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Robotic laparoendoscopic single-site surgery: the way forward.
Michael A White1, Riccardo Autorino, Shahab P Hillyer
1Glickman Urological and Kidney Institute, Cleveland Clinic, Cleveland, Ohio 44195, USA.
Archivos Espanoles De Urologia
|April 13, 2012
Summary
Robotic laparoendoscopic single-site (R-LESS) surgery overcomes challenges of conventional LESS procedures. Further development of specialized robotic systems is needed for optimal R-LESS urologic surgery.
Area of Science:
- Urology
- Minimally Invasive Surgery
- Robotic Surgery
Background:
- Laparoendoscopic Single-Site (LESS) surgery presents technical and ergonomic challenges.
- The daVinci robotic platform offers potential solutions to these limitations.
Purpose of the Study:
- To review the literature on robotic laparoendoscopic single-site (R-LESS) surgery.
- To detail institutional experience with the R-LESS approach.
Main Methods:
- Electronic literature search of Medline for R-LESS and robotic single-port urology publications.
- Retrospective review of single-center R-LESS surgical cases.
Main Results:
- Fifteen articles and two abstracts were identified, including various study types.
- Literature primarily detailed technique, perioperative outcomes, and procedural nuances.
Conclusions:
- R-LESS urologic surgery is feasible via multiple approaches.
- R-LESS mitigates difficulties associated with conventional LESS surgery.
- An ideal, task-specific robotic system for R-LESS is needed.
