|LETTER TO EDITOR
|Year : 2002 | Volume
| Issue : 2 | Page : 156-7
Advancing laparoscopic surgery in urology.
B G Parulkar
Source of Support: None, Conflict of Interest: None
Keywords: Forecasting, Human, Laparoscopy, standards,trends,Turkey, Urologic Diseases, diagnosis,surgery,Urologic Surgical Procedures, methods,
|How to cite this article:|
Parulkar B G. Advancing laparoscopic surgery in urology. J Postgrad Med 2002;48:156
I read with interest the article by Hemal and Menon. The authors should be congratulated in charting a bright future and vision for advancing laparoscopic surgery in urology. In the late 80ís and early 90ís when general surgeons and gynecologists were gaining expertise in complicated laparoscopic procedures, there was concern amongst urologists whether the laparoscopic surgeon will replace urologists in advanced laparoscopic cases. In fact many worldwide transplant centres have a team of laparoscopic general surgeons still performing donor nephrectomies.
The pioneering work in laparoscopic surgery by Drs. Clayman, Gaur, Kavoussi, Winfield, Gill, Das, Gilloneau & Vallancien, Abbou and Menon have pulled laparoscopic surgery back into the fold of urologists.
The pioneers have moved onto more complex reconstruc-tive procedures such as renal autotransplants, renal artery aneurysm surgery, radical cystoprostatectomies and radical prostatectomies, etc. They have adapted the use of advanced technology such as robotics, telemedicine and 3-D vision glasses. Medical engineering community is introducing surgical instruments and newer technology at breathtaking speed.
However good the robots become, it is important to have a properly trained and humane human running the robot. The machines can facilitate the surgery but hopefully will never replace the surgeon.
At present the availability of these highly sophisticated robots is restricted by the high cost of the robot and disposable instruments. Hopefully in the course of time the robots will become smaller, more user-friendly and affordable.
Maybe our next generation of kids, busy playing computer games on their Nintendo and Sony modules at high school, will be ready with perfect hand-eye coordination when they become the urologists of future.
| :: References|| |
|1.||Hemal AK, Menon M. Laparoscopy, robot, telesurgery and urology: future perspective. J Postgrad Med 2002;48:39-41. |