Main Article Content

Abdullah Bashar
Dr. Muhammad Umair
Indrani Paul
Dr. Coenrad Adolph Groenewald
Dr. Elma Sibonghanoy Groenewald


Laparoscopy, Benign Pathology, Urological Surgery


Introduction: Laparoscopy, known as keyhole surgery, involves conducting surgical procedures through small incisions, typically ranging from 0.5 to 1.5 centimetres, utilizing specialized telescopic equipment. The laparoscope, a crucial component of this technique, comprises a thin tube equipped with a camera and lenses. Compared to traditional open incision surgery, laparoscopic procedures offer various advantages, including reduced risk of complications such as lung infections and blood clots, mainly through early mobilization.

Objective: This study aims to assess the efficacy of laparoscopy in urological surgery, explicitly focusing on benign pathologies. A comprehensive literature review seeks to determine how much laparoscopic techniques can be successfully employed in urological procedures.

Methodology: Utilizing the Medline and Lilacs databases, relevant studies were selected for a comprehensive literature review. Qualitative analysis of the compiled data was conducted to evaluate the benefits of laparoscopic surgery in treating benign urological pathologies.

Findings: The review revealed several advantages of laparoscopic surgery in urological procedures for benign pathologies. These include reduced bleeding, decreased operational morbidity, shorter hospital stays, lower postoperative pain, improved aesthetic outcomes, and quicker return to normal activities. These findings underscore the potential of laparoscopy to enhance patient outcomes and recovery in urological surgery.

Discussion: The discussion explores the implications of the identified benefits of laparoscopic surgery in urological procedures. It highlights the potential of laparoscopy to minimize surgical complications and improve patient satisfaction and quality of life.

Conclusion: In conclusion, laparoscopic surgery presents numerous advantages in treating benign urological pathologies. By reducing bleeding, minimizing morbidity, and facilitating faster recovery, laparoscopy offers significant benefits over traditional open surgery techniques. Furthermore, the findings suggest that laparoscopic surgery may be particularly beneficial for specific patient populations, such as Islamic Witnesses, who have a lower incidence of bleeding and reduced need for transfusions.


KEYWORDS: Laparoscopy; Benign Pathology; Urological Surgery.

Abstract 164 | PDF Downloads 46


1. Ahmed, E. A., Helmy, M. Z., Ahmed, A.-R. T., & Abd-El-Aal, A. S. (2024). Laparoscopic value in the management of acute abdomen during pregnancy. The Egyptian Journal of Surgery, 43(1), 50-55.
2. Bilkhu, A. S., Wild, J., & Sagar, P. M. (2024). Management of retro rectal tumours. British Journal of Surgery, 111(1), znae012.
3. Billah, M. S., Sheckley, F., Nguyen, J., Iarajuli, T., Raver, M., Rudnick, B., & Ahmed, M. (2024). Single Port Modified Partial Nephrectomy: Novel Simultaneous Access to Peritoneal and Retroperitoneal Partial Nephrectomy, Initial Clinical Experience. Journal of Endourology(ja).
4. Chen, S., Chen, J., Zhang, J., Wang, K., Wei, J., Weng, M., & Zhu, L. (2024). Laparoscopic prostatectomy with complete urethral reconstruction for sexually active BPH patients. Minimally Invasive Therapy & Allied Technologies, 33(1), 29-34.
5. Chen, Y., Zheng, Y., Wang, P., Wang, Q., Yang, F., & Zhou, S. (2024). Single‐port robotic surgery using the EDGE SP1000 surgical system in gynaecology: Initial experience of a single institution. The International Journal of Medical Robotics and Computer Assisted Surgery, 20(1), e2578.
6. Dabi, Y., Rockall, A., Razakamanantsoa, L., Guerra, A., Fournier, L. S., Fotopoulou, C., . . . Group, E. S. (2024). The O-RADS MRI scoring system can potentially reduce the frequency of avoidable adnexal surgery. European Journal of Obstetrics & Gynecology and Reproductive Biology, 294, 135-142.
7. Das, M. K., Rohith, G., Mandal, S., Gaur, A. S., Nayak, P., Kumaraswamy, S., . . . Tripathy, S. (2024). Intraoperative ultrasonography (IOUS)‐guided vs conventional laparoscopic nephrectomy: a randomized control trial. BJU International, 133(1), 71-78.
8. Dequirez, P. L., Wasserman, M. C., & Brucker, B. M. (2024). Surgical management of bladder outlet obstruction due to functional and anatomical etiologies in women. Neurourology and Urodynamics.
9. Ditonno, F., Franco, A., Manfredi, C., Sturgis, M., Vourganti, S., Cherullo, E. E., . . . Antonelli, A. (2024). Minimally invasive adrenalectomy: a population-based analysis of contemporary trends, outcomes, costs, and impact of social determinants of health. Urology Practice, 10.1097/UPJ. 0000000000000505.
10. Esposito, C., Blanc, T., Di Mento, C., Ballouhey, Q., Fourcade, L., Mendoza-Sagaon, M., . . . Escolino, M. (2024). Robotic-assisted surgery for gynaecological indications in children and adolescents: European multicenter report—Journal of Robotic Surgery, 18(1), 20.
11. Ge, S., Zeng, Z., Li, Y., Gan, L., Meng, C., Li, K., . . . Zheng, L. (2024). Comparing the safety and efficacy of single-port versus multi-port robotic-assisted techniques in urological surgeries: a systematic review and meta-analysis. World Journal of Urology, 42(1), 18.
12. Giunco, L., Hernández-Hernández, D., Placeres-Hernández, T., & Castro-Díaz, D. M. (2024). Management of Colovesical Fistulae: The Updated Evidence. Current Bladder Dysfunction Reports, 1-6.
13. Guan, X., Lovell, D., & Sendukas, E. (2024). Pioneering case: Robotic single port (SP) transvaginal NOTES (RSP-vNOTES) for hysterectomy in ten steps. Intelligent Surgery, 7, 1-6.
14. He, H., Li, T., Cui, M., Jiang, Q., Jiang, F., Li, M., & Liu, Y. (2024). Effect of two different laparoscopic techniques on postoperative wound complications in patients with benign gynaecological diseases: A meta‐analysis. International Wound Journal, 21(2), e14382.
15. Ibis, M. A., & Sarica, K. (2024). Management of Ureteral Stones The Ureter: A Comprehensive Review (pp. 465-492): Springer.
16. Jeong, C. W., Han, J. H., Byun, S. S., Song, C., Hong, S.-H., Chung, J., . . . Seo, I. Y. (2024). Rate of benign histology after resection of suspected renal cell carcinoma: multicenter comparison between Korea and the United States. BMC cancer, 24(1), 1-8.
17. Jichen, Q., JIANG, N., Liangliang, C., He, C., Jiang, F., & Yaping, Z. (2024). A new type of single-arm, single-port micro-trauma laparoscopic surgery robot.
18. Larenas, F., Flores, I., Roman, C., Martinez, C., Gatica, T., Sanchez, C., & Fulla, J. (2024). Initial experience in urological surgery with a novel robotic technology: Magnetic-Assisted Robotic Surgery (MARS) in Urology. Journal of Endourology(ja).
19. Liu, J., Zhang, B., Qi, P., Ren, X., Zheng, D., He, Y., . . . Yang, N. (2024). Transperitoneal vs retroperitoneal laparoscopic radical nephrectomy: a double-arm, parallel-group randomized clinical trial. BMC urology, 24(1), 1-10.
20. Mains, E. A., Nalagatla, S., McLellan, E., McKay, A., Trail, M., Good, D. W., . . . Hendry, J. (2024). Risk of isolated metastatic disease outside the abdomen is low in cT1a renal cancer: A retrospective analysis of a large cohort from the Scottish Renal Cancer Consortium—Journal of Clinical Urology, 20514158231223363.
21. Mendes, G., Madanelo, M., Vila, F., Versos, R., Teixeira, B. L., Rocha, M. A., . . . Ramires, R. (2024). Transperitoneal vs. Retroperitoneal Approach in Laparoscopic Partial Nephrectomy for Posterior Renal Tumors: A Retrospective, Multicenter, Comparative Study. Journal of Clinical Medicine, 13(3), 701.
22. Osman, Y., & Elawdy, M. (2024). Ureteral Fistulae The Ureter: A Comprehensive Review (pp. 635-650): Springer.
23. Prata, F., Ragusa, A., Civitella, A., Tuzzolo, P., Tedesco, F., Cacciatore, L., . . . Fantozzi, M. (2024). Robot-assisted partial nephrectomy using the novel Hugo™ RAS system: Feasibility, setting and perioperative outcomes of the first off-clamp series. Urologia Journal, 03915603231220109.
24. Ricker, A. B., McCarron, F. N., Vrochides, D., & Martinie, J. B. (2024a). Robotic transduodenal pulpectomy: an alternative surgical technique for benign tumours at the ampulla of Vater. Journal of Visualized Surgery, 10.
25. Ricker, A. B., McCarron, F. N., Vrochides, D., & Martinie, J. B. (2024b). Robotic uncinate enucleation with trans mesenteric sleeve duodenectomy: a novel approach. Journal of Visualized Surgery, 10.
26. Schmitt, A., Crochet, P., Pivano, A., Tourette, C., Faust, C., Baumstarck, K., & Agostini, A. (2024). The Effects of a Laparoscopy by Single-Port Endoscopic Access in Benign Adnexal Surgery: A Randomized Controlled Trial: "Effects of a Laparoscopy by Single-Port in Benign Adnexal Surgery." Journal of Minimally Invasive Gynecology.
27. Sekito, T., Yamanoi, T., Sadahira, T., Yoshinaga, K., Maruyama, Y., Tominaga, Y., . . . Bekku, K. (2024). Current status and future perspectives on robot‐assisted kidney autotransplantation: A literature review. International Journal of Urology.
28. Shrivastava, N., Bhargava, P., Jain, P., Choudhary, G. R., Jena, R., Singh, M., . . . Sandhu, A. S. (2024). Robot-assisted ureteric reconstructive surgeries for benign diseases: Initial single-centre experience with point of technique. Urologia Journal, 03915603241229144.
29. Sonune, M. S., Dalvi, A. S., & Ninghot, A. D. (2024). Surgical audit of minimally invasive adrenalectomy retrospective observational study. Asian Journal of Medical Sciences, 15(1).
30. Souli, A., Alves, A., Tillou, X., & Menahem, B. (2024). Iatrogenic ureteral injury: What should the digestive surgeon know? Journal of Visceral Surgery.
31. Stibbsa, P., Carr, D., Lee, D., & Lewis, G. Sclerotherapy Cyst Ablation Via Drainage Catheter Instilled Fluids Under Image Guidance: A Comprehensive Overview.
32. Tao, C., Cao, Y., & Mao, C. (2024). Analysis of the therapeutic efficacy of laparoscopic treatment for fibroepithelial polyps of the ureter in children. Journal of Endourology(ja).
33. Territo, A., Di Buono, G., Buscemi, S., Mantica, G., Falco, V., Palacios, V. H., . . . Crisan, N. (2024). Evaluation of predictive factors for i-CLARAS (intraoperative complications in laparoscopic renal and adrenal surgery): a multicentre international retrospective cohort study. Scientific Reports, 14(1), 1372.
34. Vaddi, S. P., Khetavath, S., Reddy, K. R., Prasad, M. D., & Battini, J. (2024). Percutaneous Basket-guided Transurethral CystoLithoTripsy–An Innovation for the Management of Bladder Stones. Journal of Association of Southern Urologists, 1(1), 27-29.
35. Wang, Y., Butaney, M., Wilder, S., Ghani, K., Rogers, C. G., & Lane, B. R. (2024). The evolving management of small renal masses. Nature Reviews Urology, 1-16.
36. Xue, Y.-T., Chen, J.-Y., Yan, X.-L., Lin, F., Chen, D.-N., Zheng, J.-J., . . . Zheng, Q.-S. (2024). A computed tomography-based comprehensive standardized adrenal tumour scoring model for predicting the perioperative outcomes of retroperitoneal laparoscopic adrenal surgery. Quantitative Imaging in Medicine and Surgery, 14(1), 489.
37. Xue, Y., Xiaoyan, L., Yanghao, T., Kang, W., & Jiwen, S. (2024). Patient satisfaction analysis of robot-assisted minimally invasive adrenalectomy: a single-center retrospective study. Journal of Robotic Surgery, 18(1), 39.
38. Zhang, C., Li, Q., Fang, F., Wei, S., Lu, Q., & Guan, X. (2024). Transvaginal NOTES hysterectomy with the Chinese robotic single port platform of two cases. Intelligent Surgery.
39. Zhang, W., Deng, L., Yang, F., Liu, J., Chen, S., You, X., . . . Qi, X. (2024). Protocol: Comparing the efficacy and safety of three surgical approaches for total hysterectomy (TSATH): protocol for a multicentre, single-blind, parallel-group, randomized controlled trial. BMJ Open, 14(1).

Most read articles by the same author(s)