BERKELEY, CA (UroToday.com) - Laparoscopic surgery has evolved in an effort to reduce the complications associated with large incisions during ‘open-access’ surgery, leading to improvements in blood loss, recovery time, hospital stay, cosmesis, scar pain and hernia formation.
Laparoscopic surgery has evolved in an effort to reduce the complications associated with large incisions during ‘open-access’ surgery, leading to improvements in blood loss, recovery time, hospital stay, cosmesis, scar pain and hernia formation. LaparoEndoscopic Single-Site (LESS) surgery represents an extension to the minimally invasive principle, using only one small incision to provide access for all of the operating instruments. We review this novel approach which has been successfully demonstrated across many urological sub-specialities. More experimental modifications to the minimally invasive technique are being developed, including Robotic-LESS and access via natural orifices (Natural Orifice Transluminal Endoscopic Surgery, NOTES). It remains to be seen whether NOTES, LESS, or any of these future developments will prove their clinical superiority over standard laparoscopic methods...View or save the Mini Review as a .pdf file
Harveer Dev, Prasanna Sooriakumaran, Ashutosh Tewari and Abhay Rane*
LeFrak Center for Robotic Surgery & Institute for Prostate Cancer, James Buchanan Brady Foundation Department of Urology, Weill Cornell Medical College, New York Presbyterian Hospital, New York, NY, USA, and *Department of Urololgy, East Surrey Hospital, Redhill, UK
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