Laparoendoscopic single-site (LESS) varicocelectomy with reusable components: comparison with the conventional laparoscopic technique

Abstract

The LESSV procedure performed with the reusable X-Cone is as safe and efficient as MLV. After LESSV, the parameters measuring postoperative patient satisfaction are significantly improved. Given its reusable components, including prebent laparoscopic instruments, the X-Cone platform is a cost-effective alternative to disposable or homemade single ports.

Single incision transumbilical laparoscopic varicocelectomy versus the conventional laparoscopic technique: A randomized clinical study

“…So, regarding the success of varicocelectomy, our data suggests that SIL-V is as safe and effective as CTL-V. Similar findings were reported in a retrospective study by Friedersodroff et al [13] which included 20 patients with left-sided varicocele subjected to SIL-V compared to 79 patients subjected to CTL-V.…”

“…These findings are supported by the recently published data that there is a lower inflammatory stimulus (IL-6) following SILS than that following conventional laparoscopic surgery especially in the early postoperative hours [18]. Previous two studies [12,13] comparing SIL-V and CTL-V reported that the two groups were comparable regarding postoperative pain at day 1. Park et al [23] concluded that SIL-V was found to cause less pain than open inguinal varicocelectomy in cases of bilateral disease.…”

“…This may be explained by decreased postoperative pain in SIL-V group which is related to the single incision used. Rapid return to normal activity was also reported in previous studies following SIL-V [12,13].…”

Prospective randomized comparison of transumbilical two-port laparoscopic and conventional laparoscopic varicocele ligation

“…For the purpose of decreasing invasiveness and improving appearance, U-LESS was established, which represents an extension of the minimally invasive surgery. There were several reports showing that U-LESS varicocelectomy yielded superior cosmetic results with less pain compared with conventional laparoscopic varicocelectomy 8914…”

“…The patients who undergo the varicocelectomy are usually younger. They often place more importance on the number of incision scares than older patients 14. TTLVL need only two 5-mm ports which are less than that of CLVL with three ports.…”