Oncourologists of the Irkutsk Cancer Center mastered new methods of laparoscopic operations
They adopted them during a master class from a colleague from St. Petersburg.
Alexander Nosov - head of the oncourology surgical department at the “N.N. Petrov National Medicine Research Center of oncology”, oncologist, MD, author of more than 50 scientific papers, member of the European Urological Association and the Russian Society of Urological Oncology.
98% of the operations in his department, which specializes in the treatment of bladder, prostate and kidney cancer, are performed laparoscopically. During two days spent in the Irkutsk Cancer Center, Alexander Nosov has taught his Siberian colleagues many subtleties and peculiarities of such operations. Under his leadership, Irkutsk residents performed two laparoscopic kidney resections and two laparoscopic prostatectomies.
“Last year we carried out 14 laparoscopic prostatectomies. And now, in less than a year we have already performed 22 operations. However, Alexander Nosov does these operations using a different technology. To demonstrate us its features he brought special equipment and tools – and now we also plan to purchase the same equipment for ourselves,” says Olga Baklanova, head of the oncourology department of the Regional Cancer Center, candidate of medical sciences, urologist of the highest qualification category. “But the resection of the kidney, carried out by the laparoscopic method, is still a "novelty" for us: we do such operations only 3-4 times a year. During them, we clamp the vessels, stopping the blood flow, then perform the resection itself, suture the parenchyma, and only after that, restore the blood flow. And Alexander Konstantinovich taught us a new technology – when the kidney resection is performed without clamping the vessels (the so-called "non-ischemic" resection). After such an operation, patients quickly recover and stand on their feet, as the function of the renal parenchyma is not impaired. So now we will also practice a similar way of operating.”