EVOLUTION OF Laparoscopic Nephrectomy

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EVOLUTION OF Laparoscopic Nephrectomy

• Dr. Anmar Nassir, FRCS(C)
• Fellowship in Andrology (U of Ottawa)
• Fellowship in EndoUrology and Laparoscopy
  (McMaster Univ)
• Chairman, Department of Surgery Umm Al-Qura Univ
• Consultant Urology, King Faisal Specialist
  Hospital, Jeddah

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History

• 1804, Bozzini developed the first reproducible
  device to illuminate dark cavities previously
  unseen in the living body.
• 1875, Nitze and Leiter laid the foundation for
  the modern urologic endoscope.
• 1901, Kelling a surgeon who was the first to
  apply Nitze's cystoscope, introduced through a
  trocar, in a closed-cavity endoscopic examination
  of a living dog.
• 1910, Jacobius used room air to fill the abdomen
  and then inserted a laparoscope to assist with
  the diagnosis of ascites.

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History

• 1974, Semm a German gynecologist, is recognized
  as the "father" of modern-day laparoscopy owing
  to his broad development of laparoscopic
  operative techniques and instruments.
• 1976, Cortesi used the laparoscope in pediatric
  to explore undescended testes
• 1983, Semm removed an appendix laparoscopically.
• 1987, Mouret of Lyon performed the first
  clinical laparoscopic cholecystectomy .
• 1989, William Schuessler did the first urologic
  laparoscopic procedure the pelvic LND for
  patients with prostate cancer.
• 1990, Clayman did the first laparoscopic
  nephrectomy.

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Introduction

• Laparoscopic procedures are continuously evolving
  in Urology. This includes
• Ablative procedures
• radical nephrectomy
• Reconstructive techniques
• pyeloplasty.
• Both
• radical prostatectomy.
• radical cystectomy.

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• A 57 yr old presented with right sided flank pain
  and micro heamaturia. Was found to have mid pole
  5 cm solid R renal mass. Otherwise healthy.

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