal Veins
  163. Step 5: Securing the Renal Hilum
  164. Step 6: Freeing the Specimen and Securing the Ureter
  165. Step 7: Entrapment for Morcellation
  166. Step 8: Entrapment for Intact Removal
  167. Step 9: Morcellation vs Intact Removal
  168. Left Side
  169. Step 1: Peritoneal Incisions and Pararenal Dissection
  170. Step 2: The Gonadal Vein
  171. Step 3: Securing the Ureter
  172. Step 4: Securing the Renal Hilum
  173. Postoperative Care
  174. Conclusions
  175. References
  176. Laparoscopic Radical Nephrectomy
  177. Introduction
  178. Indications, Contraindications, and Preoperative Assessment
  179. Preparation and Positioning
  180. Equipment and Hand-Assist Devices
  181. Transperitoneal Procedure: Trocar and Hand-Port Configuration
  182. Transperitoneal Procedure: Left Radical Nephrectomy
  183. Transperitoneal Procedure: Right Radical Nephrectomy
  184. Retroperitoneal Procedure
  185. Outcomes: Perioperative Results
  186. Oncologic Outcomes
  187. Complications
  188. Take Home Messages
  189. References
  190. Laparoscopic Partial Nephrectomy
  191. Introduction
  192. Indications
  193. Instrumentation
  194. Preoperative Preparation
  195. Choice of Technique and Approach
  196. Transperitoneal Standard Approach
  197. Transperitoneal Hand-Assisted Approach
  198. Retroperitoneal Approach
  199. Resection Without Hilar Clamping
  200. Resection with Hilar Clamping but No Suturing
  201. Resection with Hilar Clamping and Suturing
  202. Tumor Extraction and Exiting
  203. Specific Complications
  204. Hemorrhage
  205. Urinary Fistula
  206. Acute Tubular Necrosis
  207. Results
  208. Summary
  209. Take Home Messages
  210. References
  211. Laparoscopic Nephroureterectomy
  212. Summary
  213. Introduction
  214. Surgical Technique
  215. Patient Preparation and Positioning
  216. Access: Laparoscopic and Hand-Assisted Laparoscopic Nephroureterectomy
  217. Laparoscopic Nephroureterectomy
  218. Hand-Assisted Nephroureterectomy
  219. Instrumentation
  220. Surgical Technique: Laparoscopic and Hand-Assisted Laparoscopic Nephroureterectomy — Right Side
  221. Step 1: Peritoneal Incisions and Pararenal Dissection
  222. Step 2: Identifying the Proximal Ureter
  223. Step 3: Securing the Adrenal Vein
  224. Step 4: The Renal Hilum
  225. Step 5: Distal Ureteral Dissection
  226. Step 6: Excision of Distal Ureter and Bladder Cuff
  227. Step 7: Specimen Entrapment and Intact Extraction
  228. Step 8: If the Distal Ureter Has Been Managed with the Washington University Technique, Cystoscopic
  229. Left Side
  230. Step 1: Peritoneal Incisions and Pararenal Dissection
  231. Step 2. The Gonadal Vein
  232. Step 3. Identifying the Proximal Ureter
  233. Step 4. Securing the Renal Hilum
  234. Alternative Management Strategies for the Distal Ureter
  235. Post-operative Care
  236. Complications
  237. Take Home Messages
  238. Conclusions
  239. References
  240. Laparoscopic Live Donor Nephrectomy
  241. Introduction
  242. Preoperative Assessment
  243. Patient Selection
  244. Radiographic Evaluation
  245. Patient Preparation
  246. Operating Room Set-Up
  247. Personnel and Equipment Configuration
  248. Patient Positioning
  249. Trocar Configuration
  250. Instrumentation and Medications
  251. Operative Technique
  252. Left Laparoscopic Live Donor Nephrectomy
  253. Obtaining Access and Insufflating the Abdomen
  254. Trocar Placement
  255. Step 1: Reflecting the Colon
  256. Step 2: Dissecting the Renal Vein and Artery
  257. Step 3: Exposing the Upper Pole of the Kidney and Preservation of the Adrenal Gland
  258. Step 4: Dissecting the Ureter
  259. Step 5: Releasing the Inferior, Lateral, and Posterior Renal Attachments
  260. Step 6: Preparing the Kidney Extraction Site
  261. Step 7: Transecting the Gonadal Vessels and Ureter
  262. Step 8: Transecting the Renal Vessels
  263. Step 9: Entrapment and Delivering of the Kidney
  264. Step 10: Inspecting the Renal Bed and Closing Abdominal Incisions
  265. Right Laparoscopic Live Donor Nephrectomy
  266. Hand-Assisted Laparoscopic Live Donor Nephrectomy
  267. Results
  268. Take Home Messages
  269. Acknowledgements
  270. References
  271. Laparoscopic and Robotic Pyeloplasty
  272. Introduction
  273. Patient Selection
  274. Operating Room Set-Up
  275. Patient Preparation and Positioning
  276. Necessary Equipment
  277. Operative Procedure Standard Laparoscopic Pyeloplasty
  278. Port Placement
  279. Exposure of the Retroperitoneum
  280. Dissection of the Retroperitoneum
  281. Incision of the Ureteropelvic Junction
  282. Preparation of the Anastomosis
  283. Performing the Anastomosis
  284. Exiting the Abdomen
  285. Operative Procedure Robotic Laparoscopic Pyeloplasty
  286. Port Placement
  287. Exposure of the Retroperitoneum
  288. Dissection of the Retroperitoneum
  289. Incision of the Ureteropelvic Junction
  290. Preparation of the Anastomosis
  291. Performing the Anastomosis
  292. Exiting the Abdomen
  293. Follow-Up
  294. Results
  295. Take Home Messages
  296. References
  297. Laparoscopic Adrenalectomy
  298. Introduction
  299. Indications and Contraindications
  300. Preoperative Evaluation
  301. Relevant Anatomy
  302. Patient Preparation, Operating Room Set-Up, and Patient Positioning
  303. Instrumentation
  304. Surgical Technique
  305. Right Transperitoneal Laparoscopic Adrenalectomy
  306. Left Transperitoneal Laparoscopic Adrenalectomy
  307. Retroperitoneal Approach
  308. Right Retroperitoneal Laparoscopic Adrenalectomy
  309. Left Retroperitoneal Laparoscopic Adrenalectomy
  310. Postoperative Management
  311. Published Results
  312. Take Home Messages
  313. References
  314. Laparoscopic Retroperitoneal Lymph Node Dissection for Nonseminomatous Germ Cell Tumors
  315. Introduction
  316. Preoperative Assessment and Patient Preparation
  317. Surgical Technique
  318. Access and Trocar Placement
  319. Retroperitoneal Dissection
  320. Right-Side Procedure
  321. Left-Side Procedure
  322. Complications and Prevention
  323. Postoperative Care
  324. Results
  325. LRPLND After Chemotherapy
  326. Conclusion
  327. Take Home Messages
  328. References
  329. Laparoscopic Cystectomy and Urinary Diversion
  330. Introduction
  331. Historical Background: Cystectomy and Urinary Diversion
  332. Indications: Radical Cystectomy
  333. Indications: Urinary Diversion
  334. Technique: Laparoscopic Radical Cystectomy
  335. Access, Port Placement
  336. Posterior Dissection
  337. Ureteral Dissection
  338. Vascular Pedicles, Anterior Dissection
  339. Female Cystectomy
  340. Technique: Lap Extended Lymph Node Dissection
  341. Technique: Lap Ileal Conduit
  342. Transposition of the Left Ureter
  343. Harvesting Small Bowel
  344. Restoring Bowel Continuity
  345. Ureteroileal Anastomoses
  346. Creation of Ileal Stoma
  347. Closure and Drains
  348. Post-operative Period
  349. Technique: Lap Orthotopic Neobladder
  350. Outcomes
  351. Morbidity: Perioperative Outcomes
  352. Oncological Outcomes
  353. Cost
  354. Summary, Future Directions
  355. References
  356. Laparoscopic Radical Cystectomy and Urinary Diversion with Handport Assistance
  357. Introduction
  358. Patient Selection
  359. Preoperative Assessment
  360. Preoperative Preparation
  361. Laparoscopic Specific Instrumentation
  362. Patient Position
  363. Operating Room Set-Up
  364. Port Placement
  365. Hand-Assisted Laparoscopic Radical Cystectomy Technique
  366. Urinary Diversion with Hand Port
  367. Results
  368. References
  369. Laparoscopic and Robotic-Assisted Laparoscopic Radical Prostatectomy
  370. Introduction
  371. Preoperative Assessment
  372. Preoperative Preparation
  373. Laparoscopic Radical Prostatectomy
  374. Transperitoneal Approach
  375. Operative Technique
  376. Instrumentation
  377. Patient Positioning
  378. Operating Room Set-Up
  379. Trocar Configuration
  380. Seminal Vesicle Dissection
  381. Incision of Denonvillier’s Fascia
  382. Retropubic Dissection
  383. Dissection of the Endopelvic Fascia
  384. Ligation of the Dorsal Venous Complex
  385. Bladder Neck Dissection
  386. Control of the Prostatic Pedicles
  387. Division of the Dorsal Venous Complex
  388. Division of the Urethra
  389. Bladder Neck Reconstruction
  390. Vesicourethral Anastomosis
  391. Drain Insertion, Port Site Closure, and Specimen Extraction
  392. Post-operative Recovery
  393. Extraperitoneal Approach
  394. Results
  395. Advantages of the Laparoscopic Approach
  396. Robotic-Assisted Laparoscopic Radical Prostatectomy
  397. Transperitoneal Approach
  398. Instrumentation
  399. Operating Room Set-up
  400. Patient Positioning
  401. Trocar Configuration
  402. Entry into the Extraperitoneal Space
  403. Incision of the Endopelvic Fascia
  404. Bladder Neck Dissection
  405. Vas Deferens and Seminal Vesicle Dissection
  406. Posterior Dissection
  407. Control of the Pedicles and Nerve Sparing
  408. Apical Dissection with Division of the Dorsal Venous Complex and Urethra
  409. Bilateral Pelvic Lymph Node Dissection
  410. Vesicourethral Anastomosis
  411. Specimen Removal and Closure
  412. Post-operative Care
  413. Variations in Technique
  414. Results
  415. Take Home Messages
  416. References
  417. Complications of Laparoscopic Urologic Surgery
  418. Introduction
  419. Preoperative Planning
  420. Patient Positioning
  421. Operative Field
  422. General Considerations
  423. Complications of Access and Port Placement
  424. Operative Complications
  425. Abdominal Surgery
  426. Renal Surgery
  427. Exiting the Field
  428. Postoperative Complications
  429. Postoperative Management
  430. Robot-Assisted Laparoscopy
  431. Patient Positioning and Anesthesia
  432. Complications of RALRP
  433. Summary
  434. Take Home Messages
  435. References
  436. Laparoscopic Renal Ablation
  437. Introduction
  438. Principles of Cryoablation
  439. Principles of Radiofrequency Ablation
  440. Patient Selection: Indications and Contraindications
  441. Pre-operative Preparation
  442. Surgical Technique
  443. Operating Room Set-Up
  444. Patient Positioning
  445. Trocar Placement
  446. Transperitoneal Approach
  447. Retroperitoneal Approach
  448. Exposure of the Lesion
  449. Ablation Technique
  450. Cryoablation
  451. Radiofrequency Ablation
  452. Postoperative Care and Follow-Up
  453. Results
  454. Laparoscopic Radiofrequency Ablation
  455. Laparoscopic Cryoablation
  456. Summary
  457. Take Home Messages
  458. References
  459. Index
 

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