Endo-oncology, or urologie oncogy treated by minimally invasive surgery (MIS) , or endourologic oncology, or laparoscepic urologic oncology, or whatever it may be, has been revolutionizing the conventional open surgery for urologic oncology ever since Clayman and coworkers successfully completed the first laparoscopic radical nephrectomy for a patient with renal cell carcinoma in 1991. The invincible tide hit the urologic cornmunity worldwide, broke through the barriers of doubts that the poor

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... nd stubborn traditionalists have left behind. In the new millennium eventually, almost every tradhional incisional surgery has been replaced by the MIS counter-part. Nowadays the uro-oncologists against the tide will find themselves without company and also without clients. The trends in the future ef endo-oneology might include the followings : The use of robotic laparoscepic surgery, especially how to make it economically accessible to the Asian countries. and how to overcome the lack of tactile and tension feedbacks of robotics such as Da Vinci. The development of augmented-reality-assisted laparoscopic surgery or laparoscopic "navigating" system for three-dimensional image-guided surgery might further mitigate the steep leaming curve of endo-oncology, However mighty and invincible the tide of endo-oncology might be, when sweeping'through globally it is not without rankles and noises, The mortality cases in the hands of less-experienced endo-oncologists reported sporadically worldwide expose the potentially "even-more-dangerous" nature of endo-oncology. As we all know, Japan is one of the pioneer countries in the licensing of iaparoscopic surgeons. We try to learn from Japanese experiences in order to minimize the tragedy-to-come. So most important of all, how to educate and help the next-generation-urologists to perform quality-guaranteed endow-oncology surgery will be the biggest issue in the years to come. NII-Electronic