Laparoendoscopic Single-Site (LESS) Surgery and Robotic Laparoendoscopic Single-Site (R-LESS) Surgery in Urology: Adult and Pediatric Applications

Andrew J. Hung, Manuel S. Eisenberg, Inderbir S. Gill, Mihir M. Desai, Chester J. Koh

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

The adaptation of minimally invasive surgery for adult and pediatric urologic procedures has grown exponentially over the past few decades. With continued technological advances and reduction in the number of ports, laparoscopic procedures have been associated with shorter hospital stays, improved cosmesis, and reduced postoperative pain medication requirements. Laparoendoscopic single-site (LESS) surgery represents a continuation of the evolution toward the goal of "virtually scarless" surgery, where the number of port sites is reduced to a single incision. LESS surgery has been shown to be feasible in a wide array of urologic procedures in both adults and children. Early comparative studies are beginning to show similar perioperative outcomes for conventional laparoscopic and LESS procedures. Although a learning curve is present with regard to techniques and instrumentation as adult and pediatric urologic surgeons adapt to these novel LESS procedures, the learning curve for the experienced laparoscopic surgeon appears to be short as surgeon's experience with the new technology grows. Experience in robotic LESS (R-LESS) surgery is also growing to address the technical difficulties associated with LESS surgery.

Original languageEnglish (US)
Title of host publicationPediatric Robotic and Reconstructive Urology
Subtitle of host publicationA Comprehensive Guide
PublisherWiley
Pages237-244
Number of pages8
ISBN (Print)9781444335538
DOIs
StatePublished - Feb 3 2012

Keywords

  • Laparoendoscopic single-site surgery
  • Laparoscopy
  • LESS
  • Minimally invasive surgery
  • Pediatric
  • R-LESS
  • Robotic surgery
  • Urology

ASJC Scopus subject areas

  • Medicine(all)

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