Application of gasless laparoscopic technique in Urology

doi:10.3877/cma.j.issn.1674-3253.2024.05.001

Abstract

Abstract:

Conventional laparoscopy has been widely utilized in Urology. However, its application in certain patient populations, such as those with cardiopulmonary compromise, the elderly, individuals with hernias, or pregnant patients, is limited due to the adverse effects of carbon dioxide (CO₂) pneumoperitoneum. Gasless laparoscopic techniques, achieved by elevating or suspending the abdominal wall using mechanical devices, offer an alternative approach by creating a working space without the need to insufflate the abdomen with CO₂. This technique mitigates the potential risks associated with CO₂ pneumoperitoneum and expands the scope of patients suitable for endoscopic surgery, thus serving as a significant complement to traditional laparoscopic procedures. Advancements in instruments and technology integration have further enhanced the advantages of gasless laparoscopic techniques. This article provides a comprehensive review of the development and application of pneumoperitoneum-free techniques in Urology.

Key words: Gasless techniques, Urology, Laparoscopy, Population aging

Menjiang Tu, Xiangwei Wang. Application of gasless laparoscopic technique in Urology[J]. Chinese Journal of Endourology(Electronic Edition), 2024, 18(05): 419-424.

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