History and Evolution of LESS

Part of the Current Clinical Urology book series (CCU)


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.


Laparoendoscopic single-site surgery Laparoscopy Minimally invasive surgery Robotic-assisted surgery Surgical innovation Single port 


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Copyright information

© Springer Science+Business Media New York 2017

Authors and Affiliations

  1. 1.Department of UrologyDarent Valley HospitalDartford, KentUK
  2. 2.Department of UrologyEast Surrey HospitalRedhillUK

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