A census of laparoscopic and robotic urological practice: a survey of minimally invasive surgery department of the Brazilian Society of Urology.

Minimally invasive urologic surgery has been developing in Brazil and now is a routine part of care in many regions and patients with different conditions benefit from it. Training in laparoscopic and robotic surgery has evolved and concerns exist both over the quality of surgical training and the practical effect on results of the urological training. This is an unprecedented study which undertook a census to determinate the current state of laparoscopic and robotic urological practice and to know the mains barriers to adequate practice in Brazil.

Total and partial laparoscopic adrenalectomy.

The Guidelines Project, an initiative of the Brazilian Medical Association, aims to combine information from the medical field in order to standardize producers to assist the reasoning and decision-making of doctors. The information provided through this project must be assessed and criticized by the physician responsible for the conduct that will be adopted, depending on the conditions and the clinical status of each patient.

Laparoscopic renal biopsy.

The Guidelines Project, an initiative of the Brazilian Medical Association, aims to combine information from the medical field in order to standardize producers to assist the reasoning and decision-making of doctors. The information provided through this project must be assessed and criticized by the physician responsible for the conduct that will be adopted, depending on the conditions and the clinical status of each patient.

Urologic surgery laparoscopic access: vascular complications.

Vascular injury in accidental punctures may occur in large abdominal vessels, it is known that 76% of injuries occur during the development of pneumoperitoneum. The aim of this video is to demonstrate two cases of vascular injury occurring during access in laparoscopic urologic surgery. The first case presents a 60-year old female patient with a 3cm tumor in the superior pole of the right kidney who underwent a laparoscopic partial nephrectomy.

Impact of novel techniques on minimally invasive adrenal surgery: trends and outcomes from a contemporary international large series in urology.

Objective: To evaluate contemporary international trends in the implementation of minimally invasive adrenalectomy and to assess contemporary outcomes of different minimally invasive techniques performed at urologic centers worldwide.

Methods: A retrospective multinational multicenter study of patients who underwent minimally invasive adrenalectomy from 2008 to 2013 at 14 urology institutions worldwide was included in the analysis. Cases were categorized based on the minimally invasive adrenalectomy technique: conventional laparoscopy (CL), robot-assisted laparoscopy (RAL), laparoendoscopic single-site surgery (LESS), and mini-laparoscopy (ML).

Intravesical and transperitoneal laparoscopy in the management of tumor in the residual ureter.

The occurrence of tumor in the residual ureter after an incomplete nephroureterectomy required by a tumor of renal collecting system is an uncommon but a well described situation. The recommended treatment in this situation is the radical excision of the remaining ureter, being the open technique the most used approach. The aim of this video is to demonstrate a new approach using intravesical and transperitoneal laparoscopy to remove the residual ureter following the oncological concepts.

Retrocervical deep infiltrating endometriotic lesions larger than thirty millimeters are associated with an increased rate of ureteral involvement.

Study Objective: To estimate the presence of ureteral involvement in deep infiltrating endometriosis (DIE) affecting the retrocervical area.

Design: Retrospective study of women undergoing laparoscopic treatment of DIE affecting the retrocervical area.

Design Classification: Canadian Task Force classification II-3.

Laparoendoscopic single-site surgery in urology: worldwide multi-institutional analysis of 1076 cases.

Background: Laparoendoscopic single-site surgery (LESS) has gained popularity in urology over the last few years.

Objective: To report a large multi-institutional worldwide series of LESS in urology.

Design, Setting, And Participants: Consecutive cases of LESS done between August 2007 and November 2010 at 18 participating institutions were included in this retrospective analysis.

Adrenalectomy by retroperitoneal laparoendoscopic single site surgery.

Background: Laparoscopic adrenalectomy is the current standard for treatment of benign adrenal disease. To reduce the invasiveness of surgery, new techniques have been recently proposed, such as mini-laparoscopy, natural orifice transluminal endoscopic surgery, and laparoendoscopic single site surgery (LESS). Herein, we describe one case of adrenalectomy by retroperitoneal LESS using conventional laparoscopic instruments and ports.

Laparoendoscopic Pfannenstiel nephrectomy using conventional laparoscopic instruments--preliminary experience.

Purpose: To confirm the feasibility of the laparoendoscopic Pfannenstiel nephrectomy using conventional laparoscopic instruments.

Materials And Methods: Since March 2009, laparoscopic nephrectomy through a Pfannenstiel incision has been performed in selected patients in our service. The Veress needle was placed through the umbilicus which allowed carbon dioxide inflow.

Bilateral retroperitoneoscopic lumbar sympathectomy by unilateral access for plantar hyperhidrosis in women.

Objectives: Primary focal hyperhidrosis is a disorder of excessive, bilateral, and relatively symmetric sweating occurring in the axillae, palms, soles, or craniofacial region. Armpits are affected in 51% of patients, feet in 29%, palms in 25%, and the face in 20%. There is a wide range of nonsurgical and surgical treatments available for patients with focal hyperhidrosis.

Transumbilical laparoscopic urological surgery: are special devices strictly necessary?

Objective: To evaluate the safety and feasibility of transumbilical laparoscopic surgery using conventional laparoscopic instruments and ports.

Patients And Methods: Since January 2008 we have been using laparoscopic transumbilical procedures. Patient selection was determined by any situation, pathological or not, for which laparoscopy was deemed appropriate as the standard of care in our practice.

Transvaginal endoscopic tubal sterilization.

Background: Tubal sterilization is one of the most widely used options for female contraception. It can be performed by laparotomy, minilaparotomy, colpotomy, laparoscopy, and hysteroscopy. In this paper, we report the use of the transvaginal endoscopic approach to perform tubal ligation.

Totally endoscopic mitral valve repair: a case report.

Minimum incision techniques in cardiac surgery have been on the rise after their inclusion in videothoracoscopy. Video-assisted minimally invasive cardiac surgery is considered by many centers in the world to be the approach of choice for treatment of mitral and aortic valve diseases. The aim of this is study is to report a case of valve repair in a patient with mitral restenosis after surgical repair 12 years before.

A comparison of hand-assisted and pure laparoscopic techniques in live donor nephrectomy.

Purpose: To compare hand-assisted laparoscopic donor nephrectomy and pure laparoscopic live donor nephrectomy techniques in live donor nephrectomy.

Methods: In this retrospective study, we included all patients submitted to hand-assisted laparoscopic donor nephrectomy and pure laparoscopic live donor nephrectomy between May 2002 and December 2007. The operative data and post-operative courses were reviewed.

Standardization of video-assisted cardiac surgery technique: initial experience.

Introduction: Minimally invasive cardiac surgery has been performed in major worldwide centers, including procedure such as valves, coronary and congenital surgery.

Objective: To demonstrate our first works with noninvasive cardiac surgery by mean of the experience gained with general and thoracic surgery.

Methods: Whenever possible to carry out a minimally invasive cardiac surgery, this was the approach of choice.

Hybrid transvaginal nephrectomy.

This case study reports one case of transvaginal natural orifice transluminal endoscopic surgery (NOTES) in a 23-yr-old woman with right flank pain and recurrent urinary tract infection due to a nonfunctional right kidney. She underwent nephrectomy by transvaginal NOTES using the endoscope by vaginal access and two additional 5-mm trocars in the abdomen. Total procedure time was 170 min and estimated blood loss was 350 cc.

Laparoscopic running urethrovesical anastomosis with posterior fixation.

Introduction: Laparoscopic radical prostatectomy is a minimally invasive approach for the treatment of localized prostate cancer. The most technically demanding and time-consuming part of this procedure is the urethrovesical anastomosis. Here we describe our technique for the urethrovesical anastomosis with a posterior fixation, using a running suture with two monofilament absorbable sutures.

Laparoscopic live donor nephrectomy in patients surgically treated for morbid obesity.

In the past, morbid obesity was considered a relative contraindication to renal donation; however, more recent publications have shown that laparoscopic renal surgery is safe and effective for obese donor nephrectomy. We report the performance of a bariatric surgery before the kidney donation in 2 patients in order to improve their medical condition and to reduce their surgical risk to the transplantation procedure. After bariatric surgery, both donors lost more than 30% of their initial corporal weight and their donation procedure was successfully performed, with uneventful postoperative courses.

Hand-assisted right laparoscopic live donor nephrectomy.

Purpose: Laparoscopic live donor nephrectomy has acquired an important role in the era of minimally invasive surgery. Laparoscopic harvesting of the right kidney is technically more challenging than that of the left kidney because of the short right renal vein and the need to retract the liver away from the right kidney. The aim of this article is to report our experience with right laparoscopic live donor nephrectomies.

Laparocopic ureteral reimplantation in ureteral stenosis after gynecologic laparoscopic surgery.

Pelvic surgery is the most common cause of iatrogenic ureteral injury, and traditionally repair of such injuries requires laparotomy. We report the case of a 48-year-old woman with an iatrogenic ureteral injury after laparoscopic ophorectomy which was laparoscopically reimplanted using the Lich-Gregoire technique. Total operating time was 150 minutes and estimated blood loss was 100 mL.

Maximizing the right renal vein length in laparoscopic live donor nephrectomy.

Laparoscopic donor nephrectomy has become the standard of care at increasing numbers of renal transplant programs worldwide. The majority of laparoscopic living donor kidneys are procured from the left side because of the longer renal vein and improved transplantation. The aim of this article is to report a technique to maximize the right renal vein length by performing a hand-assisted cavotomy.