Combined surgical procedures using laparoendoscopic single‐site surgery approach

Abstract

When a suitable case of multiple pathologies is encountered and LESS surgery is feasible for all of them, performing LESS surgery not only has cosmetic advantages over standard laparoscopy, but it also avoids the need for additional ports to achieve adequate visualization and access. All quadrants of the abdomen remain under reach through umbilicus.

Robotic laparoendoscopic single-site surgery for concurrent hysterectomy and cholecystectomy

“…So far case series have presented the potential of LESS for the combination of abdominal procedures such as liver resection, splenectomy, intestinal surgery and nephrectomy in addition to cholecystectomy and hysterectomy [15]. As R-LESS is being widely accepted in general surgery, urology and gynecology [1,2], the experience from performing hysterectomy or cholecystectomy will accumulate and contribute to the feasibility of performing a various combination of complex procedures with R-LESS.…”

Reduced-port endo-laparoscopic surgery using umbilical zigzag incision for concomitant operations: A case series

“…However, when we perform two different surgeries, standard port placement may not work, and the number of ports may increase [9]. Therefore, we believe that RPS through an umbilical incision would be especially feasible for concomitant laparoscopic surgery because the ports in the umbilical incision at the center of the abdomen can be utilized during the operative procedures to access almost all intraperitoneal organs.…”

“…Wu et al reported trans-umbilical single port concomitant surgery for small organ resection that needed no reconstruction and concluded that the method is feasible [10]. Palanivelu et al reported 27 cases of concomitant single port laparoscopic surgery and concluded that this procedure is feasible [9]. There were no operations that required large specimen extraction or reconstruction of the intestine except for one case of jejunum resection.…”

Laparoendoscopic Single-Site Combined Hysterectomy and Nephrectomy in Deep Infiltrating Endometriosis

“…The first published combined technique using LESS showed the feasibility of performing hysterectomy and cholecystectomy [4]. Subsequently, a recent case series by Palanivelu et al [5] reported a retrospective analysis of 27 patients in whom various combined laparoscopic single site operations had been performed. In their series, there were 2 patients in whom hysterectomy operation was combined with sleeve gastrectomy, and cholecystectomy, respectively via single route.…”