Joseph R Wagner

Department of Urology, Beth Israel Medical Center, Albert Einstein College of Medicine, New York, New York, U.S.A.

INTRODUCTION

PATIENT SELECTION: INDICATIONS AND CONTRAINDICATIONS PREOPERATIVE PREPARATION DETAILED LAPAROSCOPIC TECHNIQUE Equipment and Hand-Assist Devices Trocar and Hand-Port Configuration

Stepwise Dissection Technique

■ PROS AND CONS OF DIFFERENT TECHNIQUES

■ TECHNICAL CAVEATS/TIPS

■ SPECIFIC MEASURES TAKEN TO AVOID COMPLICATIONS

■ REFERENCES

Hand-assisted laparoscopic offers a minimally invasive technique, which is easy to learn even for the nonlaparo-scopic surgeon. This technique has given hundreds of community-based urologists the ability to offer their patients a minimally invasive alternative to standard extirpative techniques.

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