ABSTRACT

Over the last decade, the use of laparoscopy by urologists has grown exponentially. From its initial use in pelvic lymph node dissections to contemporary use in radical prostatectomies, laparoscopy is quickly becoming a staple in the armament of modern urologic surgery. Because of its technical challenge and steep learning curve, however, laparoscopy tends to be limited to younger, fellowship-trained surgeons. In addition, standard laparoscopic techniques even in the most skilled hands are not routinely used for removal of kidneys with large tumors.