Laparoendoscopic Single-site Donor Nephrectomy: A Single-center Experience

Ganpule, Arvind; Dhawan, Divya R; Kurien, Abraham; Sabnis, Ravindra; Mishra, Shashi K; Muthu, Veeramani; Desai, Mahesh

doi:10.1016/j.urology.2009.03.048

Cited by 66 publications

(36 citation statements)

References 4 publications

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“…Each allograft functioned immediately on transplantation. Ganpule et al from India reported a series of 13 patients undergoing LESS donor nephrectomy [49]. Note that in 11 of the 13 cases, an extra 3-or 5-mm port was used.…”

Section: Opticsmentioning

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: Opticsmentioning

confidence: 99%

“…Living-donor nephrectomy [48][49][50] Extremely difficult Risk of prolonged warm ischemia time/ Medium Risk of complication in a healthy individual. Radical prostatectomy [54][55][56] Extremely difficult Demanding suturing.…”

Section: Lowmentioning

confidence: 99%

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

et al. 2011

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“…Over 300 LESS procedures are recorded in medical databases. Thirtyseven radical nephrectomies have been performed using this approach [5][6][7][8][9][10][11][12][13][14][15][16][17][18][19]. We have presented 11 radical nephrectomies, so we think that our cases can serve as a substantial input to data referring to this issue.…”

Section: Discussionmentioning

confidence: 99%

“…We have noted 86 LESS procedures performed due to oncological disease of the kidney, renal cancer or ureter cancer (nephrectomy, nephroureterectomy, or nephron sparing surgery). In 37 surgeries LESS was used as a method to perform radical nephrectomy in the case of renal cell carcinoma [5][6][7][8][9][10][11][12][13][14][15][16][17].…”

Section: Introductionmentioning

confidence: 99%

Do we need a cosmetic effect for radical nephrectomy? Laparoendoscopic single-site surgery would help to answer this question

Chłosta¹,

Drewa²,

Obarzanowski³

et al. 2011

Videosurgery and Other Miniinvasive Techniques

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“…In this context, mini-laparoscopic approaches such as laparoendoscopic single-site surgery (LESS), single-port incision laparoscopic surgery (SILS) and natural orifice translumenal endoscopic surgery (NOTES) have been developed [8,9]. Until now single-port techniques have been applied to perform a wide range of surgical, urological and gynecologic interventions, from hernia repair to cancer resections and even live donor nephrectomies [10][11][12][13].…”

Section: Introductionmentioning

confidence: 99%

Laparoendoscopic single-site transvesical removal of mid-urethral polypropylene sling eroded into the bladder

Roslan¹,

Markuszewski²,

Gibas³

et al. 2011

Videosurgery and Other Miniinvasive Techniques

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Laparoendoscopic Single-site Donor Nephrectomy: A Single-center Experience

Cited by 66 publications

References 4 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

Do we need a cosmetic effect for radical nephrectomy? Laparoendoscopic single-site surgery would help to answer this question

Laparoendoscopic single-site transvesical removal of mid-urethral polypropylene sling eroded into the bladder

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