Single‐port ‘scarless’ laparoscopic nephrectomies: the United Kingdom experience

Rané, Abhay; Ahmed, Shwan; Kommu, Sashi S.; Anderson, Christopher J.; Rimington, Peter

doi:10.1111/j.1464-410x.2009.08399.x

Cited by 59 publications

(34 citation statements)

References 27 publications

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“…In their initial report, Raman et al included one patient with a 4.5-cm kidney cancer mass [12]. Soon after, Kaouk et al reported a radical nephrectomy for a 5-cm left renal mass in their initial LESS series [40]. Subsequently, Ponsky et al described a LESS radical nephrectomy for an 8-cm renal tumor with intact specimen extraction [41].…”

Section: Opticsmentioning

confidence: 99%

“…[46,68] Slightly difficult Lack of specifically designed cryoprobes. High Simple nephrectomy [11,12,33,35,36,39,40] Fairly difficult Besides cosmetic advantages, other benefits for the patient still need to be fully demonstrated.…”

Section: 4mentioning

confidence: 99%

“…Radical nephrectomy [40][41][42] Fairly difficult Oncologic efficacy to be demonstrated. Medium Large incision to remove the specimen hinders the advantages of the single-site procedure.…”

Section: Highmentioning

confidence: 99%

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Laparoendoscopic Single-site and Natural Orifice Transluminal Endoscopic Surgery in Urology: A Critical Analysis of the Literature

et al. 2011

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LESS Natural orifice transluminal endoscopic surgery NOTES Robotics UrologyPlease visit www.eu-acme.org/ europeanurology to read and answer questions on-line. The EU-ACME credits will then be attributed automatically. AbstractContext: Natural orifice transluminal endoscopic surgery (NOTES) and laparoendoscopic single-site surgery (LESS) have been developed to benefit patients by enabling surgeons to perform scarless surgery. Objective: To summarize and critically analyze the available evidence on the current status and future perspectives of LESS and NOTES in urology. Evidence acquisition: A comprehensive electronic literature search was conducted in June 2010 using the Medline database to identify all publications relating to NOTES and LESS in urology. Evidence synthesis: In urology, NOTES has been completed experimentally via transgastric, transvaginal, transcolonic, and transvesical routes. Initial clinical experience has shown that NOTES urologic surgery using currently available instruments is indeed possible. Nevertheless, because of the immaturity of the instrumentation, early cases have demanded high technical virtuosity. LESS can safely and effectively be performed in a variety of urologic settings. As clinical experience increases, expanding indications are expected to be documented and the efficacy of the procedure to improve. So far, the quality of evidence of all available studies remains low, mostly being small case series or casecontrol studies from selected centers. Thus, the only objective benefit of LESS remains the improved cosmetic outcome. Prospective, randomized studies are largely awaited to determine which LESS procedures will be established and which are unlikely to stand the test of time. Technology advances hold promise to minimize the challenging technical nature of scarless surgery. In this respect, robotics is likely to drive a major paradigm shift in the development of LESS and NOTES. Conclusions: NOTES is still an investigational approach in urology. LESS has proven to be immediately applicable in the clinical field, being safe and feasible in the hands of experienced laparoscopic surgeons. Development of instrumentation and application of robotic technology are expected to define the actual role of these techniques in minimally invasive urologic surgery.

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Section: Opticsmentioning

confidence: 99%

Section: 4mentioning

confidence: 99%

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Laparoendoscopic Single-site and Natural Orifice Transluminal Endoscopic Surgery in Urology: A Critical Analysis of the Literature

et al. 2011

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“…53 Three of the procedures were carried out with the umbilicus as the port of entry. All cases were completed uneventfully.…”

Section: Upper Urinary Tract Surgery (Table 6)mentioning

confidence: 99%

Current status and future perspectives in laparoendoscopic single‐site and natural orifice transluminal endoscopic urological surgery

et al. 2010

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Objective of this study is to provide an evidence-based analysis of the current status and future perspectives of scarless urological surgery. A PubMed search has been performed for all relevant urological literature regarding natural orifice transluminal endoscopic surgery (NOTES) and laparoendoscopic single-site surgery (LESS). In addition, experience with LESS and NOTES at our own institution has been considered. All clinical and investigative reports for LESS and NOTES procedures in the urological literature have been considered. A wide variety of clinical procedures in urology have been succesfully completed by using LESS techniques. Thus far, experience with NOTES has largely been investigational, although early clinical reports are emerging. Further development of instrumentation and platforms is necessary for both techniques to become more widely adopted throughout the urological community.

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“…В 2007 г. A. Rane впервые сообщил об удалении поч-ки, произведенной однопортовым методом у взрос-лого пациента [12]. Позже Y.…”

Section: Discussionunclassified

Single-port nephrectomy in the newborns: first clinical experience

Kozlov¹,

Novozhilov²,

Барадиева³

2015

Endosk. khir.

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28Минимально инвазивная хирургия становится все более распространенным методом лечения раз-личных урологических заболеваний у детей. Для пациентов с нефункционирующими почками лапа-роскопия является безопасной и эффективной аль-тернативой традиционной открытой хирургии. Она сопровождается преимуществами, которые заклю-чаются в быстром восстановлении пациентов после операции, снижении послеоперационной боли и хо-рошим косметическим эффектом [1][2][3]. Технические успехи, достигнутые в последнее время, расширили хирургические возможности для нефрэктомии (НЭ) с использованием единого лапароскопического досту-па (ЕЛД), которая также известна как однопортовая лапароскопическая хирургия (SILS). Предыдущие со-общения об этом методе удаления почки у детей явля-ются редкими и ограничены числом случаев [4][5][6][7][8][9][10]. Однопортовый лапароскопический подход для НЭ не нашел широкого применения у детей младшей возрастной группы -новорожденных и младенцев. Эта тенденция обусловлена главным образом тем, что большинство детских хирургов удовлетворено косметическим эффектом мультипортовой эндоско-пической техники. Другое объяснение этого явления заключается в отсутствии технологий и практических навыков для реализации однопортового метода у ма-леньких детей. Цель научного исследования заклю-чается в демонстрации возможности и безопасности однопортовой лапароскопической НЭ у маленьких детей, чей средний возраст составляет 3 мес. Ключевые слова: дети, нефрэктомия, лапароскопия, единый лапароскопический доступThe aim of the study was to demonstrate the possibility of single-port laparoscopic nephrectomy in infants. From January 2013 to May 2014 five laparoscopic nephrectomies were performed with the use of single-port technique. Analysis of the effectiveness of the surgeries, short-term and long-term postoperative outcomes has been carried out. Average patient´s age at the time of surgery was 90±22 days (66-119 days). Body weight of patients was 5.49±0.11 kg (5.41-5.56 kg). Average duration of single-port nephrectomy was 55±6 min (50-60 min). All surgeries were accomplished without conversion to multiport laparoscopy. Postoperative complications were absent. All patients' recovery was uneventful. Our experience confirms that single-port laparoscopic nephrectomy may be applied for the treatment of non-functioning kidney in the newborns with good results. However, further experience accumulation and comparative studies are required to make a judgment about the benefits of surgery with the use of single laparoscopic approach.

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Single‐port ‘scarless’ laparoscopic nephrectomies: the United Kingdom experience

Cited by 59 publications

References 27 publications

Laparoendoscopic Single-site and Natural Orifice Transluminal Endoscopic Surgery in Urology: A Critical Analysis of the Literature

Laparoendoscopic Single-site and Natural Orifice Transluminal Endoscopic Surgery in Urology: A Critical Analysis of the Literature

Current status and future perspectives in laparoendoscopic single‐site and natural orifice transluminal endoscopic urological surgery

Single-port nephrectomy in the newborns: first clinical experience

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