Our doctors belong to a hand-full of surgeons that have successfully performed laparoscopic cystectomy (removing the bladder for cancer), ureterolithotomy (removing impacted ureteral stones), ureterolysis (digging out ureters from scars to improve kidney outlet drainage), and pyeloplasty with concomitant pyelolithotomy (removing kidney stones and correcting kidney outlet obstruction at the same time), as well as complex and advanced laparoscopic adrenal and renal surgery in patients with multiple and anomalous vasculature, obesity, and those with prior surgery.
Lubbock Urology Clinic offers both transperitoneal (thru the abdomen) and retroperitoneal (behind the abdominal contents) approaches depending on the condition being treated. Patients, who have laparoscopic surgery generally experience less pain, have a quicker recovery and less risk of infection than those who have traditional open surgery.
Laparoscopy is a technique of performing a surgical operation using instruments inserted through narrow hollow tubes ('ports') rather than through a larger incision, as in traditional surgery. Laparoscopy is a minimally invasive alternative to standard open surgery in which a special camera called a laparoscope is used to produce an inside view of the abdominal cavity. Surgeons use the laparoscope, which transmits a true picture of the internal organs onto a video monitor, to guide them through surgical procedures. The laparoscope magnifies these images many times their actual size, providing surgeons with a better view of the abdomen than with standard open surgery. Laparoscopy often results in shorter hospitalization and earlier convalescence, less bleeding and post-operative pain and fewer wound complications.
Adrenalectomy Partial adrenalectomy Radical nephrectomy for cancer Radical nephroureterectomy for cancer Simple nephrectomy Partial nephrectomy for cancer Renal cryoablation (freezing renal cancers in the elderly)Calyceal diverticulectomy Renal cyst excision Pyeloplasty Ureteral surgery Large ureteral stone Female urinary incontinence Vaginal prolapse Pelvic lymph node dissection Undescended testis Retroperitoneal lymph node dissection for testicular cancer Radical prostatectomy for prostate cancer Radical cystoprostatectomy and urinary diversion for bladder cancer
During laparoscopy, 3 or 4 small (1/2-inch) incisions are made in the abdomen. Carbon dioxide is passed through one of the incisions into the abdomen to enlarge the cavity and lift the abdominal wall away from the organs. This creates more operating space, making it easier to manipulate the abdominal organs. The pencil-thin laparoscope and surgical instruments are then inserted through the other incisions. Sometimes, a hand is inserted thru a small (6-7cm) incision to facilitate dissection in difficult cases.
Patients who have laparoscopic surgery generally experience less pain, have a quicker recovery and less risk of infection than those who have traditional open surgery. Because the incisions are small, laparoscopic surgery produces less bleeding and scarring, reduced post-operative pain and shorter hospital stays, and patients experience a quicker return to normal eating habits and daily activities. (See chart below).
As with all surgical procedures, there is a small risk of complications. A physician will complete a preoperative evaluation to ensure that the procedure is appropriate for you. However, in a small percentage of cases, even approved laparoscopic procedures may be converted to open procedures.
Reasons for conversion to an open procedure may include: A significant complication during surgery If the operation is not proceeding as smoothly as the surgeon would like it to.
Most people are eligible for laparoscopic surgery. However, you may not qualify for the procedure if you have had multiple previous abdominal surgeries.