Laparoscopic tissue approximation

J. S. Wolf, R. Marcovich

Research output: Contribution to journalArticle

3 Scopus citations

Abstract

Although many extirpative urologie laparoscopic procedures are starting to be generally accepted, there is limited application of recontructive urologie laparoscopic procedures, Difficulties with laparoscopic tissue approximation account for a large portion of the slow development of recontructive laparoscopic urology, In this paper, the current state of laparoscopic tissue approximation is reviewed, research efforts in this area are summarized, and future directions are considered, The discussion addresses available techniques and devices, as well as those in development for future application, Nearly a decade ago, the introduction of laparoscopy to the specialty of urology was greeted with initial enthusiasm followed by general skepticism, Acceptance of the new modality has gradually occurred, but only for select, relatively simple operations, Few at that time would have envisioned the strides taken by laparoscopic urologists over the past 10 years, Yet now, laparoscopy is standard of care for a variety of indications at several large centers, While laparoscopic urology has undoubtedly expanded, with mainly ablative and extirpative procedures at the forefront, reconstructive laparoscopy has thus far seen less exuberant growth, The challenges of intracorporeal tissue approximation bear the major responsibility for this fact, While surgeons specializing in laparoscopy can become quite adept at intracorporeal suturing with a free needle and suture, the majority of urologists, who do not have the luxury of performing a large volume of such procedures, may be unable to gain the necessary skills to efficiently undertake complex reconstructive surgery, Thus, development of new methods of tissue approximation is requisite for the continued acceptance, and indeed expansion, of laparoscopic urology, The purpose of this paper is to review the current state of laparoscopic tissue approximation, to summarize research efforts in this area, and to consider future directions, The discussion will address available techniques and devices, as well as those in development for future application,

Original languageEnglish (US)
Pages (from-to)257-266
Number of pages10
JournalWorld journal of urology
Volume18
Issue number4
StatePublished - Dec 1 2000
Externally publishedYes

ASJC Scopus subject areas

  • Urology

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