Cistectomía radical laparoendoscópica con neovejiga íleal ortotópica a través de puerto único umbilical

Trans-umbilical single-port radical nephrectomy with concomitant cholecystectomy

“…7 It possibly influences the degree of extension of this technique in the field of general surgery, which in this case have 2 interventions such as cholecystectomy and appendectomy where the complication rate is low, and this allows them to perform a learning curve faster than the one that we urologists can have. In Spain there are groups that have reported their experience in oncologic surgery, 8 as well as in live donor transplant 9 with a high level and showing the possibilities offered by this type of approach. We believe it is necessary to advance in the use of clinical simulation to have effective training models to perform an initial learning curve.…”

Pure transumbilical approach for oncologic surgeries of the male pelvis is now closer to become a reality

“…Laparoendoscopic single-site surgery (LESS) has become widely applicable in different urological settings, especially for renal surgery, life-donor nephrectomy and reconstructive procedures ( 1 ). New technical developments that include the application of precise manual and robotic systems are contributing to further development of this field, especially in urologic pelvic surgery where LESS surgery has not been so popular ( 2 , 3 ). However, it is evident that LESS application for prostate and bladder cancer surgery remains one of the least used indications, possibly for the drawback that constitutes performance of such time-consuming and complex procedures like radical prostatectomy or radical cystoprostatectomy, lymph node dissection and urinary diversion ( 4 , 5 ).…”

“…Also other complex pelvic surgeries, such as partial cystectomy and ureteral reimplantation can be performed using this hybrid LESS approach ( 19 , 20 ). Finally we were again pioneer to describe a 2-port laparoscopic technique for radical cystectomy with a multichannel umbilical port and a 10-mm trocar on right iliac fossa ( 3 , 16 , 17 ). Our results were similar to those achieved through multiport conventional laparoscopy and patients reported better outcomes with the umbilical approach ( 17 , 20 ).…”