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Laparoendoscopic single site pelvic surgery: is there any room?
1Center for Laparoscopic and Robotic Surgery, Glickman Urological and Kidney Institute, Cleveland Clinic, Cleveland, OH 44195, USA.
Objectives:
Our purpose was to summarize the current status of Laparo-endocopic single site surgery (LESS) in the pelvis.
Methods:
A comprehensive literature search was conducted in May 2011 using the medline database to identify publications relating to LESS surgery in the pelvis.
Results:
LESS can be safely performed in the pelvis with comparable outcomes to standard minimally invasive approaches. Small series have demonstrated good outcomes in the hands of experienced surgeons in a number of urological settings in the pelvis. Challenges in LESS surgery are continual being overcome by advancing technologies such as with the robotic platform;however, significant improvements are necessary to reduce the difficulty with LESS surgery and dispersion amongst urological surgeons.
Conclusion:
LESS pelvic procedures are evolving. Wide ranges of procedures have been described using LESS approach, however, in small series and short follow-up. Further examination of LESS pelvic approach with well-designed studies will be crucial to determine the future role of such an approach.
