High-tech surgery in urology (36 hours)

Relevance: In the last decade, there has been an increase in cases of oncourological morbidity. For example, according to various studies, kidney cancer accounts for 2 to 3% of all cases and is on the 8th place in men and on the 11th place in women among oncological diseases. Due to the development of modern imaging diagnostic methods, it is possible to detect kidney cancer at an early stage. This makes it possible to increasingly perform organ-preserving treatment-kidney resection, which is not inferior to radical nephrectomy in terms of oncological results and is becoming the "gold" standard for radical surgical treatment of kidney cancer. At the same time, the best method of surgery is a minimally invasive approach – laparoscopic or robotic. When comparing laparoscopic and robotic kidney resection, it was found that the use of robotic technology is the preferred method of resection of kidney tumors of medium and high degrees of complexity (according to the R. E. N. A. L. scale) by reducing the time of kidney ischemia, less blood loss and providing reliable oncological results. 
Also, at present, in many developed countries, there is an increase in the incidence of prostate cancer. In men over 55 years of age, this is the most common malignant neoplasm. Worldwide, radical prostatectomy is the "gold" standard for surgical treatment of localized and in some cases locally advanced prostate cancer, especially in patients with a life expectancy of 5-10 years or more. The introduced minimally invasive methods of treatment, such as laparoscopic and robot-assisted radical prostatectomy, have allowed to achieve good oncological and functional results of treatment of such patients, especially in matters of urinary retention and erectile function.
Specialists of the Department of Urology of the State Medical Institution of the Moscow State Medical Center named after A. S. Loginov provide consultations, diagnostics and treatment of oncological diseases of the genitourinary system. The department implements a modern and high-tech approach to treatment, both for men and women of all ages, and has accumulated extensive experience and skills in minimally invasive surgery – endoscopic, laparoscopic and robotic. 
For many years, the most reliable and high-tech methods of treating prostate cancer have been used: laparoscopic and robot-assisted radical prostatectomy on the Da Vinci Si robot, including nerve-saving ones. Urologists of the State Medical Institution of the Moscow State Medical Center named after A. S. Loginov DZM perform minimally invasive organ-preserving operations for kidney cancer: laparoscopic or robot-assisted resection of kidney tumors, in some cases, and radiofrequency ablation of kidney tumors (RFA).
The advantages of these methods are low trauma and blood loss, rapid recovery, high reliability in removing tumors, and minimal need for medications after surgery. 
The cadet doctors will have the opportunity to master the most modern approaches to both diagnosis and treatment of oncourological diseases, learn from the experience of our specialists, and thereby improve their skills and abilities.

As part of the course, we:

1. we will analyze the principles of modern diagnosis and treatment of kidney cancer and prostate cancer, and determine the role of laparoscopic and robotic surgery in the treatment of these diseases. 
2. we will study the indications, contraindications and technical aspects of laparoscopic nephrectomy with an analysis of the prevention of possible complications. 
3. we will study the indications, contraindications and technical aspects of laparoscopic kidney resection with an analysis of the prevention of possible complications.
4. we will study the indications, contraindications and technical aspects of robotassisted kidney resection with an analysis of the prevention of possible complications. 
5. we will study the indications, contraindications and technical aspects of laparoscopic radical prostatectomy with an analysis of the prevention of possible complications. 
6. we will study the indications, contraindications and technical aspects of robotic radical prostatectomy with an analysis of the prevention of possible complications. 

Internship base: department of Urology of the State Medical Institution of the Moscow State Medical Center named after A. S. Loginov DZM. 
Curators of the internship: MD. Zingerenko M. B., Head of the Department of Urology of the State Medical Institution of the Moscow State Medical Center A. S. Loginova DZM, PhD.Pavlenko K. A. Head. laboratory of Oncourology of the State Medical Institution of the Moscow State Medical Center A. S. Loginov DZM.