title: [Recent advances of urological laparoscopic surgery in Japan].
abstract: Urologic laparoscopic surgeries started with varicocelectomies, pelvic lymphadenectomies and nephrectomies in 1989-90. According to the nation-wide survey in Japan, the percentages of surgeries performed laparoscopically are 43, 17 and 21% among all adrenalectomies, radical nephrectomies and partial nephrectomies, respectively. The incidence of complications and open conversion reduced significantly during these 20 years from 9.7 to 5.3% and from 5.2 to 2.6%, respectively. The perioperative mortality rate among 25,393 urologic laparoscopic surgeries was 0.047%. A surgical robot, da Vinci was accepted by the Japanese Government in 2009. Robotic-assisted laparoscopic surgeries and laparoendoscopic single-site surgeries will be the major progress in Japan.
authors.affiliation: Department of Urology and Andrology, Kansai Medical University.
authors.forename: Tadashi
authors.initials: T
authors.lastname: Matsuda
authors.forename: Takaaki
authors.initials: T
authors.lastname: Inoue
authors.forename: Yoshihiro
authors.initials: Y
authors.lastname: Komai
mesh_terms: D006801:Humans; D007564:Japan; D010535:Laparoscopy / Q000639:trends*; D008297:Male; D013520:Urologic Surgical Procedures / Q000639:trends*