There has been an explosion in minimally invasive surgery (MIS) in urology. As surgicalsubspecialists,urologistswereslowtoembraceminimallyinvasivesurgery at its inception. However, in the last decade, the interest in MIS has grown ex- nentiallyinurology.Laparoscopicrenalproceduresarecommonplace,andmoreand more complex oncologic and reconstructive procedures are performed laparosc- ically. Much of this exponential growth has been due to the rapid dissemination ofrobotictechnology,speci?callyforprostatectomy.Soonafterward,roboticte- nology was applied to other complex lower tract oncologic and reconstructive procedures.Roboticassistancehasalsobeenappliedtouppertracturologicpro- duressuchaspyeloplastybutitsapplicationforpartialnephrectomyismorerecent. It has become apparent that robotic technology can serve as an interface between openandlaparoscopicsurgeryforthelaparoscopicallynaivesurgeon.Ithascertainly been shown to be so for prostatectomy, and whether the same pans out for partial nephrectomyisyettobeseen. As more experience is gained in MIS, more and more complex procedures are performedlaparoscopicallyandrobotically.Contrarytologicalexpectation,thein- denceofcomplicationshasindeedincreasedwithincreasingexperienceinMIS. This ispurelyare?ectionofthecomplexityoftheproceduresperformedratherthans- gical ineptitude. Increased surgical experience and surgeon volume with a certain procedurecandecreaseperioperativemorbidity.Asinopensurgery,complications willbeeverpresentinthelaparoscopicmanagementofourpatientsandcannotbe eradicatedinallinstances.Theycan,however,beavoidedandmeasurescanbetaken to decrease their incidence. Much of this knowledge is gained purely from sur- calexperience.Certainclinicalscenariosandcomorbiditiespredisposethepatientto complications.Speci?ctosurgicaltechnique,certainmaneuversincreasethelike- hoodofintra-operativeandperioperativecomplicationsandincreasethelikelihood ofadverseoutcomes.Onthecontrary,certainprecautionsandmaneuverscanserve topreventcomplications. This textbook is intended to familiarize the modern urologist with the common andthemoreeccentriccomplicationsoflaparoscopicandroboticurologicsurgery. RecognizedurologicexpertsinMIShavecontributedtomakingthisthe?rstc- prehensive textbook speci?cally dedicated to complications in minimally invasive urologic surgery. The book is divided into three speci?c parts. In the ?rst part, medical and general considerations are discussed. In the second part, generalized discussionofcommonsurgicalcomplicationsispresented.Complicationsspeci?cto roboticsurgeryingeneralareemphasizedinaseparateuniquechapter.Thethirdpart vii viii Preface is dedicated to procedure-speci?c complications. Complications of upper tract and lowertractlaparoscopicandroboticproceduresarediscussedindifferentsubsections. Inmostchapters,abriefdescriptionoftheprocedureisprovidedaswellasan- depthdiscussionofthediagnosisandmanagementofcomplicationsassociatedwith that particular procedure. In each chapter, a discussion of preventive measures is emphasized.Thelastsegmentinthissectiondealswithspecialtopicssuchassingle port surgery, ablative procedures, and pediatric laparoscopy. Finally, a compreh- sivechapteronmedico-legalimplicationsoflaparoscopicandrobotictechnologyis presented.
From the reviews:
"Written by a multi-institutional group of experienced urologic physicians, each of the 24 chapters of this book details medical and surgical complications that are unique to laparoscopic and robotic surgery. ... The book is intended for both novice and experienced urologic surgeons. ... will be valuable to those who undertake minimally-invasive urology. ... Every chapter of this book is thorough and well written." (Costas D. Lallas, Doody's Review Service, September, 2010)
"Reza Ghavamian with the help of more than 50 contributors ... aimed to draw up a textbook dedicated to the complications related to such procedures. ... Each chapter is clear and concise and contains various figures and tables. ... Undoubtedly such a book fills a gap in urologic literature and represents a useful purchase for most urologists." (European Urology Today, Issue 5, October/November, 2010)
Number Of Pages: 327
Published: 4th May 2010
Publisher: Humana Press Inc.
Country of Publication: US
Dimensions (cm): 27.31 x 20.32 x 3.18
Weight (kg): 0.91