Minimally Invasive Surgery

Minimally Invasive Surgery

A large number of surgeries to treat medical conditions of the kidney and ureter — including malignant cancers — may be performed with minimally invasive operative techniques, including laparoscopic surgery, percutaneous renal surgery, cystoscopic and ureteroscopic surgery, and lithotripsy.

Laparoscopy and other minimally invasive endoscopic procedures offer excellent results while minimizing pain and discomfort for the patient. Quicker return to work and normal activity and decreased requirement for pain-killing medications are the most important aspects for the patient – though the surgery is specialized and involves the use of advanced laparoscopic instrumentation.

Minimally invasive procedures use advanced technology to reduce damage to surrounding tissue while performing surgery. This type of surgery is performed through small keyhole incisions, with a miniature camera that magnifies the image on a video monitor in the operating room. This state-of-the-art technology expands the surgeon’s visibility and provides a range of motion that is superior to the range of motion in the human wrist.

What is percutaneous renal surgery?
Percutaneous renal surgery may be used to remove large kidney stones and to treat certain other renal conditions that otherwise would require open surgery. Large kidney stones are fragmented and removed through the use of electrohydraulic, ultrasonic or laser lithotripsy through a small opening in the patient’s back.

Cystoscopic & Ureteroscopic Surgery -
Miniature scopes introduced through the urethra allow physicians to visualize the lining of the kidney, ureter and bladder. Selected stones and other renal conditions are treated with the use of these scopes and a variety of miniature instruments, including lasers. Most of these surgeries are performed as outpatient procedures, and patients are sent home without catheters.

Lithotripsy – Approximately 80 % of stones may be treated with lithotripsy (shock wave) treatments, which negates the need for surgical intervention. Patients are placed under light anesthesia as shock waves are used to fragment stones located in the kidney or ureter. Patients pass these stone fragments over the next few weeks.