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Published on: December 4, 2023
Laparoendoscopic single-site urological surgery: initial experience in Japan.
Akihiro Kawauchi1, Kazumi Kamoi, Jintetsu Soh
1Department of Urology, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Kyoto, Japan. kawauchi@koto.kpu-m.ac.jp
Summary
This study reports successful initial experiences with laparoendoscopic single-site surgery (LESS) for varicocelectomy and pyeloplasty. Both procedures demonstrated excellent cosmetic outcomes and no complications, highlighting LESS as a viable surgical option.
Area of Science:
- Urology
- Minimally Invasive Surgery
Background:
- Laparoendoscopic single-site surgery (LESS) offers potential cosmetic and recovery benefits.
- Initial case reports are crucial for establishing the feasibility of new surgical techniques.
Purpose of the Study:
- To document the initial experience with LESS for varicocelectomy and pyeloplasty.
- To evaluate the safety, efficacy, and cosmetic outcomes of these procedures.
Main Methods:
- Two patients underwent LESS procedures: one varicocelectomy and one pyeloplasty.
- A Triport was used for umbilical access; a 2-mm needlescopic port was added for pyeloplasty.
- Standard surgical techniques were adapted for the LESS approach.
Main Results:
- Both LESS varicocelectomy and pyeloplasty were completed successfully.
- Operative times were 60 minutes for varicocelectomy and 240 minutes for pyeloplasty.
- Minimal blood loss, no perioperative complications, and no postoperative pain were reported at 3-month follow-up.
Conclusions:
- LESS varicocelectomy and pyeloplasty are feasible and safe.
- The procedures yielded excellent cosmetic results and patient satisfaction.
- LESS represents a promising minimally invasive approach for these urological conditions.
