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Related Concept Videos

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy01:26

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy

Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...

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Single Port Donor Nephrectomy
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Laparoendoscopic single-site surgery in urology.

Jared R Berkowitz1, Mohamad E Allaf

  • 1The James Buchanan Brady Urological Institute, The Johns Hopkins Medical Institutions, Baltimore, MD, USA.

Therapeutic Advances in Urology
|July 27, 2011
PubMed
Summary

Laparoendoscopic single-site (LESS) surgery offers cosmetic benefits and smaller incisions for urologic procedures. While outcomes are comparable to standard laparoscopy, further research is needed to confirm its long-term advantages.

Keywords:
NOTESlaparoendoscopic single-site surgerysingle-incision surgery

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Area of Science:

  • Minimally Invasive Surgery
  • Urologic Surgery
  • Surgical Innovation

Background:

  • Laparoscopic surgery is the standard for many procedures, offering benefits like reduced pain and shorter hospital stays.
  • Laparoendoscopic single-site (LESS) surgery, also known as single-incision laparoscopic surgery (SILS), aims to further minimize surgical morbidity.
  • This review examines the collective experience and early results of LESS in urology.

Purpose of the Study:

  • To review the published experience and perioperative outcomes of LESS in urology.
  • To analyze the institutional experience with this emerging surgical technique.

Main Methods:

  • Literature search for published LESS urologic procedures.
  • Analysis of institutional experience with LESS techniques.

Main Results:

  • LESS procedures in urology demonstrate acceptable operating room time, blood loss, and postoperative pain.
  • Outcomes align with standard laparoscopic surgery, with added benefits of improved cosmesis and smaller incisions.
  • Variations exist in nomenclature and access methods for LESS.

Conclusions:

  • Further studies and larger patient cohorts are required to fully assess the benefits of LESS procedures.
  • The learning curve for mastering LESS techniques may hinder widespread adoption.
  • Advancements in instrumentation are expected to facilitate broader acceptance of LESS.