Laparo-Endoscopic Single Site (LESS) versus Standard Laparoscopic Left Donor Nephrectomy: Matched-pair Comparison

Canes, David; Berger, André; Aron, Monish; Brandina, Ricardo; Goldfarb, David A.; Shoskes, Daniel A.; Desai, Mihir; Gill, Inderbir S.

doi:10.1016/j.eururo.2009.07.023

Cited by 240 publications

(164 citation statements)

References 18 publications

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“…Two retrospective matched-pair comparison of LESS to standard laparoscopic live-donor nephrectomy have been recently reported [70,71] (Table 7). Canes et al performed this LESS procedure through an intra-umbilical multichannel port, using a 5-mm rigid laparoscope with integrated camera head, with standard and curved/articulating instruments [70].…”

Section: Laparoendoscopic Single-site Surgery Versus Standard Laparosmentioning

confidence: 99%

“…Canes et al performed this LESS procedure through an intra-umbilical multichannel port, using a 5-mm rigid laparoscope with integrated camera head, with standard and curved/articulating instruments [70]. The kidney was extracted through a slightly extended umbilical incision.…”

Section: Laparoendoscopic Single-site Surgery Versus Standard Laparosmentioning

confidence: 99%

“…As clinical experience increases, expanding indications are expected to be documented and the efficacy of the procedure to improve. Unfortunately, the quality of evidence of all available studies remains low, mostly being small case series [61][62][63] (evidence level 4) or case-control studies from selected centers [64][65][66][67][68][69][70][71] (evidence level 3b). Given the limited amount of data, available reviews are narrative [11,13,14,[29][30][31]78,79] or are based on expert opinions and consensus meetings [1,2,80] (evidence level 4).…”

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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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: Laparoendoscopic Single-site Surgery Versus Standard Laparosmentioning

confidence: 99%

Section: Laparoendoscopic Single-site Surgery Versus Standard Laparosmentioning

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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“…Desai et al reported 2 postoperative complications in a series of 17 predominantly left-sided LESS-DN [17]. Canes and colleagues reported 2 postoperative complications in their series of 18 consecutive LESS-DN [18]. In this study, only one case was a right-sided donor and was converted to standard laparoscopy and excluded from their analysis.…”

Section: Discussionmentioning

confidence: 76%

“…Furthermore, both of these studies report using an additional 2mm needlescopic grasper [16] or 5mm port for liver retraction [17], whereas we do not utilize any additional ports. In a more recent study comparing LESS-DN to conventional LAP-DN, operative times for each procedure far exceeded ours (269 minutes and 239 minutes, respectively) [18].…”

Section: Discussionmentioning

confidence: 99%

The Evolution of Laparoscopic Right Donor Nephrectomy: Progression to Single Site Surgery

Afaneh¹,

Ramasamy²,

Aull³

2011

J Transplant Technol Res

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Laparoendoscopic single-site donor nephrectomy (LESS-N) versus standard laparoscopic donor nephrectomy

Aboumarzouk¹,

Ahmed²,

Chłosta³

et al. 2013

Cochrane Database of Systematic Reviews

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Laparo-Endoscopic Single Site (LESS) versus Standard Laparoscopic Left Donor Nephrectomy: Matched-pair Comparison

Cited by 240 publications

References 18 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

The Evolution of Laparoscopic Right Donor Nephrectomy: Progression to Single Site Surgery

Laparoendoscopic single-site donor nephrectomy (LESS-N) versus standard laparoscopic donor nephrectomy

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