Leading Operations

Dr. Kaynan has had the skill and vision to introduce a variety of laparoscopic and robotic-assisted operations to Morristown Medical Center, New Jersey, or even the region.  The following is a list of procedures he and his partners have introduced.

October 10, 2001 – first in New Jersey to perform non-robotic laparoscopic radical prostatectomy for prostate cancer.  Less than 1% of all practicing urologists world-wide have the skill-set requisite to perform this operation without the aid of a robot.  The robot facilitates the performance of this operation such that those without an extensive laparoscopic experience may conduct this operation safely in most instances.  Robotic surgery, however, is a form of laparoscopy, and Dr. Kaynan’s “straight stick” laparoscopic experiences, non-existent to most practicing urologists, has been integral to the successful qualitative outcomes for some of his robotic patients. Simply put, for those patients with such challenging anatomy, this experience has made the difference needed to get the operation done, and get it done well.

October 17, 2001 – first in New Jersey to perform non-robotic laparoscopic pyeloplasty for ureteropelvic junction obstruction.  Very few urologists world-wide have the “straight stick” laparoscopic skill set to perform the suturing required for this reconstructive procedure.  Dr Kaynan and his partners currently perform daVinci pyeloplasty in lieu of straight stick laparoscopy.

October 31, 2001 – first in New Jersey to perform non-robotic laparoscopic renal cryosurgery for kidney cancer.  This minimally invasive “freezing” method may be used very selectively for the treatment of small kidney cancers.

July 16, 2003 – first in New Jersey to perform non-robotic retroperitoneoscopic renal biopsy for kidney failure.  Retroperitoneoscopic surgery entails using a video-telescope directly in the flank, behind the main abdominal compartment where the bowels live.  The advantage to this approach is that the bowels are excluded from the area of operative interest by skirting past them, whereas in standard laparoscopy the bowels are directly manipulated in order to exclude them from the area of interest.  The retroperitoneoscopic technique helps to contain some of the potential postoperative complications.  The disadvantages are a smaller working space and fewer orienting landmarks.  Dr. Kaynan is among a distinct minority of surgeons who are facile with these techniques despite the disadvantages.

April 28, 2004 – first in New Jersey to perform non-robotic retroperitoneoscopic partial nephrectomy for kidney tumor, and one of only several in the New York Metro Area to continue to offer this.  In fact, Dr Kaynan is one of an elite cadre of urologists world-wide technically capable of “straight-stick” laparoscopic partial nephrectomy of any kind.  This is one of the most technically demanding procedures, in part because speed is of the essence in order to preserve long-term kidney function.  Dr. Kaynan and his partners later applied these skills to robotic partial nephrectomy using the daVinci Surgical System.  The advent of robotics and its Endowrist technology has facilitated the video-telescopic performance of this kidney-sparing tumor removal surgery. Dr. Kaynan presented his experience with laparoscopic and robotic methods for partial nephrectomy to the New Jersey chapter of the American College of Surgeons in December, 2006.

August 19, 2004 – first in New Jersey to perform non-robotic retroperitoneoscopic pyeloplasty.

March 21, 2005 – first in Morristown to perform daVinci Prostatectomy for prostate cancer.

July 28, 2005 – first on the Eastern Seaboard to perform daVinci Sacrocolpopexy for female pelvic prolapse.  Until the advent of robotics at MMC, Dr Kaynan had performed this surgery using “straight stick” laparoscopic methods.  The conversion to robotics for this surgery proved natural.

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