Training for laparoendoscopic single-site surgery (LESS)

Müller, E; Cavazzola, Leandro Totti; Grossi, João Vicente Machado; Mariano, Mirandolino Batista; Morales, C. J.; Brun, Maurício Veloso

doi:10.1016/j.ijsu.2009.11.003

Cited by 27 publications

(17 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The Laparo-Endoscopic Single-Site Surgery Consortium for Assessment and Research consortium recommended that before a LESS procedure is performed, the surgeon should possess adequate standard laparoscopic experience and preferably should have undergone specific LESS surgical training, including a stepwise, structured program incorporating inanimate training models, hands-on animal training, observation of clinical procedures, and performance of initial LESS procedures in a mentored and proctored setting [80,94].…”

Section: Lowmentioning

confidence: 99%

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

et al. 2011

View full text Add to dashboard Cite

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.

show abstract

Section: Lowmentioning

confidence: 99%

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

et al. 2011

View full text Add to dashboard Cite

show abstract

“…On the one hand, after initial contact with this approach and proof that most regular laparoscopic surgeries can be accomplished by this method [3,4], an important question still remains unanswered: is single-access surgery better than the laparoscopy we have been performing for more than 20 years? LESS procedures have strong cosmetic appeal, especially when the umbilicus is used as the entry port, but is this followed by an equal reduction in inflammatory response and by postoperative benefits to patients (reduction of pain, and less short-and long-term complications)?…”

Section: Dear Editorsmentioning

confidence: 99%

Can mathematic formulas help us with our patients?

Carvalho

Cavazzola

2010

Surg Endosc

Self Cite

View full text Add to dashboard Cite

“…However, disadvantages are mainly for the surgeons which involve lack of instrument triangulation and steeper learning curve [43]. SILS is also known as laparoendoscopic single-site surgery (LESS), single port access (SPA) surgery, natural orifice transluminal endoscopic surgery (NOTES), minimally invasive single site (MISS) surgery, among others [3], [42], [44]. [47] Verified that gasless LESS surgery for adnexal masses is a safe alternative to multiport laparoscopy.…”

Section: Industrial Robot-assisted Surgical Systemmentioning

confidence: 99%

“…Laparoscopy, also known as minimally invasive surgery (MIS), is a revolutionary procedure that has benefitted both the patients and the doctors [1]- [3]. Johnson [1] considered it then to be the greatest advance since ether anaesthesia.…”

Section: Introductionmentioning

confidence: 99%

Recent technological advancements in laparoscopic surgical instruments

Subido

Pacis

Bugtai

2018

AIP Conference Proceedings

View full text Add to dashboard Cite

Abstract. Laparoscopy was a progressive step to advancing surgical procedures as it minimised the scars left on the body after surgery, compared to traditional open surgery. Many years later, single-incision laparoscopic surgery (SILS) was created where, instead of having multiple incisions, only one incision is made or multiple small incisions in one location. SILS, or laparoendoscopic single-site surgery (LESS), may produce lesser scars but drawbacks for the surgeons are still present. This paper aims to present related literature of the recent technological developments in laparoscopic tools and procedure particularly in the vision system, handheld instruments. Tech advances in LESS will also be shown. Furthermore, this review intends to give an update on what has been going on in the surgical robot market and state which companies are interested and are developing robotic systems for commercial use to challenge Intuitive Surgical's da Vinci Surgical System that currently dominates the market.

show abstract

Training for laparoendoscopic single-site surgery (LESS)

Cited by 27 publications

References 19 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

Can mathematic formulas help us with our patients?

Recent technological advancements in laparoscopic surgical instruments

Contact Info

Product

Resources

About