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Clinical Application of Single-Surgeon, Three-Port, Laparoscopic Resection for Colorectal Cancer with Natural Orifice Specimen Extraction
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Laparoendoscopic single site in pelvic surgery.

Rafael Sanchez-Salas1, Rafael Clavijo, Eric Barret

  • 1Institut Montsouris, Paris, France.

Indian Journal of Urology : IJU : Journal of the Urological Society of India
|May 5, 2012
PubMed
Summary
This summary is machine-generated.

Laparoendoscopic single site (LESS) surgery in the pelvis is challenging due to limited space. Advancements, particularly robotic assistance, are crucial for standardizing and developing LESS techniques in gynecology, urology, and colorectal surgery.

Keywords:
LESS and single incisionLaparoendoscopic single site surgery in gynecologynatural orifice translumenal endoscopic surgerypelvic anatomysingle portsingle port colectomysingle siteurological LESS

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Area of Science:

  • Minimally Invasive Surgery
  • Surgical Technology
  • Pelvic Surgery

Background:

  • Laparoendoscopic single site (LESS) surgery is an evolving technique in minimal access surgery.
  • The pelvis presents unique anatomical challenges for LESS procedures due to limited operative space.

Purpose of the Study:

  • To review the current status and feasibility of LESS in pelvic surgery.
  • To identify challenges and potential advancements for LESS in pelvic procedures.

Main Methods:

  • A comprehensive literature review was conducted using PubMed, searching for articles on LESS pelvic surgery from January 2001 to November 2011.
  • Search terms included "pelvic anatomy," "less in gynecology," "single port colectomy," "urological less," "single port," "single site," "NOTES," "LESS," and "single incision."
  • 314 manuscripts were identified, with 46 selected for review based on relevance to pelvic anatomy or surgical content.

Main Results:

  • Existing literature on LESS pelvic surgery (colorectal, gynecology, urology) is primarily composed of case reports and short case series, with few comparative studies.
  • LESS procedures in the pelvis are technically demanding due to restricted space, potentially limiting surgical performance.
  • Potential advantages of LESS are acknowledged, but require a thorough understanding of the increased technical difficulty.

Conclusions:

  • LESS pelvic surgery is in its nascent stages, facing significant anatomical constraints.
  • Robotic technology may facilitate the development and application of LESS in pelvic surgery.
  • Standardization and reproducibility of techniques are essential for the advancement of LESS in this surgical domain.