Pediatric urological laparoendoscopic single site surgery: single surgeon experience

Area of Science:

• Pediatric Surgery
• Urology
• Minimally Invasive Surgery

Background:

• Laparoendoscopic single site (LESS) surgery offers potential cosmetic and functional benefits.
• Its application in pediatric urology requires evaluation for feasibility and safety.

Purpose of the Study:

• To assess the feasibility and outcomes of pediatric urological LESS procedures.
• To identify potential complications and conversion rates.

Main Methods:

• Retrospective review of 61 pediatric patients undergoing LESS urological surgery.
• Procedures performed via umbilical access using specialized laparoscopic instruments.
• Data collected included demographics, operative details, and complications.

Main Results:

• Sixty-one pediatric urological procedures were successfully performed using LESS.
• Common procedures included orchidopexy, nephrectomy, and varicocelectomy.
• Two cases required conversion to open or conventional laparoscopy; one intraoperative vas deferens injury and six postoperative complications (Clavien-Dindo grade II-IIIb) were reported.

Conclusions:

• Pediatric urological LESS surgery is technically feasible, safe, and effective.
• The approach demonstrates good outcomes with manageable complications.
• Further research is needed to establish the definitive role of LESS in pediatric urological practice.