LAPAROSCOPIC NEPHRECTOMY AND ADRENECTOMY

Abstract

Laparoscopic surgery has been widely accepted as a one of the standard treatment. In urological field. Laparoscopic procedure has been becoming also common treatment for nephrectomy and adrenectomy. This type of treatment has advantages the same as the other laparoscopic surgery, such as minimally invasive surgery and early return to work. There are two different approaches with this procedure. One of these is transabdominal approach which is similar to the open surgery. The other is retroperitoneal approach, which is relatively newly developed. Both procedures have each advanteges and disadvantages. The indication for adrenectomy is still limited to benign diseses, but the indication for nephrectomy is extended to the malignant tumor of the kidney. Hand assisted surgery is also applied to laparoscopic nephrectomy which is able to shorten the operating time.