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Updated: May 2, 2026

Single Port Donor Nephrectomy
Published on: March 12, 2011
Laparo-endoscopic single-site surgery: recent advances in urology
Riccardo Autorino1, Roman Sosnowski2, Marco De Sio2
1Glickman Urological and Kidney Institute, Cleveland Clinic, Cleveland, USA ; Service of Urology, Second University of Naples, Napoli, Italy.
Urologic laparo-endoscopic single-site surgery (LESS) has advanced significantly, becoming a widely applicable minimally invasive technique. While challenges remain, LESS offers safe and effective procedures with potential for robotic integration.
Area of Science:
- Urology
- Minimally Invasive Surgery
- Surgical Technology
Background:
- Laparo-endoscopic single-site surgery (LESS) has emerged as a significant development in urology since 2007.
- The technique represents an evolution in minimally invasive surgical approaches.
Purpose of the Study:
- To review and critically analyze recent advancements in urologic LESS.
- To assess the current status and future potential of LESS in urologic procedures.
Main Methods:
- A literature review was conducted using PubMed.
- Publications from January 2011 to May 2012 concerning urologic LESS were retrieved.
- Search terms included LESS, single port laparoscopy, and single incision laparoscopy.
Main Results:
- Urologic LESS has evolved into a widely applicable technique, demonstrating safety and effectiveness for various procedures.
- Successful outcomes depend on a strong surgical background and careful patient selection.
- New instrumentation is emerging, potentially enhancing robotic applications in LESS.
Conclusions:
- Urologic LESS is an emerging trend in minimally invasive surgery with significant progress.
- Further improvements and technological advancements, particularly in robotics, are needed for widespread adoption.
- LESS holds promise for the future of urologic surgical practice.
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