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Related Concept Videos

Urinary Tract Calculi VI: Surgical Management01:25

Urinary Tract Calculi VI: Surgical Management

Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...
Urologic Endoscopic Procedure: Cystoscopic Examination01:28

Urologic Endoscopic Procedure: Cystoscopic Examination

Meaning of Cystoscopic Examination:Cystoscopy is an essential diagnostic tool in urology that is used to assess the structure and function of the genitourinary system. It provides a direct view of the urethra, bladder, and, in some cases, the ureteral openings. This procedure helps detect structural abnormalities, infections, cancers, and blockages in the urinary tract. There are two types of cystoscopy:Flexible cystoscopy is commonly performed in outpatient settings due to its less invasive...
Kidney Transplant II: Surgical Procedure01:26

Kidney Transplant II: Surgical Procedure

Preoperative ManagementThe primary goals of preoperative management in kidney transplantation are to optimize the patient’s metabolic state and prepare them for surgery through diet adjustments, necessary dialysis, and tailored medical treatment. This phase also involves comprehensive infection screening and patient education about the surgical procedure and postoperative care to improve outcomes and adherence.Medical ManagementA comprehensive evaluation is required for both the living donor...
Imaging Studies V: Intravenous Urography and Retrograde Pyelography01:22

Imaging Studies V: Intravenous Urography and Retrograde Pyelography

IntroductionIntravenous Urography (IVU) and Retrograde Pyelography (RP) are important diagnostic imaging techniques used to evaluate the urinary system. These methods help identify structural abnormalities, obstructions, and functional issues in the kidneys, ureters, and bladder. Both procedures use iodine-based contrast media to enhance the visibility of urinary tract structures on X-ray images, though they differ in their methods and indications.1. Intravenous Urography (IVU)Intravenous...
Urinary Tract Calculi III: Medical Management01:30

Urinary Tract Calculi III: Medical Management

The diagnosis of renal calculi involves several imaging techniques, including non-contrast CT scans and ultrasound. These methods help visualize kidney stones, assess their size and location, and detect possible obstructions. Additionally, Measuring urine pH is useful for diagnosing specific stone types, such as struvite (alkaline pH) and uric acid stones (acidic pH). Cystine stones are primarily linked to cystinuria, a genetic condition. A urinalysis helps detect blood in the urine (hematuria)...

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Updated: May 23, 2026

Vessel-sparing Excision and Primary Anastomosis
08:09

Vessel-sparing Excision and Primary Anastomosis

Published on: January 7, 2019

Patient selection for LESS urological surgery.

Marco De Sio1, Carmelo Quattrone, Rocco Damiano

  • 1Urology Clinic, AOU Second University of Naples, Naples, Italy. marcdesio@tin.it

Archivos Espanoles De Urologia
|April 13, 2012
PubMed
Summary
This summary is machine-generated.

Laparoendoscopic single-site surgery (LESS) offers cosmetic benefits by minimizing incisions. Surgeon skill, patient selection, and evolving technologies are key to expanding LESS procedures beyond initial applications.

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Area of Science:

  • Minimally Invasive Surgery
  • Surgical Innovation
  • Laparoscopic Techniques

Background:

  • Laparoendoscopic single-site surgery (LESS) aims to enhance perioperative outcomes and cosmesis through reduced skin incisions.
  • LESS presents technical challenges, with procedural success contingent on surgeon expertise, patient condition, and careful selection.
  • Cosmetic improvement is a primary advantage of LESS over conventional laparoscopy, making it suitable for younger patients with lower body mass index (BMI).

Purpose of the Study:

  • To evaluate the potential benefits and challenges of Laparoendoscopic single-site surgery (LESS).
  • To explore the expanding indications for LESS beyond initial procedures.
  • To consider the future role of emerging technologies in advancing LESS.

Main Methods:

  • Review of current literature and clinical experience with Laparoendoscopic single-site surgery (LESS).
  • Analysis of factors influencing LESS outcomes, including surgeon skill and patient characteristics.
  • Assessment of the evolution of LESS indications from demolitive to reconstructive procedures.

Main Results:

  • LESS theoretically improves cosmetic results and perioperative outcomes by minimizing skin incisions.
  • Procedural success in LESS is significantly influenced by surgeon experience, patient condition, and selection criteria.
  • Indications for LESS have broadened from simpler procedures to more complex and reconstructive surgeries with accumulated experience.

Conclusions:

  • Laparoendoscopic single-site surgery (LESS) offers significant cosmetic advantages, particularly for specific patient demographics.
  • The technical demands of LESS necessitate experienced surgeons and careful patient selection for optimal results.
  • Advancements in technology and robotics are poised to expand the future applications of LESS procedures.