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Laparoscopic Radical Cystectomy With Urinary Diversion—Completely Intracorporeal Technique in the Male and Female
439
VIDEO REVIEWS
duplicating open surgical principles, are now the state-of-the-art. The technique used by the Cleveland Clinic group is outlined in this magnificently done presentation. Techniques of renal vascular control, ice slush hypothermia, controlled excision of tumor, watertight pelvicaliceal suture repair and sutured reconstruction of the renal parenchymal defect are all feasible laparoscopically, and initial outcomes appear comparable to open techniques. This video was awarded second prize. Philip M. Hanno, M.D. Radiofrequency Assisted Laparoscopic Partial Nephrectomy, J. A. CADEDDU
AND
T. SPARK CORWIN, Dallas, Texas
Due to an inability to obtain adequate hemostasis when excising segments of renal parenchyma, laparoscopic partial nephrectomy has often been limited to exophytic lesions. The authors developed a technique of laparoscopic radio frequency thermal coagulation of a renal mass followed by complete excision without the need for vascular control or other hemostatic measures. This video demonstrates their technique. Those performing laparoscopic partial nephrectomy would benefit by considering this innovation. This video was awarded honorable mention. Philip M. Hanno, M.D.
INCONTINENCE/FEMALE UROLOGY/URINARY DIVERSION Laparoscopic Radical Cystectomy With Urinary Diversion—Completely Intracorporeal Technique in the Male and Female I. S. GILL, G. TAK SUNG, A. M. MERANEY, A. FERGANY, J. KAOUK, J. ULCHAKER AND E. A. KLEIN, Cleveland, Ohio After viewing this magnificently done tour de force, one must conclude that there is almost nothing intra-abdominally that cannot be done by the skilled laparoscopist. The video portrays a detailed, step-by-step description of the Cleveland Clinic technique of laparoscopic radical cystectomy and ileal conduit urinary diversion, with the entire procedure performed exclusively by intracorporeal laparoscopic methods. Since January 2000, 11 patients with organ confined transitional cell carcinoma of the bladder underwent the procedure. There were no conversions to open surgery. Mean surgical time was 8.3 hours, blood loss averaged 330 cc and no blood transfusions were required. Hospital stay was 10 days and complications included bowel obstruction in 1 case, bowel perforation in 1, adductor spasm in 2 and subacute bowel obstruction in 1. This video was awarded an honorable mention. Philip M. Hanno, M.D.
SEXUAL DYSFUNCTION/DONOR NEPHRECTOMY/UROLOGIC COLLAGE WaterJet Technology in Penile Disassembly for m. Peyronie—the Ideal Tool for Worst Cases of Induratio Penis Plastica. R. F. BASTING
AND
N. DJAKOVIC, Altoetting, Germany
Corrective operations of extreme deviations of the distal third of the penile corpora in Peyronie’s disease are some of the most demanding operations in genital surgery. To remove plaques under the cap of the glans, the Perovic maneuver, that is penile disassembly, is mandatory but is considered potentially damaging to the integrity of the neurovascular bundle. These authors introduced the water jet technology into urology in 1998 and were able to prove that water jet divides tissue but preserves nerves and vessels. This video demonstrates their current technique of penile disassembly using this technology. Along with magnification, ultrasound and laser, the authors show how the water jet has improved their results and lowered the major complication rate of this surgery to less than 2%. This video is extremely valuable for those involved in penile reconstructive surgery. It was awarded honorable mention. Philip M. Hanno, M.D. Technique of Laparoscopic Live Donor Nephrectomy: The Five Year Johns Hopkins University Experience L.-M. SU, L. E. RATNER, V. SINKOV, R. BLUEBOND-LANGNER
AND
L. R. KAVOUSSI, Baltimore, Maryland
Laparoscopic live donor nephrectomy has proved to be a safe, less invasive and equally effective technique for procuring kidneys compared to open donor nephrectomy. In this presentation the authors review their 5-year experience with laparoscopic live donor nephrectomy, detailing the modifications they have made to improve their technique. To facilitate dissection of the renal vessels, a 15 mm. Endocatch (US Surgical, Stanford, Connecticut) is used to retract the colon and expose the renal hilum. To avoid ureteral devascularization, the gonadal vein and mesoureter are maintained with the ureter during dissection along its entire course. Until the hilum has been completely dissected, the lateral and inferior attachments to the kidney are maintained to prevent inadvertent torsion or kinking of the renal vessels. This video captured third prize. Philip M. Hanno, M.D.
VIDEO REVIEWS
duplicating open surgical principles, are now the state-of-the-art. The technique used by the Cleveland Clinic group is outlined in this magnificently done presentation. Techniques of renal vascular control, ice slush hypothermia, controlled excision of tumor, watertight pelvicaliceal suture repair and sutured reconstruction of the renal parenchymal defect are all feasible laparoscopically, and initial outcomes appear comparable to open techniques. This video was awarded second prize. Philip M. Hanno, M.D. Radiofrequency Assisted Laparoscopic Partial Nephrectomy, J. A. CADEDDU
AND
T. SPARK CORWIN, Dallas, Texas
Due to an inability to obtain adequate hemostasis when excising segments of renal parenchyma, laparoscopic partial nephrectomy has often been limited to exophytic lesions. The authors developed a technique of laparoscopic radio frequency thermal coagulation of a renal mass followed by complete excision without the need for vascular control or other hemostatic measures. This video demonstrates their technique. Those performing laparoscopic partial nephrectomy would benefit by considering this innovation. This video was awarded honorable mention. Philip M. Hanno, M.D.
INCONTINENCE/FEMALE UROLOGY/URINARY DIVERSION Laparoscopic Radical Cystectomy With Urinary Diversion—Completely Intracorporeal Technique in the Male and Female I. S. GILL, G. TAK SUNG, A. M. MERANEY, A. FERGANY, J. KAOUK, J. ULCHAKER AND E. A. KLEIN, Cleveland, Ohio After viewing this magnificently done tour de force, one must conclude that there is almost nothing intra-abdominally that cannot be done by the skilled laparoscopist. The video portrays a detailed, step-by-step description of the Cleveland Clinic technique of laparoscopic radical cystectomy and ileal conduit urinary diversion, with the entire procedure performed exclusively by intracorporeal laparoscopic methods. Since January 2000, 11 patients with organ confined transitional cell carcinoma of the bladder underwent the procedure. There were no conversions to open surgery. Mean surgical time was 8.3 hours, blood loss averaged 330 cc and no blood transfusions were required. Hospital stay was 10 days and complications included bowel obstruction in 1 case, bowel perforation in 1, adductor spasm in 2 and subacute bowel obstruction in 1. This video was awarded an honorable mention. Philip M. Hanno, M.D.
SEXUAL DYSFUNCTION/DONOR NEPHRECTOMY/UROLOGIC COLLAGE WaterJet Technology in Penile Disassembly for m. Peyronie—the Ideal Tool for Worst Cases of Induratio Penis Plastica. R. F. BASTING
AND
N. DJAKOVIC, Altoetting, Germany
Corrective operations of extreme deviations of the distal third of the penile corpora in Peyronie’s disease are some of the most demanding operations in genital surgery. To remove plaques under the cap of the glans, the Perovic maneuver, that is penile disassembly, is mandatory but is considered potentially damaging to the integrity of the neurovascular bundle. These authors introduced the water jet technology into urology in 1998 and were able to prove that water jet divides tissue but preserves nerves and vessels. This video demonstrates their current technique of penile disassembly using this technology. Along with magnification, ultrasound and laser, the authors show how the water jet has improved their results and lowered the major complication rate of this surgery to less than 2%. This video is extremely valuable for those involved in penile reconstructive surgery. It was awarded honorable mention. Philip M. Hanno, M.D. Technique of Laparoscopic Live Donor Nephrectomy: The Five Year Johns Hopkins University Experience L.-M. SU, L. E. RATNER, V. SINKOV, R. BLUEBOND-LANGNER
AND
L. R. KAVOUSSI, Baltimore, Maryland
Laparoscopic live donor nephrectomy has proved to be a safe, less invasive and equally effective technique for procuring kidneys compared to open donor nephrectomy. In this presentation the authors review their 5-year experience with laparoscopic live donor nephrectomy, detailing the modifications they have made to improve their technique. To facilitate dissection of the renal vessels, a 15 mm. Endocatch (US Surgical, Stanford, Connecticut) is used to retract the colon and expose the renal hilum. To avoid ureteral devascularization, the gonadal vein and mesoureter are maintained with the ureter during dissection along its entire course. Until the hilum has been completely dissected, the lateral and inferior attachments to the kidney are maintained to prevent inadvertent torsion or kinking of the renal vessels. This video captured third prize. Philip M. Hanno, M.D.