title: [Update on laparoscopic electrosurgical devices and their use in complex urologic procedures].
abstract: BACKGROUND
  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.
  
  
  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.
  
  
  CONCLUSIONS
  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.
  
  
  METHODS
  3.
authors.affiliation: Département d'urologie, Hôtel-Dieu de France, université Saint-Joseph, BP 166830, boulevard Alfred Naccache, Achrafieh, Beyrouth, Liban.
authors.forename: G
authors.initials: G
authors.lastname: Boukheir
authors.affiliation: Département d'urologie, Hôtel-Dieu de France, université Saint-Joseph, BP 166830, boulevard Alfred Naccache, Achrafieh, Beyrouth, Liban. Electronic address: fouad.aoun@bordet.be.
authors.forename: F
authors.initials: F
authors.lastname: Aoun
authors.affiliation: Département d'urologie, hôpital Erasme, université Libre de Bruxelles, Bruxelles, Belgique.
authors.forename: S
authors.initials: S
authors.lastname: Albisinni
authors.affiliation: Département d'urologie, hôpital Erasme, université Libre de Bruxelles, Bruxelles, Belgique.
authors.forename: T
authors.initials: T
authors.lastname: Roumeguère
mesh_terms: D016063:Blood Loss, Surgical / Q000517:prevention & control*; D004598:Electrosurgery / Q000379:methods; D006801:Humans; D007680:Kidney Neoplasms / Q000601:surgery*; D010535:Laparoscopy / Q000379:methods; D008297:Male; D009392:Nephrectomy / Q000379:methods; D011468:Prostatectomy / Q000379:methods; D016896:Treatment Outcome; D013520:Urologic Surgical Procedures / Q000379:methods*; D014572:Urology
keywords: Développement technologique; Laparoscopic electrosurgery; Nephrectomy; Néphrectomie; Prostatectomie totale; Radical prostatectomy; Technological advances; Électrochirurgie laparoscopique