The preoperative preparation for laparoscopic surgery is minimal. The laparoscopic procedure requires a general anesthetic. These are used as ports through which the laparoscope and surgical instruments are inserted. The lymph node dissection takes up to one hour longer to perform than the traditional open approach because of the delicate techniques employed. Postoperatively, patients are usually drinking fluids the evening of the procedure.
Analgesic requirements are minimal and patients return to full activity in a week.
The indications and uses of laparoscopy are continuing to expand. Urologists are now performing laparoscopic varicocelectomies, bladder neck suspensions, nephrectomies and many other procedures previously performed by open surgery As laparoscopic technology continues to improve, the future for laparoscopic surgery is brighter than ever before. David J. Laub, M.D. is a specialist in adult and pediatric Urology. He has particular interests in male and female incontinence and urologic oncology. Dr. Laub joined the Urology Department from Kaiser-Permanente Foundation Hospital in Los Angeles where he completed his residency.