Stuart Wolf Jr

Division of Minimally Invasive Urology, Department of Urology, University of Michigan, Ann Arbor, Michigan, U.S.A. Stephen Y. Nakada

Division of Urology, Department of Surgery, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin, U.S.A.

■ INTRODUCTION

■ EXPERIENCE WITH HAND-ASSISTED LAPAROSCOPY

Simple Nephrectomy Radical Nephrectomy Partial Nephrectomy Nephroureterectomy Donor Nephrectomy Cystectomy

■ COMPLICATIONS OF HAND-ASSISTED LAPAROSCOPY

Specific Complications Controversial Circumstances Conclusion

COMPARISON OF HAND-ASSISTED LAPAROSCOPY TO OTHER LAPAROSCOPIC TECHNIQUES Radical Nephrectomy Partial Nephrectomy Nephroureterectomy Donor Nephrectomy Learning Curve Overall Comparison SELECTION OF PATIENTS FOR HANDASSISTED LAPAROSCOPY Unique Factors Preferences by Procedure SUMMARY REFERENCES

Whatever role hand-assisted laparoscopy has in a given urologist's practice, there is no doubt that it has played a major role in the integration of laparoscopy into the mainstream of urologic practice.

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