Single-Incision Laparoscopic Surgery (SILS) in Reconstructive Urological Cases.

Area of Science:

• Urology
• Minimally Invasive Surgery
• Surgical Innovation

Background:

• Single-incision laparoscopic surgery (SILS) represents an advancement in minimally invasive techniques.
• The application of SILS in complex reconstructive urology remains an area for exploration.

Purpose of the Study:

• To evaluate the feasibility of SILS in reconstructive urology.
• To compare SILS with conventional laparoscopy regarding perioperative and convalescent outcomes.

Main Methods:

• A single surgeon performed two complex SILS procedures: psoas bladder hitch with Boari flap and nephropexy.
• A retrospective comparison was made with a control group of 6 patients who underwent conventional laparoscopy.
• SILS utilized a multichannel port, with no conversions to standard laparoscopy reported.

Main Results:

• Operative times for SILS were 365 minutes (psoas bladder hitch) and 185 minutes (nephropexy).
• Blood loss was 100 ml for the psoas bladder hitch procedure, with no intraoperative complications.
• SILS showed comparable operative time, blood loss, and hospital stay to the conventional laparoscopy group, with similar surgical outcomes and recovery.

Conclusions:

• Single-incision laparoscopic surgery is a feasible approach for reconstructive urological operations like high ureteric strictures and severe nephroptosis.
• SILS appears as efficacious as conventional laparoscopy, maintaining surgical standards and offering equivalent perioperative outcomes and convalescence.
• Patient satisfaction and willingness to recommend were favorable and comparable between SILS and conventional laparoscopy.