Laparoendoscopic single‐site urological surgery: Initial experience in Japan

Abstract

Abstract:The objective of this paper is to report our initial experience in laparoendoscopic single-site surgery (LESS). One patient underwent LESS varicocelectomy and another patient underwent LESS pyeloplasty. The Triport was inserted into the abdomen through the umbilical incision. In the varicocelectomy, testicular vessels were coagulated by a vesselsealing system, and transected. In the pyeloplasty, a 2-mm needlescopic port was added to facilitate the procedure, and a dismembered procedure was performed. Total operative duration was 60 min for the varicocelectomy and 240 min for the pyeloplasty. Blood loss was minimal and no perioperative complications occurred. At the 3-month follow up, no postoperative complications were observed and there was no complaint of pain. LESS varicocelectomy and pyeloplasty were successfully performed with excellent cosmetic results and no complications.

Urological laparoendoscopic single‐site and reduced port surgery: A nationwide survey in Japan

“…In Japan, LESS-AD was first reported by Hirano in 2005, 9 and LESS-PP and varicocele surgery were reported by Kawauchi in 2010. 16 In the present study, 42 (28%) of 152 institutions implemented LESS/RPS procedures, whereas C-LAP was carried out in all institutions surveyed. In contrast, the percentage of patients undergoing LESS/RPS was 12% of the total number of patients undergoing laparoscopic surgeries for the six main procedures.…”

Ovarian Suspension With Adjustable Sutures: An Easy and Helpful Technique for Facilitating Laparoendoscopic Single-Site Gynecologic Surgery

“…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].…”

Laparoendoscopic single-site surgery for pediatric patients in urology

“…Intraoperative or postoperative complications were not observed. Kawauchi et al [14] reported a 13-year-old boy with a left varicocele. The operative method was similar to that in the study by Kaouk and Palmer, except for the use of the TriPort and the transection of vessels by Ligasure without surgical clips.…”

“…To date at our institution, 16 LESS for pediatric patients were performed, including seven pyeloplasties, three nephrectomies and varicocelectomies and one heminephrectomy, orchidopexy and orchiectomy (unpublished data except one varicocelectomy) [14]. The TriPort was inserted through an umbilical index finger-size (around 1.2 mm in diameter) incision.…”