'Scarless' laparoscopic urologic surgery by the combination of mini-laparoscopic and laparoendoscopic single-site surgery equipment.
OBJECTIVE
We evaluated reconstructive and oncological laparoendoscopic single-site surgery (LESS) combined with mini-laparoscopic instruments as standard equipment.


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.


CONCLUSIONS
The combination of LESS and mini-laparoscopic instrumentation as routine equipment of reconstructive LESS reveals a different perspective for 'scarless' urologic surgery.
Department of Urology, University of Patras, Patras, Greece.
Panagiotis
P
Kallidonis
Ioannis
I
Georgiopoulos
Iason
I
Kyriazis
Abdulrahman
A
Al-Aown
Stavros
S
Kontogiannis
Jens-Uwe
JU
Stolzenburg
Evangelos N
EN
Liatsikos
D000328:Adult; D002921:Cicatrix; D004724:Endoscopy / Q000379:methods*; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D008875:Middle Aged; D009392:Nephrectomy / Q000379:methods; D061646:Operative Time; D011184:Postoperative Period; D011468:Prostatectomy / Q000379:methods; D019651:Plastic Surgery Procedures; D012077:Renal Artery / Q000601:surgery; D012371:Robotics; D025321:Surgery, Computer-Assisted; D016896:Treatment Outcome; D013520:Urologic Surgical Procedures; D055815:Young Adult