Laparoendoscopic single‐site surgery: current clinical experience

Khanna, Rakesh; Autorino, Riccardo; White, Michael A.; Laydner, Humberto; Forest, Sylvain; Altunrende, Fatih; Yang, Bo; Haber, Georges-Pascal; Kaouk, Jihad; Stein, Robert J.

doi:10.1111/j.1464-410x.2010.09666.x

Cited by 7 publications

(2 citation statements)

References 37 publications

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“…The greatest difficulty in surgeries employing this technique is posed by the small distance between the instruments that are inserted into the abdominal cavity as well as their parallel positioning. Single port surgery involves multiple technical challenges different from classic laparoscopy, including loss of triangulation, challenging work angle, limitation in instrumentation, instrument crowding and clashing, crossing instruments, and obscuring the line of vision [ 15 ]. Development of new instrumentation with articulating heads and four channel ports has allowed for performing laparoscopic procedures employing a single incision of the abdominal integument while minimizing its drawbacks.…”

Section: Discussionmentioning

confidence: 99%

Pediatric single port transumbilical nephrectomy and nephroureterectomy

2011

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ObjectiveTo present seven cases of single incision laparoscopic nephrectomy and nephroureterectomy in children as a recent videoscopic innovation.Patients and methodsSeven children with nonfunctioning kidneys, three with multicystic dysplastic kidneys, two with end-stage renal nephropathy due to vesicoureteral reflux, and two with giant hydronephrosis were qualified to nephrectomy or nephroureterectomy. The surgery was performed transperitoneally using single incision access laparoscopy. The operative time was in the range of 50-90 min.ResultsThere were no intraoperative or postoperative complications. The patients were discharged on the third postoperative day. The incision scars were hidden inside the umbilicus.ConclusionsNephrectomy or nephroureterectomy using a single transumbilical port in children is a feasible and efficacious technique. The advantages are shortened convalescence, excellent cosmetic results, and reduction of potential wounds complications. However, clear indication of single site laparoscopic procedures in children remains to be clarified.

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Section: Discussionmentioning

confidence: 99%

Pediatric single port transumbilical nephrectomy and nephroureterectomy

2011

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“…LESS has been shown to be a safe and feasible method while performing surgery on the gastrointestinal [2][3][4][5][6] and genitourinary tracts [7,8]. Similarly, the application of LESS in gynecology has been shown to be safe and effective among surgeries for benign conditions involving the uterus [9][10][11][12] and adnexa [13][14][15][16][17][18], as well as gynecologic malignancies [19][20][21][22].…”

Section: Discussmentioning

confidence: 99%