par Boukheir, G.;Aoun, Fouad 
;Albisinni, Simone ;Roumeguere, Thierry
Référence Progrès en urologie, 27, 5, page (267-274)
Publication Publié, 2017-04
;Albisinni, Simone ;Roumeguere, Thierry Référence Progrès en urologie, 27, 5, page (267-274)
Publication Publié, 2017-04
Article révisé par les pairs
| Résumé : | Introduction Laparoscopy is the standard of care for many urologic procedures and witnesses nowadays technological advancements. Hemostasis is highly important in laparoscopy since bleeding could rapidly alter the operative conditions. The objective of this review is to expose the different electrosurgical techniques, their history and their applications in urology. Material and methods A literature review was overdone using the following terms “laparoscopic electrosurgery” and/or “nephrectomy” and/or “prostatectomy”. Two hundred and forty articles were found through Pubmed. After reviewing the title and the content of these articles, 18 were eligible for the following review. Results The different electrosurgical techniques and their technological evolution are exposed. Physical properties of each system are exposed as well. Advantages and limitations of each system are also reviewed and analyzed. Conclusion Bipolar electrosurgery with thermofusion and ultrasound technology can achieve good results in terms of nerve sparing for radical laparoscopic prostatectomies. They can both be used in partial nephrectomies. However, they can compromise the surgical resection margins. Hybrid systems seem to have an important role in urological laparoscopic procedures despite the scarce number of available studies. Level of evidence 3. |
