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Related Experiment Video

Updated: Jun 8, 2026

Clinical Application of Single-Surgeon, Three-Port, Laparoscopic Resection for Colorectal Cancer with Natural Orifice Specimen Extraction

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Published on: March 24, 2023

Robotic laparoendoscopic single-site surgery.

Michael A White¹, Georges-Pascal Haber, Riccardo Autorino

¹Glickman Urological and Kidney Institute, Cleveland Clinic, OH 44195, USA.

BJU International

|October 2, 2010

Summary

This summary is machine-generated.

Robotic laparoendoscopic single-site surgery (R-LESS) combines the da Vinci system with single-site laparoscopy. This approach aims to overcome the technical challenges and limitations of traditional LESS procedures in urology.

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Area of Science:

Urology
Minimally Invasive Surgery
Robotic Surgery

Background:

Laparoscopic surgery is widely used in urology, with the da Vinci system increasing procedure demand.
Standard laparoscopy has drawbacks, including port site complications like bleeding, hernia, and scarring.
Laparoendoscopic single-site surgery (LESS) is being explored to reduce morbidity but presents technical challenges.

Purpose of the Study:

To evaluate the feasibility and outcomes of robotic laparoendoscopic single-site surgery (R-LESS).
To address the limitations of conventional LESS, such as reduced instrument triangulation and retraction.
To report initial experiences with integrating the da Vinci surgical system into LESS procedures.

Main Methods:

Implementation of the da Vinci surgical system for laparoendoscopic single-site surgery.
Surgical procedures performed using the R-LESS technique in urological cases.
Evaluation of technical aspects and outcomes associated with R-LESS.

Main Results:

The da Vinci system was successfully applied to LESS procedures.
Initial experiences with R-LESS were documented.
The study reports on the application of robotic assistance to overcome LESS challenges.

Conclusions:

Robotic assistance offers a potential solution to the technical difficulties of LESS.
R-LESS may help reduce the morbidity associated with standard laparoscopy.
Further investigation into R-LESS is warranted for urological applications.