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Current status of laparoendoscopic single-site surgery in urology

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Abstract

Purpose

Laparoendoscopic single-site surgery (LESS) uses single incisions for the introduction of instruments through a specially designed multi-lumen single port (multi-port) for the performance of several urologic procedures.

Methods

Literature review regarding the LESS approach took place on May 2009 and the experiences of our institutions were also included.

Results

Almost all urologic intra-abdominal and pelvic procedures have been successfully and safely performed with the LESS approach. Nevertheless, current experience is limited and there are significant technical challenges to the performance of LESS techniques.

Conclusions

Wider adaptation of the approach requires refinement of LESS instrumentation to overcome the technical challenges of the approach. The improved outcome should also be documented with further clinical evaluation.

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Conflict of interest statement

There is no conflict of interest.

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Authors and Affiliations

  1. Department of Urology, University of Leipzig, Liebigstraße 20, 04103, Leipzig, Germany

    Jens-Uwe Stolzenburg & Evangelos N. Liatsikos

  2. Department of Urology, University of Patras, Patras, Greece

    Panagiotis Kallidonis & Evangelos N. Liatsikos

  3. Department of Paediatric Surgery, University of Leipzig, Leipzig, Germany

    Holger Till

  4. Department of Urology, Medical School of Hannover, Hannover, Germany

    Martin Burchardt & Thomas R. Herrmann

Authors
  1. Jens-Uwe Stolzenburg
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  2. Panagiotis Kallidonis
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  3. Holger Till
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  4. Martin Burchardt
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  5. Thomas R. Herrmann
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  6. Evangelos N. Liatsikos
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Corresponding author

Correspondence to Jens-Uwe Stolzenburg.

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Stolzenburg, JU., Kallidonis, P., Till, H. et al. Current status of laparoendoscopic single-site surgery in urology. World J Urol 27, 767–773 (2009). https://doi.org/10.1007/s00345-009-0459-0

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  • DOI: https://doi.org/10.1007/s00345-009-0459-0

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