Robotic Laparoendoscopic Single-Site Surgery Using GelPort as the Access Platform

Stein, Robert J.; White, Wesley M.; Goel, Raj Kumar; Irwin, Brian H.; Haber, George; Kaouk, Jihad

doi:10.1016/j.eururo.2009.03.054

Cited by 179 publications

(82 citation statements)

References 16 publications

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“…The same group reported an initial experience with single-port robotic PN in two patients without conversions or complications [44]. In another study, they also reported robotic LESS using a GelPort as the access platform [87]. Four clinical procedures were performed, including two pyeloplasties, one radical nephrectomy, and one PN.…”

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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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: 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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“…La laparoendoscopia por puerto único (LESS) es una nueva técnica de cirugía que permite llevar a cabo cirugía mayor sin cicatrices (con incisiones mínimas) y que puede considerarse como el último avance en cirugía laparoscópica, con resultados óptimos en los más de 400 casos registrados 36,37 . En esta intervención transabdominal se realiza una única incisión en el ombligo, que permite acceder al abdomen y prácticamente deja oculta la misma 36,37 .…”

Section: Robótica Para Laparoendoscopia Por Puerto úNicounclassified

“…En esta intervención transabdominal se realiza una única incisión en el ombligo, que permite acceder al abdomen y prácticamente deja oculta la misma 36,37 .…”

Section: Robótica Para Laparoendoscopia Por Puerto úNicounclassified

“…La principal ventaja del Sistema Quirúrgico da Vinci ® para LESS es la fácil articulación, gracias a los instrumentos EndoWrist, además de la visualización tridimensional, el movimiento a escala y la reducción del temblor 36,37 (fig. 4).…”

Section: Robótica Para Laparoendoscopia Por Puerto úNicounclassified

“…En lo que respecta a la Urología el sistema LESS ha sido utilizado para la realización de nefrectomía, adrenalectomía, crioablación renal, pieloplastia, interposición ileal, ureteroneocistostomía, varicocelectomía, prostatectomía radical, prostatectomía simple, y cistoprostatectomía radical 36 .…”

Section: Robótica Para Laparoendoscopia Por Puerto úNicounclassified

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