Cost Effective Laparoendoscopic Single-Site Surgery with a Reusable Platform

Abstract

The authors found that laparoendoscopic single-site surgery with a reusable platform was feasible for various urologic entities, yielding favorable cosmetic and functional results.

Two-Port Laparoscopic Reconstructive Surgery of the Urinary Tract with Reusable Umbilical System (Hybrid Less): A Proof of Concept Study

“…To date, there have been no cost-effectiveness analyses performed on the implementation of LESS or hybrid LESS in urology departments that take into account the surgical time and the costs resulting from hospitalization. However, the reusable nature of the instruments and reduced hospital stays resulting from a faster recovery with lower analgesic needs suggest significant advantages for the LESS approach with reusable materials [20,31,32]. …”

Staging lymphadenectomy in patients with localized high risk prostate cancer: comparison of the laparoendoscopic single site (LESS) technique with conventional multiport laparoscopy

“…In our present work, no postoperative complications occurred within 6 months after LESSPL. In a series of 15 consecutive LESSPL in males with localized high risk prostate cancer, Schwentner et al reported on one patient with inadvertent bowel injury, requiring intracorporal suturing [ 11 ]. In our view, patient safety should be a major issue in a pure diagnostic staging procedure, especially when a novel minimally invasive technique is used.…”

“…In an earlier publication, we estimated cumulative cost of 10 LESS procedures, performed with different single ports, and identified the reusable X-Cone as being the most cost-effective [ 10 ]. In their recent publication on different urologic LESS procedures, Schwentner et al found that LESS nephrectomy performed with the X-Cone is more cost-effective than conventional multiport laparoscopic nephrectomy [ 11 ].…”

“…A detailed description, of the use of the X-Cone single port platform (Karl Storz, Tuttlingen, Germany) has previously been published [ 10 , 11 ]. In brief, LESSPL was performed with both surgeons at the same side of the table and the patient being placed in a supine low lithotomy position.…”

Comparison of single access devices during cut and suturing tasks on simulator

“…In this study, we selected some of the most commonly used devices: the SILS Port (Covidien, Mansfield) [3,7,8], which requires a 2-cm minimum incision, but because of its foam like structure perfectly adapts to the abdominal wall thus preventing gas leakage; the GelPOINT Advanced Access Platform (Applied Medical, CA) as a disposable alternative to the first, a device that has gradually grown in importance, especially in general surgery procedures [5,9]; and, as a reusable alternative, we opted for the XCONE (Karl Storz GmbH & Co, Tuttlingen, Germany) [1,10,11].…”