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Published on: March 12, 2011
Laparoendoscopic single-site surgery: complications and how to avoid them
Jared R Berkowitz1, Mohamad E Allaf
1James Buchanan Brady Urological Institute, Johns Hopkins Medical Institutions, Baltimore, MD 21287, USA.
BJU International
|October 2, 2010
Summary
Laparoendoscopic single-site surgery (LESS) offers a minimally invasive approach in urology. While complications are rare and similar to other techniques, LESS may have a steeper learning curve for surgeons.
Area of Science:
- Minimally invasive surgery
- Urological procedures
- Surgical innovation
Background:
- Laparoendoscopic single-site surgery (LESS) is an advancement from standard laparoscopy.
- It aims to reduce patient morbidity in urological operations.
- LESS is increasingly used for complex procedures.
Purpose of the Study:
- To review published data on LESS complications.
- To analyze institutional experience with LESS complications.
- To identify strategies for avoiding LESS complications.
Main Methods:
- Literature search of LESS complication data.
- Evaluation of institutional LESS surgical outcomes.
- Analysis of complication avoidance strategies.
Main Results:
- Few LESS-specific complications reported, mainly access-site related.
- Difficulties managing complex situations requiring dexterity noted.
- Conversion to laparoscopy or open surgery is rare; additional port insertion is more common.
Conclusions:
- LESS is an evolving surgical platform with a potential learning curve.
- In experienced hands, LESS complication rates are comparable to other surgical methods.
