Laparoendoscopic Single-Site Surgery in Urology Using Conventional Instruments: Our Initial Experience

Nagabhushana, M. V.; Kamath, Anant J.; Manohar, C S

doi:10.1089/end.2013.0311

Cited by 10 publications

(2 citation statements)

References 21 publications

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“…The use of adjacent puncture sites for instrumentation eliminates the need for commercial multichannel ports [ 15 ]. In selected patients, laparoendoscopic single-site surgery (LESS) for urological indications using conventional laparoscopic instruments has been shown to be safe and feasible, with no additional cost [ 16 ]. Although instrument crashing remains a concern in single-site surgery, our technique involved placing the two instrument ports 1 cm apart, effectively reducing the occurrence of crashing.…”

Section: Discussionmentioning

confidence: 99%

Advantages of single-site laparoscopic orchiopexy for palpable undescended testes in children: a prospective comparison study

Yang,

He,

Chen

et al. 2024

Pediatr Surg Int

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Purpose To evaluate the feasibility of single-site laparoscopic orchiopexy for palpable undescended testes in children. Methods We prospectively studied patients with undescended testes between July 2021 and June 2022. In total, 223 patients were included in our study: 105 underwent single-site laparoscopic orchiopexy and 118 underwent conventional laparoscopic orchiopexy. During single-site laparoscopic orchiopexy, 3 ports were inserted within the umbilicus. Results No differences were observed between the groups in terms of age and laterality. For unilateral undescended testes, the operating time was longer in the single site group than in the conventional group at the early stages (55.31 ± 12.04 min vs. 48.14 ± 14.39 min, P = 0.007), but it was similar to the conventional group at the later stages (48.82 ± 13.49 min vs. 48.14 ± 14.39 min, P = 0.78). Testicular ascent occurred in one patient from each group. There was no significant difference in the success rate between the single-site group and the conventional group (99.0% vs. 99.2%, P = 0.93). In the single-site group, no visible abdominal scarring was observed, while in the conventional group, there were two noticeable scars on the abdomen. Conclusion Single-site laparoscopic orchiopexy offers superior cosmetic results and comparable success rates compared to conventional laparoscopic orchiopexy for palpable undescended testes.

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Section: Discussionmentioning

confidence: 99%

Advantages of single-site laparoscopic orchiopexy for palpable undescended testes in children: a prospective comparison study

Yang,

He,

Chen

et al. 2024

Pediatr Surg Int

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“…In comparison, we have used conventional laparoscopic instruments and laparoscope for VVF repair, thereby decreasing the amount of investment required. Our technique of port insertion which we already described in our earlier published series,[ 24 ] is similar to the one described by Raman et al . [ 25 ] where 5 or 10 mm standard working ports are directly inserted through the rectus fascia, under the periumbilical skin flap.…”

Section: Discussionmentioning

confidence: 99%

Laparoendoscopic single site surgery for extravesical repair of vesicovaginal fistula using conventional instruments: Our initial experience

et al. 2016

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Objective:Vesicovaginal fistula (VVF) is a major complication with psychosocial ramifications. In literature, few VVF cases have been managed by laparoendoscopic single site surgery (LESS) and for the 1st time we report VVF repair by LESS using conventional laparoscopic instruments. We present our initial experience and to assess its feasibility, safety and outcome.Patients and Methods:From March 2012 to September 2015, LESS VVF repair was done for ten patients aged between 30 and 65 (45.6 ± 10.15) years, who presented with supratrigonal VVF. LESS was performed by modified O’Conor technique using regular trocars with conventional instruments. Data were collected regarding feasibility, intra- or post-operative pain, analgesic requirement, complication, and recovery.Results:All 10 cases were completed successfully, without conversion to a standard laparoscopic or open approach. The mean operative time was 182.5 ± 32.25 (150–250) min. The mean blood loss was 100 mL. The respective mean visual analog score for pain on day 1, 2, and 3 was 9.2 ± 1, 5 ± 1, and 1.4 ± 2.3. The analgesic requirement in the form of intravenous tramadol on days 1, 2, and 3 was 160 ± 51.6, 80 ± 63.2, and 30 ± 48.3, mgs respectively. No major intra- or post-operative complications were observed. The mean hospital stay was 2.6 ± 0.7 (2–4) days.Conclusion:In select patients, LESS extravesical repair of VVF using conventional laparoscopic instruments is safe, feasible with all the advantages of single port surgery at no added cost. Additional experience and comparative studies with conventional laparoscopy are warranted.

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LESS Pyeloplasty

Brown¹,

Laydner²,

Haber³

et al. 2017

Atlas of Laparoscopic and Robotic Single Site Surgery

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Laparoendoscopic Single-Site Surgery in Urology Using Conventional Instruments: Our Initial Experience

Abstract: In selected patients, LESS for urological indications using conventional laparoscopic instruments is safe and feasible with no added cost. Additional experience and continued investigation are warranted.

Cited by 10 publications

References 21 publications

Advantages of single-site laparoscopic orchiopexy for palpable undescended testes in children: a prospective comparison study

Advantages of single-site laparoscopic orchiopexy for palpable undescended testes in children: a prospective comparison study

Laparoendoscopic single site surgery for extravesical repair of vesicovaginal fistula using conventional instruments: Our initial experience

LESS Pyeloplasty

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