Author/Editor		Vodopija, Nado
Title		Laparoskopija v urologiji - sedanje stanje in bodoči razvoj
Translated title		Laparoscopy in urology today and in future
Type		članek
Source		Zdrav Vestn
Vol. and No.		Letnik 69, št. 5
Publication year		2000
Volume		str. 325-8
Language		slo
Abstract		Background. Although many years have passed since first reports on laparoscopic operative technique had been published, it is in the last 20 years that many laparoscopic techniques have been introduced to all fields of surgery. The first laparoscopic cholecystectomy in 1987 initiated the explosion of new laparoscopic methods. In surgery this development was very rapid due to large number of procedures that were suitable for laparoscopic technique; in urology number of procedures that can be performed laparoscopically is relatively limited. Consequently the development of laparoscopic techniques in urology was much slower; it is for this reason that laparoscopic procedures are performed only in limited number of urology departments (2 in Slovenia). In urology rapid development followed after the year 1990 (laparoscopic nephrectomy); in the last 10 years many procedures are performed using laparoscopic technique also in urology. In this presentation the most common laparoscopic procedures in urology are outlined, as well as future trends of laparoscopy in urology and our experience and results, based on 269 laparoscopic procedures performed in the past 8 years. We have learned adequate operative technique performing many laparoscopic procedures in abdominal surgery (mostly lap. cholecystectomy). As a result of trained operative technique, an average operative time in laparoscopic procedure is short and comparable to open procedures and the complication arises rarely.
Summary		Veliko let je minilo od prvega opisa laparoskopske operativne tehnike. Vendar šele zadnjih dvajset let lahko spremljamo uvajanje številnih novih laparoskopskih operativnih metod v vse operativne stroke. Prava eksplozija novih laparoskopskih operativnih metod je sledila laparoskopski holecistektomiji l.1987. V urologiji tako hiter razvoj sledimo po l.1990 (laparoskopska nefrektomija). V zadnjih desetih letih je bilo možno številne operativne posege opraviti laparoskopsko. V kirurgiji je ta razvoj zelo hiter zaradi številnih primerov (laparoskopska holecistektomija). V urologiji je število operativnih posegov, ki bi jih bilo mogoče opraviti, relativno majhno in je ta razvoj počasnejši. Zaradi tega se laparoskopske operacije v urologiji opravljajo v manjšem številu uroloških centrov (v Sloveniji v dveh). To je omogočilo razvoj potrebne operativne tehnike, tako da se danes v urologiji številni posegi izvajajo laparoskopsko. V tem prikazu podajam tudi naše rezultate pri 269 laparoskopskih uroloških posegih, ki smo jih opravili v zadnjih osmih letih. Potrebno operativno tehniko smo pridobili pri številnih laparoskopskih posegih v abdominalni kirurgiji, predvsem pri laparoskopski holecistektomiji. Zato so zapleti zelo redki, operativni čas pa kratek in primerljiv z odprtim posegom. V prikazu podajam tudi pregled laparoskopskih posegov v urologiji, za katere lahko rečemo, da se v številnih centrih danes izvajajo rutinsko.
Descriptors		UROLOGIC DISEASES LAPAROSCOPY SURGERY, LAPAROSCOPIC NEPHRECTOMY ADRENALECTOMY