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Laparoendoscopic Single-Site Retroperitoneal Surgery

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Abstract

Initial reports of single-port laparoscopic surgery, now known as laparoendoscopic single-site surgery (LESS), are gaining momentum. LESS has become more sophisticated in part due to flexible tip laparoscopes and advancements in operating instruments. These newer instruments have improved the surgeon’s range of motion and the ability to “triangulate” instruments despite in-line placement. Feasibility reports have focused almost exclusively on transperitoneal single-port surgery through the umbilicus, with little data to support LESS through a retroperitoneal approach.

The retroperitoneum is familiar to the urologist and the retroperitoneal approach can be superior to the transperitoneal technique in unique clinical presentations especially in those who have undergone previous intraabdominal surgery. We present our LESS retroperitoneal surgical technique and discuss our outcomes.

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Disclosure

Funding was not received for this work from any organizations including National Institutes of Health, Wellcome Trust, Howard Hughes Medical Institute, and others.

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Authors and Affiliations

  1. Department of Urology, Cleveland Clinic Foundation, 9500 Euclid Ave, Q-10, Cleveland, OH, 44195, USA

    Jihad H. Kaouk (Director, Robotic and Laparoscopic Surgery)

Authors
  1. Michael A. White
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  2. Jihad H. Kaouk
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Corresponding author

Correspondence to Jihad H. Kaouk .

Editor information

Editors and Affiliations

  1. , Urology and Wilmot Cancer Center, University of Rochester Medical Center, Elmwood Avenue 601, Rochester, 14642, New York, USA

    Jean V. Joseph

  2. Department of Surgery, Endocrine, University Hospital of North Norway, Tromsø, 9038, Norway

    Hitendra R.H. Patel

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© 2011 Springer-Verlag London Limited

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White, M.A., Kaouk, J.H. (2011). Laparoendoscopic Single-Site Retroperitoneal Surgery. In: Joseph, J., Patel, H. (eds) Retroperitoneal Robotic and Laparoscopic Surgery. Springer, London. https://doi.org/10.1007/978-0-85729-485-2_14

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  • DOI: https://doi.org/10.1007/978-0-85729-485-2_14

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  • Publisher Name: Springer, London

  • Print ISBN: 978-0-85729-484-5

  • Online ISBN: 978-0-85729-485-2

  • eBook Packages: MedicineMedicine (R0)

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