Laparoendoscopic single-site surgery in urology.
OBJECTIVE
To analyze the current literature regarding advances in laparoscopic single-site (LESS) surgery in urology.


RESULTS
Since its initial urologic description in 2007, there has been a surge of interest in LESS surgery. Published descriptions of LESS procedures now include virtually all extirpative and reconstructive urologic procedures. Novel instrumentation and techniques have been developed that offset many of the inherent increased technical demands with LESS surgery. Substantial clinical data have recently been reported that attest to the safety and efficacy of LESS surgery in select patients. Initial data have also been reported comparing morbidity outcomes with standard laparoscopy.


CONCLUSIONS
LESS is now an established technique within the field of minimally invasive urologic surgery. Further study is needed to determine the true benefits of the technique and the extent of its clinical application. Further refinements in technology will likely be needed before the widespread adoption of LESS.
Eisenberg
Manuel S
MS
USC Institute of Urology, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA.
Cadeddu
Jeffrey A
JA
Desai
Mihir M
MM
D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D013520:Urologic Surgical Procedures / Q000379:methods*