Urological laparoscopy for beginners

Laparoscopy is now employed for a wide range of urological procedures. It i s associated with less postoperative morbidity and more rapid convalescence than open procedures, but the urologist must be properly trained in laparo scopy in order to minimise the risk of complications. All urologists wishin g to perform laparoscopic surgery must familiarise themselves with correct use of the imaging system and the specialised instruments. They should also understand the importance of following the safety protocols for accessing and exiting the abdomen safely. Finally, they should gain experience with a simulator and animal models before applying these techniques in patients. Over the past few years, urological laparoscopy has developed from simple d iagnostic procedures to its use for nephrectomy and radical prostatectomy. Although laparoscopy has important benefits for the patient. in terms of re duced postoperative morbidity and more rapid convalescence compared with op en surgery, it is essential that it is performed by a properly trained surg eon to minimise the risk of potential intraoperative complications.