Ürolojik Laparoskopik Cerrahi
Özet
Ürolojik laparoskopik cerrahi, modern tıbbın minimal invaziv yöntemlere olan eğiliminin en başarılı örneklerinden biridir. Son 30 yılda gelişen teknolojiyle birlikte bu cerrahi yaklaşım, açık cerrahiye kıyasla ameliyat sonrası ağrının azalması, iyileşme süresinin kısalması, daha iyi kozmetik sonuçlar ve hastanede yatış süresinin azalması gibi önemli avantajlar sunmaktadır. Laparoskopik sistemlerdeki görüntüleme teknolojileri ve cerrahi aletlerdeki yenilikler hem ameliyat sırasında hassasiyeti artırmış hem de komplikasyon riskini azaltmıştır. Bunun yanı sıra robotik cerrahinin laparoskopiye entegrasyonu, cerrahların hareket kabiliyetini artırarak daha karmaşık işlemleri kolaylaştırmıştır. Ameliyat öncesi dikkatli değerlendirme, uygun hasta pozisyonlandırması ve komplikasyon yönetimi, istenmeyen sonuçların önüne geçilmesinde kritik öneme sahiptir. Ürolojik laparoskopik cerrahi hem hasta hem de cerrahi ekip için pek çok avantaj sağlasa da her vakada dikkatli bir değerlendirme ve detaylı hazırlık gerektiren bir alan olarak önemini korumaktadır. Hemşireler, laparoskopik cerrahi sürecinde multidisipliner ekibin ayrılmaz bir parçası olarak hastanın hem fiziksel hem de psikolojik bakımında önemli bir rol oynamaktadır.
Urological laparoscopic surgery is one of the most successful examples of modern medicine's trend towards minimally invasive methods. With the advances in technology over the last 30 years, this surgical approach offers significant advantages over open surgery, such as reduced postoperative pain, shorter recovery time, better cosmetic results and reduced hospitalisation time. Innovations in imaging technologies and surgical instruments in laparoscopic systems have both increased intraoperative precision and reduced the risk of complications. In addition, the integration of robotic surgery into laparoscopy has increased the mobility of surgeons and facilitated more complex procedures. Careful preoperative evaluation, appropriate patient positioning and complication management are critical in preventing undesirable outcomes. Although urological laparoscopic surgery provides many advantages for both the patient and the surgical team, it maintains its importance as a field that requires careful evaluation and detailed preparation in every case. Nurses play an important role in both physical and psychological care of the patient as an integral part of the multidisciplinary team during laparoscopic surgery.
Referanslar
Engel R. Philipp Bozzini the father of endoscopy. J Endourol. 2003;17:859-862.
Desormeaux AJ. The endoscope and its application to the diagno¬sis and treatment of affections of the genitourinary passages. Chic Med J. 1867;24:177-194.
Shah J. Endoscopy through the ages. BJU Int. 2002;89:645-652.
Mouton WG, Bessell MD, Maddern MS. Looking back to the ad¬vent of modern endoscopy: 150th birthday of Maximilian Nitze. World J Surg. 1998;22:1256-1258.
Hopkins H, Kapany N.A flexible fiberscope, using static scanning. Nature. 1954;173:39-41.
Gow JG. Harold Hopkins and optical systems for urology—an appreciation. Urology. 1998;52:152-157.
Mirota DJ, Masaru Ishii M, Hager GD. Vision-based navigation in image-guided interventions. Annu Rev Biomed Eng. 2011;13: 297-319.
Sacco E. Special Issue: “Latest advances on urological surgery”. Journal of Clinical Medicine. 2023; 12(13):4452.
Dirie NI, Wang Q, Wang S. Two-dimensional versus three-dimensional laparoscopic systems in urology: a systematic review and meta-analysis. J Endourol. 2018;12;32(9):781-790. doi: 10.1089/end.2018.0411.
Mao R, Gao L,Gang W,Wen L. Literature review of handheld articulating ınstruments in minimally ınvasive surgery. Journal of Laparoendoscopic & Advanced Surgical Techniques 2024;34:1, 47-54.
Soliman C, Sathianathen NJ, Thomas BC, Giannarini G, Lawrentschuk N, Wuethrich PY, Dundee P, Nair R, Furrer MA. A systematic review of ıntra- and postoperative complication reporting and grading in urological surgery: understanding the pitfalls and a path forward. European Urology Oncology, 2023;6(4):378-389.
Wagenaar S. Nederhoed JH. Hoksbergen AWJ. Bonjer HJ. Wisselink W. van Ramshorst GH. Minimally invasive, laparoscopic, and robotic-assisted techniques vs open techniques for kidney transplant recipients: a systematic review. European Urology. 2017;72(2):205217.
Solaini L. Bazzocchi F. Cavaliere D. Avanzolini A. Cucchetti A. Ercolani G. Robotic versus laparoscopic right colectomy: an updated systematic review and meta-analysis. Surgical Endoscopy. 2018;32(3):1104–1110.
Ekşi M, Şahin S, Şener N, Şeker KG, Evren İ, Karadağ S, Yavuzsan AH, Özlü DN, Tuğcu V. Complications of upper urinary system laparoscopic surgery: a single center experience with 942 cases. Eur Res J. July 2021;7(4):363-367. doi:10.18621/eurj.780801
Zahid, A., Ayyan, M., Farooq, M. et al. Robotic surgery in comparison to the open and laparoscopic approaches in the field of urology: a systematic review. J Robotic Surg.2023;17:11–29. https://doi.org/10.1007/s11701-022-01416-7
Mehmood MA, Alam N, Ullah R, Shaikh NA, Anwar K, Ahsan M. Analysis of complications of laparoscopic procedures in urology. Pakistan Journal of Medical & Health Sciences,2023;17(04):645. https://doi.org/10.53350/pjmhs2023174645
Sury K. Mucksavage P. Laparoscopic surgical anatomy, laparoscopy, and robotic-assisted laparoscopic surgery, Editor(s): Thomas J. Guzzo, Alan J. Wein, Robert C. Kovell, Dana A. Weiss, Justin B. Ziemba, Penn Clinical manual of urology (Third Edition), Elsevier, 2024, Pages 735-759.e1, ISBN 9780323775755, https://doi.org/10.1016/B978-0-323-77575-5.00029-0.
Healthcare in Europe. Exchanging insights on advances in urological surgery.https://healthcare-in-europe.com/en/news/semi-live-insights-urological-surgery.html (Access: 17.11.2024).
Adult Pediatric Urology and Urogynecology. Advances in minimally invasive urological surgery https://adultpediatricuro.com/advances-in-minimally-invasive-urological-surgery/ (Access: 17.11.2024).