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Cost effective laparoendoscopic single-site surgery with a reusable platform.

C Schwentner1, T Todenhöfer, J Seibold

  • 1Department of Urology, Eberhard-Karls University Tuebingen, Germany. christian.schwentner@med.uni-tuebingen.de

JSLS : Journal of the Society of Laparoendoscopic Surgeons
|August 9, 2013
PubMed
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This study introduces a reusable platform for laparoendoscopic single-site surgery (LESS), demonstrating its effectiveness and cost-efficiency. The reusable LESS platform offers a viable alternative to disposable systems, improving patient outcomes and reducing healthcare expenses.

Area of Science:

  • Urology
  • Minimally Invasive Surgery
  • Surgical Technology

Background:

  • Disposable platforms are common in laparoendoscopic single-site surgery (LESS), but their cost limits widespread adoption.
  • A novel, completely reusable LESS platform has been developed to address cost concerns.
  • This study evaluates the feasibility and outcomes of using a reusable LESS platform.

Purpose of the Study:

  • To describe the first completely reusable laparoendoscopic single-site surgery (LESS) platform.
  • To assess the applicability of the reusable LESS platform across various urological procedures.
  • To evaluate the cost-effectiveness and patient outcomes associated with the reusable LESS platform.

Main Methods:

  • Performed 52 LESS procedures using a reusable single-port device (X-Cone, Karl-Storz).

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  • Procedures included nephrectomy, adrenalectomy, partial nephrectomy, pyeloplasty, renal cyst ablation, pelvic lymphadenectomy, and lymphocele ablation.
  • Collected perioperative data, including visual analogue pain scale (VAS) and Clavien grading for complications.

    • Main Results:

    • Successful application in diverse urological procedures with no open conversions.
    • Low complication rates (3 cases: 2 Clavien II, 1 Clavien III).
    • Favorable outcomes including acceptable operative times, low pain scores (VAS), minimal blood loss, and good lymph node yield where applicable.

    Conclusions:

    • A completely reusable LESS platform is safe and effective for various urological surgeries.
    • This reusable platform significantly reduces the cost of LESS, enhancing its acceptance.
    • Reusable LESS platforms are more cost-effective than standard laparoscopy, offering better functional and cosmetic results.