J Rassweiler

..Currently it is believed that LRC should be considered for patients with low risk of progression (pT1-2). The final position of laparoscopic radical cystectomy can only be evaluated in a multicentric randomized controlled trial...

..This paper focuses on the type and importance of mechanical simulators in laparoscopic training...

..The complications and learning curve of laparoscopic pyeloplasty are presented together with recommendations for adequate management...

..Recent studies concerning mechanisms of stone disintegration, shock wave focusing, coupling, and application have appeared that may address some of these problems...

..To evaluate the role of laparoscopic radical prostatectomy (LRP) and robotic assisted radical prostatectomy (RLRP) based on personal experience and a review of the literature...

..This paper focuses on the different principles of vaso-occlusion and further improvements of the technique such as capillary chemoembolization in experimental as well as clinical studies...

..We evaluated the actual role of laparoscopy focusing on main indications of urologic reconstructive surgery...

..To present the current status of laparoscopic radical prostatectomy (LRP) in Germany, Austria and Switzerland with respect to transferability, learning curve, and outcome...

..To update the complications of transurethral resection of the prostate (TURP), including management and prevention based on technological evolution...

..Our results are compared with the results of high-powered holmium laser enucleation (HoLEP) presented in the literature...

..On the other hand, a maximum rate of 30% of local recurrences and distant metastases indicates at least poor patient selection. In conclusion, this procedure should be limited to a few experienced centers...

..To compare the results of laparoscopic ureteral reimplantation with a previous series of open surgery...

..One of the next frontiers of minimally invasive surgery is natural orifice translumenal endoscopic surgery (NOTES). This article focuses on the perspectives and limitations of imaging and navigation in NOTES soft-tissue surgery...

..6% in temsirolimus recipients vs. 4.8% IFNalpha recipient group.Temsirolimus monotherapy recipients experienced significantly fewer grade 3 or 4 adverse events and had fewer withdrawals for adverse events than patients receiving IFNalpha...

..The development of videoendoscopic techniques like endopyelotomy and laparoscopy offers less invasive alternatives. The long-term outcome of an algorithm selectively using these techniques is presented...

..e. tissue charring), cheaper irrigation solution, and a shorter catheter time. In addition to already existing phase III-studies, larger randomized mulit-institutional trials will have to substantiate these advantages...

..Laparoscopic radical prostatectomy has become an accepted alternative to open surgery. However, there is still a lack of data concerning the oncological outcome...

..In this study, we present a novel porcine model for laparoscopic pyeloplasty training and report the results obtained in patients who underwent one-knot pyeloplasty...

..To demonstrate the operative steps of transperitoneal laparoscopic radical prostatectomy with the ascending approach (Heilbronn technique)...

..CONCLUSION: Chemoembolization produces persistently high tissue concentrations of MMC and avoids toxic peak serum levels. It improves the efficacy of organ ablative vasoocclusion in renal malignancies...

..Clinical experience in urology is still very limited. We want to present our initial experience using the device for robot-assisted laparoscopic radical prostatectomy...

..In this paper we want to describe our approach and to present the initial results with the Heilbronn technique...

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..We assessed the impact of tumor volume, tumor volume ratio (tumor volume-to-prostate volume), surgical experience and type of nerve sparing procedure on biochemical recurrence after laparoscopic radical prostatectomy...

..Daily experience with difficult urological laparoscopic procedures in adults will remain more common than in pediatric centres...

..The increasing spread and technical enhancement of endourological methods has led to displacement of the surgical therapy of renal and ureteral calculi...

..The impact of robotics in urological surgery is therefore very promising, and we are convinced that it will totally change the future of urological surgery...

..Whereas audiovisual telementoring will play a clear role in future training concepts, the need for telemanipulation or telesurgery has not yet been clarified...

..Interventional ultrasound in urology has become an outstanding tool for the planning and performance of a variety of procedures, and every urologist should be able to use these technologies...

..A delay in diagnosis is the most important factor contributing to the morbidity of ureteric injuries, and early treatment can reduce the complication rate to below 5%...

..The inconsistent terminology initially used led to confusion. Understanding the technical evolution, the current status and a unified and simplified terminology are key issues for further acceptance of both approaches...

..Finally, a balancing of the key challenges and possible benefits of endoscopic navigation refines the perspectives of this increasingly important discipline of computer-aided medical procedures...

..This article evaluates the value of these alternatives based on own experiences and an analysis of the current literature...

..transurethral resection (TUR) and/or intravesical metaphylaxis, we wanted to answer the following questions: Was this approach efficient? What risk factors demand a second-look TUR? Is surveillance appropriate for patients at low risk?..

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..A survey was performed to assess the current practice patterns in laparoscopy among urologists in Germany and Switzerland...

..Morbidity is low, oncological control similar to results of open surgery and functional results are promising. The procedure should be performed only at dedicated centers with adequate training and expertise...

..To evaluate the effect of previous transurethral resection of the prostate (TURP) on surgical, functional, and oncologic outcomes after laparoscopic radical prostatectomy...

..New imaging modalities and tissue navigation systems, which are adoptable to minimally invasive robotic urological surgical systems and prone to make the procedures more precise and easy, are reviewed...

..To assess the correlation of a newly defined parameter, "urine loss ratio" (ULR), with the time to continence and probability for incontinence after laparoscopic radical prostatectomy (LRP)...

..The overall outcome after 219 cases favors the laparoscopic approach. Consequently, at our institution laparoscopic radical prostatectomy has become the method of choice...

..In 1999, we developed a laparoscopic technique similar to the classic retropubic radical prostatectomy. We focus here on the continuous technical evolution of our technique...

..Additionally, we compare the results of laparoscopy with those of open radical prostatectomy...

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..Neither the transperitoneal nor extraperitoneal approach is associated with an increase in complications or morbidity. However, an extraperitoneal access allows an easier repair without the refixation of the peritoneum...

..In this study, a higher TII-alpha index correlated with more aggressive tumor behaviour. However, a large cohort of patients should be assessed before drawing definitive conclusions...

..Robotic systems add significant cost to laparoscopic procedures. We therefore evaluated the use of the Radius Surgical System (RSS), a mechanical manipulator, for complex laparoscopic cases in urology...

..At centers where there is experience laparoscopic radical prostatectomy can be safely performed in patients who have undergone neoadjuvant hormonal therapy...

..We report our experience of ureteral injuries during LRP including the incidence, mechanism of injury, management, prevention and outcome...

..Use of an augmented reality (AR)-based soft tissue navigation system in urologic laparoscopic surgery is an evolving technique...

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..The principles of interfascial dissection of the NVB, use of task-specific instrumentation, and avoiding energy sources around the NVB may be more important than the actual nerve-preservation technique used...

..This study was designed to evaluate the clinical efficacy of CT-guided bipolar and multipolar radiofrequency ablation (RF ablation) of renal cell carcinoma (RCC) and to analyze specific technical aspects between both technologies...

..We evaluated the effect of diabetes mellitus on incontinence after laparoscopic radical prostatectomy...

..In this study, we review our medium-term results for laparoscopic ureteral reimplantation and discuss current developments of this procedure...

..A review of the literature with particular emphasis on diagnostic and therapeutic approaches is also included and discussed...

..Laparoscopy has become increasingly popular in the field of reconstructive urologic surgery. We describe our technique of laparoscopic VVF repair for iatrogenic VVFs, discuss our technique and outcomes, and review the related literature...

..Robotic devices shorten the learning curve of laparoscopic procedures. Further clinical trials focusing on anastomosis time are needed to assess this question...

..Urethrocystoscopy revealed a urethrorectal fistula in the prostatic fossa. Primary conservative treatment failed...

..This experience could be incorporated easily by every department developing a laparoscopic training program...

..CONCLUSIONS: Based on a specific training program the personal level of education has a minor impact on the results and reproducibility of the laparoscopic radical prostatectomy technique...

..Despite high early success rates, the long-term results are poor. This in-vitro model was designed to simulate the tear forces affecting the sutures under standardized laboratory conditions...

..Although the 2-year survival data reported herein are encouraging, longer follow-up is needed before laparoscopy can be considered as a standard treatment...

..Based on the review of the current literature and personal experience we want to analyze the actual results of this technique in comparison to open surgery...

..The patient was disharged home on day 7, ambulant and asymptomatic. CONCLUSION: In controlled cicumstances, laparoscopic repair of external iliac-artery transection is feasible and represents a safe alternative to open surgery...

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..Despite some technical modifications by the different groups, it can be stated that laparoscopic radical nephrectomy is the new gold standard treatment modality for patients with localized renal cell carcinoma...

..This study reviews the development of transrectal sonographically guided biopsy procedures of the prostate and optimization of the procedure in daily clinical practice...