Perioperative Comparison of Robotic Assisted Laparoendoscopic Single-Site (LESS) Pyeloplasty Versus Conventional LESS Pyeloplasty

Olweny, Ephrem O.; Park, Samuel K.; Tan, York Kiat; Gürbüz, Cenk; Cadeddu, Jeffrey A.; Best, Sara L.

doi:10.1016/j.eururo.2011.10.024

Cited by 59 publications

(43 citation statements)

References 19 publications

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“…Since then, a cumulative number of roughly 150 robotic urologic LESS cases have been reported by different institutions across the globe with a variety of techniques and port configurations [8][9][10]. Although the da Vinci systems (Intuitive Surgical Inc., Sunnyvale, CA, USA) have been shown to be valuable allies in LESS, it is not what they were specifically designed for.…”

Section: Introductionmentioning

confidence: 99%

A Novel Robotic System for Single-port Urologic Surgery: First Clinical Investigation

et al. 2014

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Section: Introductionmentioning

confidence: 99%

A Novel Robotic System for Single-port Urologic Surgery: First Clinical Investigation

et al. 2014

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“…In general, postoperative complications reported by other groups have been low-grade, although urine leak requiring a nephrostomy tube has been described in a some cases. 1,2,5 As for length of hospital stay, we found no significant dif- Four of the single-port procedures required an extra port ("single +1 procedure"); 2 One of the multiple-port procedures was a bilateral pyeloplasty; 3 Single-site platform (Intuitive Surgical). SD: standard deviation; SS: single-site.…”

Section: -6mentioning

confidence: 84%

“…In recent years, laparo-endoendoscopic single-site surgery (LESS) has been developed via a single transumbilical incision, where all instruments are inserted into the abdominal cavity. [1][2][3][4][5][6] LESS surgery offers enhanced postoperative cosmetic appearance and is believed to decrease abdominal wall trauma compared with conventional multi-incision procedures. However, difficulties encountered with LESS include lack of triangulation and counterintuitive movement of tools secondary to crossing and clashing of instruments.…”

Section: Introductionmentioning

confidence: 99%

First Canadian experience with robotic single-incision pyeloplasty: Comparison with multi-incision technique

Law¹,

Rowe²,

Archambault³

et al. 2016

CUAJ

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Introduction: We compared the outcomes of single-incision, robotassisted laparoscopic pyeloplasty vs. multiple-incision pyeloplasty using the da Vinci robotic system. Methods: We reviewed all consecutive robotic pyeloplasties by a single surgeon from January 2011 to August 2015. A total of 30 procedures were performed (16 single:14 multi-port). Two different single-port devices were compared: the GelPort (Applied Medical, Rancho Santa Margarita, CA) and the Intuitive single-site access port (Intuitive Surgical, Sunnyvale, CA). Results: Patient demographics were similar between the two groups. Mean operating time was similar among the single and multi-port groups (225.2 min vs. 198.9 minutes [p=0.33]). There was no significant difference in length of hospital stay in either group (86.2 hr vs. 93.2 hr [p=0.76]). There was no difference in success rates or postoperative complications among groups. Conclusions: Single-port robotic pyeloplasty is non-inferior to multiple-incision robotic surgery in terms of operative times, hospitalization time, success rates, and complications. Verifying these results with larger cohorts is required prior to the wide adoption of this technique. Ongoing objective measurements of cosmesis and patient satisfaction are being evaluated.

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“…Additional instruments such as a 3 mm grasper were used by some of the investigators [16]. The use of robotic assistance reduces the steep learning curve of LESS in both pyeloplasty and partial nephrectomy [25,26,27]. Small series (up to 5 cases) of LESS-RP have been reported by several investigators [15,27].…”

Section: Discussionmentioning

confidence: 99%

‘Scarless' Laparoscopic Urologic Surgery by the Combination of Mini-Laparoscopic and Laparoendoscopic Single-Site Surgery Equipment

Kallidonis

Georgiopoulos²,

Kyriazis³

et al. 2014

Urol Int

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Objective: We evaluated reconstructive and oncological laparoendoscopic single-site surgery (LESS) combined with mini-laparoscopic instruments as standard equipment. Patients and Methods: 30 patients underwent reconstructive and oncological LESS: mini-laparoscopic-assisted LESS pyeloplasty (LESS-P, n = 18), mini-laparoscopic-assisted LESS partial nephrectomy (LESS-PN, n = 7) or mini-laparoscopic-assisted LESS radical prostatectomy (LESS-RP, n = 5). Perioperative data were prospectively collected. Results: The 18 LESS-P cases had operative times ranging between 120 and 180 min (average 147.9 min). Estimated blood loss ranged between 100 and 300 ml (average 202.1 ml). Two patients required additional management for failed reconstruction. LESS-PN was performed in 7 patients with tumor size ranging between 2.5 and 3.8 cm (average 2.7 cm). Average operative time and blood loss were 155 (140-180) min and 321.4 (250-550) ml, respectively. Renal artery clamping took place in 1 case. LESS-RP was performed in 5 patients; average operative time was 156 (140-180) min and average blood loss 196 (100-400) ml. Functional and oncological outcome was directly comparable to laparoscopic radical prostatectomy. Conclusion: The combination of LESS and mini-laparoscopic instrumentation as routine equipment of reconstructive LESS reveals a different perspective for ‘scarless' urologic surgery.

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Perioperative Comparison of Robotic Assisted Laparoendoscopic Single-Site (LESS) Pyeloplasty Versus Conventional LESS Pyeloplasty

Cited by 59 publications

References 19 publications

A Novel Robotic System for Single-port Urologic Surgery: First Clinical Investigation

A Novel Robotic System for Single-port Urologic Surgery: First Clinical Investigation

First Canadian experience with robotic single-incision pyeloplasty: Comparison with multi-incision technique

‘Scarless' Laparoscopic Urologic Surgery by the Combination of Mini-Laparoscopic and Laparoendoscopic Single-Site Surgery Equipment

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