Skip to main content
SpringerLink
Log in

History and Evolution of LESS

  • Chapter
  • First Online:
Atlas of Laparoscopic and Robotic Single Site Surgery

Part of the book series: Current Clinical Urology ((CCU))

  • 895 Accesses

Abstract

From very humble beginnings, roughly a century ago, laparoscopic surgery has now become the standard of care for many surgical procedures. Its application in various surgical specialities has helped patients tremendously by replacing traditional open surgical procedures with laparoscopic techniques that have the added benefit of better cosmesis, significantly improved operative and post-operative outcomes without compromising on oncological outcomes. Within the field of urology, laparoscopy has evolved significantly from initially being a diagnostic tool to now providing the means for performing complex extirpative and reconstructive procedures intra-corporally. Rapid advancements made in technology, the incorporation of robotics and the development of laparoendoscopic single-site surgery (LESS) and natural orifice translumenal endoscopic surgery (NOTES) have now made truly ‘scarless’ surgery achievable.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 59.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 79.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 109.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Platteborse R. Laparoscopy, laparophotography, punch biopsy of the liver, gallbladder punch biopsy and collection of specimens of the peritoneal organs through a single trocar. Acta Gastroenterol Belg. 1961;24:696–700.

    CAS  PubMed  Google Scholar 

  2. Wheeless C. A rapid inexpensive and effective method of surgical sterilization by laparoscopy. J Reprod Med. 1969;3:65.

    Google Scholar 

  3. Gill IS, Advincula AP, Aron M, et al. Consensus statement of the consortium for laparoendoscopic single-site surgery. Surg Endosc. 2010;24:762–8.

    Article  PubMed  Google Scholar 

  4. Pelosi MA. Laparoscopic hysterectomy with bilateral salpingo-oophorectomy using a single umbilical puncture. N J Med. 1991;88:721–6.

    CAS  PubMed  Google Scholar 

  5. Pelosi MA. Laparoscopic supracervical hysterectomy using a single-umbilical puncture (mini-laparoscopy). J Reprod Med. 1992;37:777–84.

    CAS  PubMed  Google Scholar 

  6. Pelosi MA. Laparoscopic appendectomy using a single umbilical puncture (minilaparoscopy). J Reprod Med. 1992;37:588–94.

    CAS  PubMed  Google Scholar 

  7. Navarra G, Pozza E, Occhionorelli S, Carcoforo P, Donini I. One-wound laparoscopic cholecystectomy. Br J Surg. 1997;84:695.

    Article  CAS  PubMed  Google Scholar 

  8. Kosumi T, Kubota A, Usui N, Yamauchi K, Yamasaki M, Oyanagi H. Laparoscopic ovarian cystectomy using a single umbilical puncture method. Surg Laparosc Endosc Percutan Tech. 2001;11:63–5.

    CAS  PubMed  Google Scholar 

  9. Ghezzi F, Cromi A, Fasola M, Bolis P. One-trocar salpingectomy for the treatment of tubal pregnancy: a “marionette-like” technique. BJOG. 2005;112:1417–9.

    Article  PubMed  Google Scholar 

  10. Cobellis G, Cruccetti A, Mastroianni L, Amici G, Martino A. One-trocar transumbilical laparoscopic-assisted management of Meckel’s diverticulum in children. J Laparoendosc Adv Surg Tech A. 2007;17:238–41.

    Article  PubMed  Google Scholar 

  11. Hirano D, Minei S, Yamaguchi K, et al. Retroperitoneoscopic adrenalectomy for adrenal tumors via a single large port. J Endourol. 2005;19:788–92.

    Article  PubMed  Google Scholar 

  12. Box G, Averch T, Cadeddu J, et al. Nomenclature of natural orifice translumenal endoscopic surgery (NOTES) and laparoendoscopic single-site surgery (LESS) procedures in urology. J Endourol. 2008;22:2575–81.

    Article  PubMed  Google Scholar 

  13. Rane A, Kommu S, Eddy B, Bonadio F, Rao P, Rao P. Clinical Evaluation of a novel laparoscopic port (R-Port) and evolution of the single laparoscopic port procedure (SLiPP). J Endourol. 2007;21:A22–3.

    Google Scholar 

  14. Rané A, Rao P, Rao P. Single-port-access nephrectomy and other laparoscopic urologic procedures using a novel laparoscopic port (R-port). Urology. 2008;72:260–3; discussion 263–4.

    Article  PubMed  Google Scholar 

  15. Raman JD, Bensalah K, Bagrodia A, Stern JM, Cadeddu JA. Laboratory and clinical development of single keyhole umbilical nephrectomy. Urology. 2007;70:1039–42.

    Article  PubMed  Google Scholar 

  16. Desai MM, Rao PP, Aron M, Pascal-Haber G, Desai MR, Mishra S, Kaouk JH, Gill IS. Scarless single port transumbilical nephrectomy and pyeloplasty: first clinical report. BJU Int. 2008;101:83–8.

    Article  PubMed  Google Scholar 

  17. Kaouk JH, Haber G-P, Goel RK, Desai MM, Aron M, Rackley RR, Moore C, Gill IS. Single-port laparoscopic surgery in urology: initial experience. Urology. 2008;71:3–6.

    Article  PubMed  Google Scholar 

  18. Desai MM, Stein R, Rao P, Canes D, Aron M, Rao PP, Haber G-P, Fergany A, Kaouk J, Gill IS. Embryonic natural orifice transumbilical endoscopic surgery (E-NOTES) for advanced reconstruction: initial experience. Urology. 2009;73:182–7.

    Article  PubMed  Google Scholar 

  19. Gill IS, Canes D, Aron M, Haber G-P, Goldfarb DA, Flechner S, Desai MR, Kaouk JH, Desai MM. Single port transumbilical (E-NOTES) donor nephrectomy. J Urol. 2008;180:637–41; discussion 641.

    Article  PubMed  Google Scholar 

  20. Kaouk JH, Goel RK, Haber G-P, Crouzet S, Desai MM, Gill IS. Single-port laparoscopic radical prostatectomy. Urology. 2008;72:1190–3.

    Article  PubMed  Google Scholar 

  21. Desai MM, Aron M, Canes D, et al. Single-port transvesical simple prostatectomy: initial clinical report. Urology. 2008;72:960–5.

    Article  PubMed  Google Scholar 

  22. Desai MM, Aron M, Berger A, Canes D, Stein R, Haber G-P, Kamoi K, Crouzet S, Sotelo R, Gill IS. Transvesical robotic radical prostatectomy. BJU Int. 2008;102:1666–9.

    Article  PubMed  Google Scholar 

  23. Kaouk JH, Goel RK, Haber G-P, Crouzet S, Stein RJ. Robotic single-port transumbilical surgery in humans: initial report. BJU Int. 2009;103:366–9.

    Article  PubMed  Google Scholar 

  24. Noguera RJS, Astigueta JC, Carmona O, De Andrade RJ, Luis S, Cuomo B, Manrique J, Gill IS, Desai MM. Laparoscopic augmentation enterocystoplasty through a single trocar. Urology. 2009;73:1371–4.

    Article  PubMed  Google Scholar 

  25. Kaouk JH, Goel RK, White MA, White WM, Autorino R, Haber G-P, Campbell SC. Laparoendoscopic single-site radical cystectomy and pelvic lymph node dissection: initial experience and 2-year follow-up. Urology. 2010;76:857–61.

    Article  PubMed  Google Scholar 

  26. Autorino R, Khanna R, White MA, Haber G-P, Shah G, Kaouk JH, Stein RJ. Laparoendoscopic single-site repair of retrocaval ureter: first case report. Urology. 2010;76:1501–5.

    Article  PubMed  Google Scholar 

  27. Kaouk JH, Palmer JS. Single-port laparoscopic surgery: initial experience in children for varicocelectomy. BJU Int. 2008;102:97–9.

    Article  PubMed  Google Scholar 

  28. Sotelo RJ, Astigueta JC, Desai MM, Canes D, Carmona O, De Andrade RJ, Moreira O, Lopez R, Velásquez A, Gill IS. Laparoendoscopic single-site surgery simple prostatectomy: initial report. Urology. 2009;74:626–30.

    Article  PubMed  Google Scholar 

  29. Canes D, Desai MM, Aron M, Haber G-P, Goel RK, Stein RJ, Kaouk JH, Gill IS. Transumbilical single-port surgery: evolution and current status. Eur Urol. 2008;54:1020–9.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Urology, Darent Valley Hospital, Dartford, Kent, UK

    Marios Hadjipavlou BSc, MBBS, MRCS

  2. Department of Urology, East Surrey Hospital, Redhill, UK

    Shahid Aziz Anwer Khan FRCS (Urol), FEBU & Abhay Rane MS, OBE, FRCS (Urol)

Authors
  1. Marios Hadjipavlou BSc, MBBS, MRCS
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Shahid Aziz Anwer Khan FRCS (Urol), FEBU
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Abhay Rane MS, OBE, FRCS (Urol)
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Shahid Aziz Anwer Khan FRCS (Urol), FEBU .

Editor information

Editors and Affiliations

  1. Professor of Surgery, Department of Urology Cleveland Clinic Lerner, College of Medicine, Zagarek Pollock Chair in Robotic Surgery, Center for Robotic and Image guided Surgery, Glickman Urologic Institute, Cleveland, Ohio, USA

    Jihad H. Kaouk

  2. Associate Professor of Surgery, Department of Urology, Center for Robotic and Image Guided Surgery, Glickman Urological and Kidney Institute Cleveland Clinic, Cleveland, Ohio, USA

    Robert J. Stein

  3. Associate Staff, Department of Urology, Center for Robotic and Image Guided Surgery, Glickman Urological Institute Cleveland Clinic, Cleveland, Ohio, USA

    Georges-Pascal Haber

Rights and permissions

Reprints and permissions

Copyright information

© 2017 Springer Science+Business Media New York

About this chapter

Cite this chapter

Hadjipavlou, M., Khan, S.A.A., Rane, A. (2017). History and Evolution of LESS. In: Kaouk, J., Stein, R., Haber, GP. (eds) Atlas of Laparoscopic and Robotic Single Site Surgery. Current Clinical Urology. Humana Press, New York, NY. https://doi.org/10.1007/978-1-4939-3575-8_1

Download citation

  • DOI: https://doi.org/10.1007/978-1-4939-3575-8_1

  • Published:

  • Publisher Name: Humana Press, New York, NY

  • Print ISBN: 978-1-4939-3573-4

  • Online ISBN: 978-1-4939-3575-8

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation