Skip to main content
Top
Published in: World Journal of Urology 6/2009

01-12-2009 | Review

Current status of laparoendoscopic single-site surgery in urology

Authors: Jens-Uwe Stolzenburg, Panagiotis Kallidonis, Holger Till, Martin Burchardt, Thomas R. Herrmann, Evangelos N. Liatsikos

Published in: World Journal of Urology | Issue 6/2009

Login to get access

Abstract

Purpose

Laparoendoscopic single-site surgery (LESS) uses single incisions for the introduction of instruments through a specially designed multi-lumen single port (multi-port) for the performance of several urologic procedures.

Methods

Literature review regarding the LESS approach took place on May 2009 and the experiences of our institutions were also included.

Results

Almost all urologic intra-abdominal and pelvic procedures have been successfully and safely performed with the LESS approach. Nevertheless, current experience is limited and there are significant technical challenges to the performance of LESS techniques.

Conclusions

Wider adaptation of the approach requires refinement of LESS instrumentation to overcome the technical challenges of the approach. The improved outcome should also be documented with further clinical evaluation.
Literature
1.
go back to reference Guzzo TJ, Allaf ME, Pierorazio PM, Miller D, McNeil BK, Kavoussi LR et al (2009) Perioperative outcomes of elderly patients undergoing laparoscopic renal procedures. Urology 73(3):572–576CrossRefPubMed Guzzo TJ, Allaf ME, Pierorazio PM, Miller D, McNeil BK, Kavoussi LR et al (2009) Perioperative outcomes of elderly patients undergoing laparoscopic renal procedures. Urology 73(3):572–576CrossRefPubMed
2.
go back to reference Ficcara V, Novara G, Artibani W, Cestari A et al (2009) Retropubic, laparoscopic and robot-assisted radical prostatectomy: a systematic review and cumulative analysis of comparative studies. Eur Urol 55:1037–1063CrossRef Ficcara V, Novara G, Artibani W, Cestari A et al (2009) Retropubic, laparoscopic and robot-assisted radical prostatectomy: a systematic review and cumulative analysis of comparative studies. Eur Urol 55:1037–1063CrossRef
3.
go back to reference Manabe D, Saika T, Ebara S, Uehara S et al (2007) Comparative study of oncologic outcome of laparoscopic nephroureterectomy and standard nephroureterectomy for urinary tract transitional cell carcinoma. Urology 69:457–461CrossRefPubMed Manabe D, Saika T, Ebara S, Uehara S et al (2007) Comparative study of oncologic outcome of laparoscopic nephroureterectomy and standard nephroureterectomy for urinary tract transitional cell carcinoma. Urology 69:457–461CrossRefPubMed
4.
go back to reference Haber G-P, Gill IS (2006) Laparoscopic partial nephrectomy: contemporary technique and outcomes. Eur Urol 49:660–665CrossRefPubMed Haber G-P, Gill IS (2006) Laparoscopic partial nephrectomy: contemporary technique and outcomes. Eur Urol 49:660–665CrossRefPubMed
5.
go back to reference Lattouf J-B, Beri A, D’Ámbros OFJ, Grull M et al (2008) Laparoscopic partial nephrectomy for hilar tumors: technique and results. Eur Urol 54:409–418CrossRefPubMed Lattouf J-B, Beri A, D’Ámbros OFJ, Grull M et al (2008) Laparoscopic partial nephrectomy for hilar tumors: technique and results. Eur Urol 54:409–418CrossRefPubMed
6.
go back to reference Raman JD, Cadeddu JA, Rao P, Abbay R (2008) Single-incision laparoscopic surgery: initial urological experience and comparison with natural-orifice transluminal endoscopic surgery. BJU Int 101:1493–1496CrossRefPubMed Raman JD, Cadeddu JA, Rao P, Abbay R (2008) Single-incision laparoscopic surgery: initial urological experience and comparison with natural-orifice transluminal endoscopic surgery. BJU Int 101:1493–1496CrossRefPubMed
7.
go back to reference Fornara P, Doehn C, Friedrich HJ, Jocham D (2001) Nonrandomized comparison of open flank versus laparoscopic nephrectomy in 249 patients with benign renal disease. Eur Urol 40(1):24–31CrossRefPubMed Fornara P, Doehn C, Friedrich HJ, Jocham D (2001) Nonrandomized comparison of open flank versus laparoscopic nephrectomy in 249 patients with benign renal disease. Eur Urol 40(1):24–31CrossRefPubMed
8.
go back to reference Fornara P, Doehn C, Seyfarth M, Jocham D (2000) Why is urological laparoscopy minimally invasive? Eur Urol 37(3):241–250CrossRefPubMed Fornara P, Doehn C, Seyfarth M, Jocham D (2000) Why is urological laparoscopy minimally invasive? Eur Urol 37(3):241–250CrossRefPubMed
9.
go back to reference Canes D, Desai MM, Aron M, Haber GP, Goel RK, Stein RJ et al (2008) Transumbilical single-port surgery: evolution and current status. Eur Urol 54(5):1020–1029CrossRefPubMed Canes D, Desai MM, Aron M, Haber GP, Goel RK, Stein RJ et al (2008) Transumbilical single-port surgery: evolution and current status. Eur Urol 54(5):1020–1029CrossRefPubMed
10.
go back to reference Tracy CR, Raman JD, Cadeddu JA, Rane A (2008) Laparoendoscopic single-site surgery in urology: where have we been and where are we heading? Nat Clin Pract Urol 5(10):561–568CrossRefPubMed Tracy CR, Raman JD, Cadeddu JA, Rane A (2008) Laparoendoscopic single-site surgery in urology: where have we been and where are we heading? Nat Clin Pract Urol 5(10):561–568CrossRefPubMed
11.
go back to reference Gettman MT, Box G, Averch T, Cadeddu JA, Cherullo E, Clayman RV, Desai M, Frank I, Gill I, Gupta M (2008) Consensus statement on natural orifice transluminal endoscopic surgery and single-incision laparoscopic surgery: heralding a new era in urology? Eur Urol 53:1117–1120CrossRefPubMed Gettman MT, Box G, Averch T, Cadeddu JA, Cherullo E, Clayman RV, Desai M, Frank I, Gill I, Gupta M (2008) Consensus statement on natural orifice transluminal endoscopic surgery and single-incision laparoscopic surgery: heralding a new era in urology? Eur Urol 53:1117–1120CrossRefPubMed
12.
go back to reference Park S, Bergs RA, Eberhart R, Baker L et al (2007) Trocar-less instrumentation for laparoscopy: magnetic positioning of intra-abdominal camera and retractor. Ann Surg 245(3):379–384CrossRefPubMed Park S, Bergs RA, Eberhart R, Baker L et al (2007) Trocar-less instrumentation for laparoscopy: magnetic positioning of intra-abdominal camera and retractor. Ann Surg 245(3):379–384CrossRefPubMed
13.
go back to reference Zeltser IS, Bergs R, Fernandez R, Baker L et al (2007) Single trocar laparoscopic nephrectomy using magnetic anchoring and guidance system in the porcine model. J Urol 178:288–291CrossRefPubMed Zeltser IS, Bergs R, Fernandez R, Baker L et al (2007) Single trocar laparoscopic nephrectomy using magnetic anchoring and guidance system in the porcine model. J Urol 178:288–291CrossRefPubMed
14.
go back to reference Rane A, Rao P, Rao P (2008) Single-port-access nephrectomy and other laparoscopic urologic procedures using a novel laparoscopic port (R-port). Urology 72(2):260–263 (discussion 263–264)CrossRefPubMed Rane A, Rao P, Rao P (2008) Single-port-access nephrectomy and other laparoscopic urologic procedures using a novel laparoscopic port (R-port). Urology 72(2):260–263 (discussion 263–264)CrossRefPubMed
15.
go back to reference Rane A, Ahmed S, Kommu SS, Anderson CJ et al (2009) Single-port ‘scarless’ laparoscopic nephrectomies: the United Kingdom experience. BJU 104:230–233CrossRef Rane A, Ahmed S, Kommu SS, Anderson CJ et al (2009) Single-port ‘scarless’ laparoscopic nephrectomies: the United Kingdom experience. BJU 104:230–233CrossRef
16.
go back to reference Raman JD, Bensalah K, Bagrodia A, Stern JM, Cadeddu JA (2007) Laboratory and clinical development of single keyhole umbilical nephrectomy. Urology 70(6):1039–1042CrossRefPubMed Raman JD, Bensalah K, Bagrodia A, Stern JM, Cadeddu JA (2007) Laboratory and clinical development of single keyhole umbilical nephrectomy. Urology 70(6):1039–1042CrossRefPubMed
17.
go back to reference Desai MM, Rao PP, Aron M, Pascal-Haber G, Desai MR, Mishra S, Kaouk JH, Gill IS (2008) Scarless single port transumbilical nephrectomy and pyeloplasty: first clinical report. BJU Int 101:83–88CrossRefPubMed Desai MM, Rao PP, Aron M, Pascal-Haber G, Desai MR, Mishra S, Kaouk JH, Gill IS (2008) Scarless single port transumbilical nephrectomy and pyeloplasty: first clinical report. BJU Int 101:83–88CrossRefPubMed
18.
go back to reference Aron M, Canes D, Desai MM, Haber GP, Kaouk JH, Gill IS (2008) Transumbilical single-port laparoscopic partial nephrectomy. BJU Int 103:516–521CrossRefPubMed Aron M, Canes D, Desai MM, Haber GP, Kaouk JH, Gill IS (2008) Transumbilical single-port laparoscopic partial nephrectomy. BJU Int 103:516–521CrossRefPubMed
19.
go back to reference Kaouk JH, Goel RK (2009) Single-port laparoscopic and robotic partial nephrectomy. Eur Urol 55:1163–1170CrossRefPubMed Kaouk JH, Goel RK (2009) Single-port laparoscopic and robotic partial nephrectomy. Eur Urol 55:1163–1170CrossRefPubMed
20.
go back to reference Kaouk JH, Goel RK, Haber G-P, Crouzet S et al (2008) Robotic single-port transumbilical surgery in humans: initial report. BJU Int 103:366–369CrossRefPubMed Kaouk JH, Goel RK, Haber G-P, Crouzet S et al (2008) Robotic single-port transumbilical surgery in humans: initial report. BJU Int 103:366–369CrossRefPubMed
21.
go back to reference Hafron J, Kaouk JH (2007) Cryosurgical ablation of renal cell carcinoma. Cancer Control 14:211–217PubMed Hafron J, Kaouk JH (2007) Cryosurgical ablation of renal cell carcinoma. Cancer Control 14:211–217PubMed
22.
go back to reference Goel RK, Kaouk JH (2008) Single-port renal cryoablation (SPARC): a new approach. Eur Urol 53:1204–1209CrossRefPubMed Goel RK, Kaouk JH (2008) Single-port renal cryoablation (SPARC): a new approach. Eur Urol 53:1204–1209CrossRefPubMed
23.
go back to reference Gill IS, Canes D, Aron M, Haber GP, Goldfarb DA, Flechner S, Desai MR, Kaouk JH, Desai MM (2008) Single-port transumbilical (E-NOTES) donor nephrectomy. J Urol 180:637–641CrossRefPubMed Gill IS, Canes D, Aron M, Haber GP, Goldfarb DA, Flechner S, Desai MR, Kaouk JH, Desai MM (2008) Single-port transumbilical (E-NOTES) donor nephrectomy. J Urol 180:637–641CrossRefPubMed
24.
go back to reference Desai MM, Aron M, Canes D, Fareed K et al (2008) Single-port transvesical simple prostatectomy: initial clinical report. Urology 72:960–965CrossRefPubMed Desai MM, Aron M, Canes D, Fareed K et al (2008) Single-port transvesical simple prostatectomy: initial clinical report. Urology 72:960–965CrossRefPubMed
25.
go back to reference Kaouk JH, Goel RK, Haber GP, Crouzet S, Desai MM, Gill IS (2008) Single-port laparoscopic radical prostatectomy. Urology 72(6):1190–1193CrossRefPubMed Kaouk JH, Goel RK, Haber GP, Crouzet S, Desai MM, Gill IS (2008) Single-port laparoscopic radical prostatectomy. Urology 72(6):1190–1193CrossRefPubMed
26.
go back to reference Kaouk JH, Palmer JS (2008) Single-port laparoscopic surgery: initial experience in children for varicocelectomy. BJU Int 102:97–99CrossRefPubMed Kaouk JH, Palmer JS (2008) Single-port laparoscopic surgery: initial experience in children for varicocelectomy. BJU Int 102:97–99CrossRefPubMed
27.
go back to reference Ramman JD, Bagrodia A, Cadeddu JA (2009) Single-incision, umbilical laparoscopic versus conventional laparoscopic nephrectomy: a comparison perioperative outcomes and short-term measures of convalescence. Eur Urol 55:1198–1206CrossRef Ramman JD, Bagrodia A, Cadeddu JA (2009) Single-incision, umbilical laparoscopic versus conventional laparoscopic nephrectomy: a comparison perioperative outcomes and short-term measures of convalescence. Eur Urol 55:1198–1206CrossRef
28.
go back to reference White WM, Goel RK, Kaouk JH (2009) Single-port laparoscopic retroperitoneal surgery: initial operative experience and comparative outcome. Urology 73(6):1279–1282CrossRefPubMed White WM, Goel RK, Kaouk JH (2009) Single-port laparoscopic retroperitoneal surgery: initial operative experience and comparative outcome. Urology 73(6):1279–1282CrossRefPubMed
29.
go back to reference Stolzenburg JU, Rabenalt R, Do M et al (2008) Endoscopic extraperitoneal radical prostatectomy: the University of Leipzig experience of 2000 cases. J Endourol 22(10):2319–2325CrossRefPubMed Stolzenburg JU, Rabenalt R, Do M et al (2008) Endoscopic extraperitoneal radical prostatectomy: the University of Leipzig experience of 2000 cases. J Endourol 22(10):2319–2325CrossRefPubMed
Metadata
Title
Current status of laparoendoscopic single-site surgery in urology
Authors
Jens-Uwe Stolzenburg
Panagiotis Kallidonis
Holger Till
Martin Burchardt
Thomas R. Herrmann
Evangelos N. Liatsikos
Publication date
01-12-2009
Publisher
Springer-Verlag
Published in
World Journal of Urology / Issue 6/2009
Print ISSN: 0724-4983
Electronic ISSN: 1433-8726
DOI
https://doi.org/10.1007/s00345-009-0459-0

Other articles of this Issue 6/2009

World Journal of Urology 6/2009 Go to the issue