The minimal access surgery or laparoscopic surgery achieves the same therapeutic goal as the traditional open surgery does. The difference is that there is no large cut for accessing the target organ for its removal or correction of pathology. It clearly scores over open surgery due its precision, causing minimal blood loss ( one tenth of open surgery), and completeness esp. in cancer surgery.
In urology, it has already become the procedure of choice for removal of adrenal gland, kidney, and correction of UPJ obstruction of kidney. In cases of cancers, the removal of cancerous kidney or bladder or prostate is done regularly.
Today, pactically all operations can be done laparoscopically where the traditionalalternative is open surgery.

Dr. Sharma is performing these operations at gangaram hospital, new delhi, india.The following operations are being done regularly :-

 Laparoscopic radical prostatectomy (extraperitoneal approach) for prostate cancer
 Nephrectomy - simple and radical (for cancer)
 Laparoscopic pyeloplasty
 Renal cyst removal
 Partial nephrectomy for small cancer where kidney can be saved
 Lymphatic disconnection for chyluria
 Ureterolithotomy for large stone in ureter
 Adrenalectomy
 Retrocaval ureter
 Ureteric reimplantation
 Boari flap reconstruction of ureter
 Bladder diverticulectomy
 Repair of vesicovaginal fistula