Laparoscopic surgery in urology Urological laparoscopic surgery, generally through 3-5 small puncture holes into the instruments for surgical operations, incision is significantly smaller than the traditional open surgery, short operating time, fast postoperative recovery, short hospitalization, minimally invasive and efficient, for the modern international popularity of the surgery. the early 1990s Clayman took the lead in completing the laparoscopic nephrectomy, laparoscopy in urologic surgery The application of laparoscopy in urology has been rapid development. At present, urological laparoscopic technology has long gone through the stage of learning and exploration, toward the maturity of the technology, to obtain huge social and economic benefits. With the emergence of optical fiber and the development of electronic imaging technology, two-dimensional, three-dimensional electronic imaging systems and safety pneumoperitoneum needle, puncture device, single and continuous hair clips, intracavernous cutting anastomosis, tissue retractor, robots and other laparoscopic instrumentation and equipment, it is now feasible to carry out laparoscopy for the renal cyst decortication, spermatic vein ligation in high position, nephrectomy, partial cystectomy, ureteral incision and lithotripsy, Upper renal vein tumor resection, etc. In recent years, more and more traditional open surgeries such as total cystectomy and in situ cystectomy, total prostatectomy, etc. have been replaced by laparoscopic surgeries, which bring unlimited light to urological patients. I carried out urological laparoscopic new technology in 2007, and have successfully carried out various urological laparoscopic surgeries in our hospital, including renal cyst decortication, adrenal tumor resection, adrenalectomy, resection of giant adrenal cadmium pheochromocytoma, nephrectomy, radical nephrocalcinoma, repeat nephrectomy, ureteral osteotomy and lithotripsy, ureteral cyst reimplantation, bladder diverticulectomy, celiac disease Lymph node dissection of renal hilum, pelvic ureteral junction plastic surgery and partial nephrectomy, with a success rate of 100%. The main types of surgery carried out: 1. Renal cysts: laparoscopic decortication and decompression can be carried out, which has a lower recurrence rate, less trauma and shorter hospitalization time than the previous puncture and suction method or open surgery, and it is a standard procedure. 2. Adrenal tumor: currently recognized as the gold standard procedure is laparoscopic adrenalectomy, according to the patient’s specific situation to choose the tumor resection or adrenalectomy. 3. Atrophic non-functional kidney: laparoscopic nephrectomy is feasible, with small trauma, fast recovery and short hospitalization time, which is recognized as the gold standard procedure. 4.Renal tumor: laparoscopic radical resection of renal tumors of various natures can be carried out or partial resection of renal units can be retained because of amplification of the role of laparoscopy, which can be more clean and thorough resection of tumors, and really achieve minimally invasive treatment effect, which has now become the international popular surgery. 5.Ureteral stone: For complex upper and middle ureteral stones or renal pelvic stones, laparoscopic incision lithotripsy can be used in cases where extracorporeal shock wave lithotripsy and holmium laser lithotripsy under ureteroscopy are unsuitable, and the removal rate of the stones can reach 100%. 6.Lactoepiduria: This disease is mostly caused by lymphatic vessel abnormality. Laparoscopic lymphadenectomy of renal hilum can be used to improve the patient’s protein loss, with remarkable effect, very low recurrence rate, minimally invasive and beautiful. 7, PUJ obstruction: PUJ is the obstruction of pelvic ureteral junction, which can lead to hydronephrosis and affect the renal function. Laparoscopic PUJ plastic surgery can be performed, which is minimally invasive and beautiful with only a few small holes. 8. Renal pelvic ureteral tumor: carry out laparoscopic radical surgery, only a small incision, trauma significantly reduced, postoperative recovery faster than open surgery. 9, Bladder tumor: patients who need total cystectomy can have laparoscopic total cystectomy + ileus in situ cystectomy, in situ bladder without urinary bag, which significantly improves the quality of life after operation. 10, prostate tumor: feasible laparoscopic radical prostatectomy for prostate cancer, small trauma, fast recovery, short hospitalization time, postoperative urination. Varicocele, cryptorchidism, duplicate kidney, congenital ureteral stenosis, bladder diverticulum, etc., also feasible laparoscopic surgery.