By: Ivo Mitsiev

Ivo Mitsiev — Tue, 18 Dec 2007 20:01:53 +0000

Dr. Krongrad, thank you for your opinion as expert in laparoscopic prostate surgery!
There are surely good examples of endoscopical improving of the time needed for an operation. The atypical thoracoscopic lung resection is something I first think of, considering this criteria.
But I also think the laparoscopic way prolonged the duration of some operations in the abdominal cavity and in respect of the transgastric approach, this is and surely will be the case.
My own best time for a laparoscopic cholecystectomy is 25 minutes (incl. intraoperative cholangiography). I have talked to many elder surgeons who said their mean(!) time for a conventional cholecystectomy was 25 minutes. Our mean time for the laparoscopic ones today is 45-60 minutes and after about 20 years of experience it is hard to imagine that this would significantly improve in the future.
The laparoscopic approach in the prostate surgery is probably similar to the one for the rectal resection. There are clear advantages of this method over the laparotomy and there is also a potential for improving the speed, I think.
But… would you imagine an advantage of performing a transgastric prostate resection? :)

By: AK

AK — Fri, 02 Nov 2007 03:01:01 +0000

Many new technologies introduce more, not less, speed into the OR. We surely see this with endoscopic surgery, as exemplified by the introduction of laparoscopic and robotic prostate surgery

Comments on: Transgastric endoscopy – current adventure in the surgery fashion.

By: Ivo Mitsiev

By: AK